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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Fixed pupils indicate a potential severe neurological issue, such as brain injury or death. However, this sign alone does not necessarily mean that immediate intervention would be effective. In a triage setting, clients with fixed pupils are often classified as having a very poor prognosis and might be tagged as black (deceased) if their condition is deemed non-salvageable, rather than red.
B. A brief loss of consciousness (syncope) can be a sign of various issues, but it might not immediately signify a life-threatening condition requiring immediate intervention. In a triage setting, this client would likely be assessed for further symptoms and categorized based on their overall condition and immediate needs.
C. A compromised airway is a critical and life-threatening condition. In triage, clients with compromised airways are given a red tag because they require immediate intervention to secure the airway and
ensure breathing. Without prompt treatment, this client’s chances of survival are significantly reduced.
D. While major burns covering 70% of the body are severe and life-threatening, the immediate need for intervention and the likelihood of survival with immediate treatment are crucial considerations. In a triage scenario, such clients are often tagged based on the availability of resources and their overall prognosis.
Correct Answer is C
Explanation
A. A living will does not require approval from a physician; it is a legal document that outlines a person’s
wishes regarding medical treatment in case they become unable to communicate those wishes.
B. Advance directives should be completed while the individual is still capable of making informed decisions, ideally before a serious health issue arises. These documents are intended to provide
guidance on the person’s wishes regarding medical treatment and end-of-life care in situations where they might not be able to communicate their preferences.
C. The durable power of attorney for health care (also known as a health care proxy) is a component of advance directives. It designates a person to make medical decisions on behalf of the individual if they are unable to do so themselves. This document, along with a living will, is part of advance directives that help ensure a person’s health care wishes are honored.
D. A living will does not require a family member’s co-signature to be valid. It must be signed by the individual and may require witnessing or notarization depending on state laws, but not a family member’s co-signature.
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