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?
Reserve budgetary planning for senior management.
Encourage staff to participate in quality improvement projects.
Staff an additional assistive personnel each shift.
Plan budget needs based on average client stay over 6 months.
The Correct Answer is B
A. While senior management plays a critical role in overall budgetary planning, involving staff in budgetary decisions can be important for identifying cost-saving opportunities and improving financial management at all levels.
B. Encouraging staff to participate in quality improvement projects is an effective way to reduce costs. Quality improvement initiatives often focus on enhancing efficiency, reducing waste, and improving patient outcomes. By involving staff in these projects, the organization can identify areas where cost savings can be achieved without compromising care quality.
C. While additional assistive personnel might improve patient care and staff workload, it does not directly address cost reduction. Staffing an extra person each shift can increase costs rather than reduce them. Cost reduction strategies should focus on improving efficiency and reducing waste rather than simply adding resources.
D. Planning budget needs based on an average client stay over 6 months might not be the most effective approach. Budget planning should consider more dynamic factors, such as current patient volume, acuity, and shorter-term trends. Relying on average stay data might not accurately reflect current needs and could lead to either overestimating or underestimating the budget requirements.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. For clients who use sign language, it is essential to use a qualified sign language interpreter to ensure accurate and clear communication. A medical translator who is proficient in sign language can facilitate communication between the client and the provider, ensuring that the client fully understands the information being presented and can provide informed consent.
B. Speaking loudly will not address the client’s need for sign language communication. Clients who use sign language cannot benefit from auditory communication, and speaking loudly does not substitute for sign language interpretation.
C. While family members may be familiar with sign language, they might not be trained in medical terminology and might not provide accurate or impartial information. Using a family member for translation can lead to potential conflicts of interest, inaccuracies, and privacy issues.
D. Sitting to the side of the client would not be effective for communication in sign language. It is important for the provider and the interpreter to be positioned in a way that allows the client to see both clearly, as sign language communication relies on visual cues.
Correct Answer is D
Explanation
A. Critically assessing the evidence is an essential step in EBP, but it comes after identifying the relevant evidence. This step involves evaluating the quality, reliability, and applicability of the research findings to ensure they are valid and useful in clinical practice. It is not the first step in the process.
B. Collecting evidence is a necessary step in EBP, but it occurs after developing a clear clinical question. This step involves gathering data from research studies, clinical guidelines, expert opinions, and other relevant sources to inform decision-making. While important, this step follows the formulation of a clinical question.
C. Applying research to client care practice is the implementation phase, where evidence is integrated into clinical practice to improve patient outcomes. This step comes after gathering and critically assessing the evidence and is not the initial step in the EBP process.
D. Developing a clinical question is the first step in evidence-based practice. This step involves identifying a specific problem or question related to client care that needs to be addressed. A well- formulated clinical question helps guide the search for relevant evidence and ensures that the evidence collected is focused and applicable to the client’s needs.
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