A nurse manager is attending a meeting about the cost of health care. Which of the following measures should the nurse implement to reduce the cost of treatment in the acute care setting?
Plan budget needs based on average client stay over 6 months.
Staff an additional assistive personnel each shift.
Reserve budgetary planning for senior management.
Encourage staff to participate in quality improvement projects.
The Correct Answer is D
A. Planning budgets based only on average length of stay may overlook opportunities for cost reduction and efficiency improvements.
B. Staffing additional personnel increases costs rather than reducing them.
C. Budget planning should be collaborative; limiting it to senior management misses frontline insights.
D. Encouraging staff participation in quality improvement projects can enhance efficiency, reduce errors, and lower costs in acute care.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.Providing advice over the telephoneinvolves clinical judgment and assessment, which are outside the scope of practice for an AP.
B.Teaching a client how to walk on crutchesis an educational task that requires a licensed nurse or physical therapist.
C. In many settings, APs may perform simple(non-sterile) dressing changes if trained and delegated appropriately. This is within their scope of practice under nurse supervision.
D.Inserting an NG tuberequires nursing knowledge and sterile technique, which are beyond the role of an AP.
Correct Answer is ["A","C","D"]
Explanation
A. Nurse 1– The nurse disclosed identifiable information about a client's involvement in a motor vehicle crash to another client. Sharing such specific details violates HIPAA regulations, even if the other client heard about the event in the news.
B. Nurse 5– Although this nurse acted unethically by administering pre-op medication without ensuring informed consent, the issue is informed consent and autonomy—not confidentiality.
C. Nurse 2–Leaving a computer with an active login accessible to others is a security risk. Allowing another provider to use a computer under the nurse’s login compromises protected health information.
D. Nurse 4– Using the client’s roommate as an interpreter exposes private medical information to someone who is not authorized. Interpreters should be neutral, trained professionals to protect confidentiality and accuracy.
E. Nurse 3– Although the nurse did not follow the client’s DNR wishes, this is an ethical and legal issue regarding end-of-life care, not a confidentiality breach.
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