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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. Requesting another family member to assist might provide some temporary relief but does not address the larger issue of ensuring that the client’s ongoing care needs are met. It also assumes that other family members are available and willing to help, which might not be the case.
B. The case manager is responsible for coordinating care transitions and can assess the client’s needs and the family's situation comprehensively. The case manager can explore various options, such as arranging for home health care, palliative care services, or placement in a long-term care facility if necessary.
C. Delaying discharge might temporarily postpone the issue but does not address the fundamental problem of the partner’s inability to continue providing care. It might give the family more time to prepare, but it does not solve the issue of the client needing a suitable discharge plan.
D. Recommending placement in a long-term care facility might be premature without a thorough evaluation of all potential options. The decision to place the client in a facility should be based on a comprehensive assessment by the case manager and consideration of all available options, including home care services and other support systems.

A. Gonorrhea B. Trichomoniasis C. Human papillomavirus D. Candidiasis

Correct Answer is A

Explanation

A. Gonorrhea is a reportable infection in many jurisdictions. Public health departments require reporting of gonorrhea cases to monitor and control outbreaks, track resistance patterns, and implement public health interventions.
B. Trichomoniasis is generally not a reportable infection in most regions. While it is a common STI and has public health implications, it is usually not mandated to be reported to the health department. However, its management may still be important in individual patient care and education.
C. HPV is a very common virus with many different strains, including some that are associated with cervical cancer. Generally, HPV infection itself is not reportable to public health departments, although certain HPV-related cancers or cases of HPV-related conditions may be reported under specific circumstances.
D. Candidiasis, often caused by Candida species, is a fungal infection and is typically not reportable to the health department. It is usually managed in clinical settings and does not require reporting to public health authorities unless it is part of an unusual outbreak or occurs in a specific context (e.g., invasive candidiasis in immunocompromised patients).

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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?

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