A nurse manager is aware that which of the following is an internal factor that impacts staffing?

Accreditation standards

State regulations

Availability of agency staff

Patient acuity

Answer and Explanation

The Correct Answer is D

Choice A reason: Accreditation standards are typically external factors set by accrediting bodies that healthcare organizations must meet to ensure quality and safety. These standards influence staffing indirectly by setting the benchmarks for care that staff must achieve, but they are not considered internal factors.

Choice B reason: State regulations are external factors imposed by government bodies. They can dictate staffing ratios, qualifications, and other requirements that healthcare organizations must follow. Like accreditation standards, they influence staffing but are not internal to the organization.

Choice C reason: The availability of agency staff is an external resource that healthcare organizations can utilize to fill staffing gaps. While their use affects the internal staffing levels, the pool of agency staff and the decision to use them are external to the organization's internal workforce management.

Choice D reason: Patient acuity refers to the level of care and attention required by patients based on the severity of their conditions. It is an internal factor because it directly impacts the number and type of staff needed on a given day or shift within the healthcare organization. Higher acuity patients will require more intensive care and more specialized staff, thus impacting staffing decisions and allocations internally.

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Correct Answer is A

Explanation

Choice A Reason: Emotions can significantly impact communication. When the staff nurse is upset due to working understaffed, their emotional state may hinder effective communication. Emotions can cloud understanding, lead to misinterpretations, and affect receptivity to information.

Choice B Reason: While physical space can be a barrier (e.g., noisy or crowded environments), in this context, it is less likely to directly influence the dialogue. The issue of being understaffed is more related to workload and staffing levels rather than physical space.

Choice C Reason: Communication structure refers to how information is organized and presented. If the charge nurse's explanation lacks clarity or a logical flow, it could hinder understanding. However, in this scenario, the primary concern is likely related to staffing rather than communication structure.

Choice D Reason: Distracting noise can disrupt effective communication. If the staff nurse is upset due to being understaffed, external distractions (such as noise in the environment) may exacerbate their frustration and hinder the dialogue.

A. People are naturally difficult and will not work well together without such agreements. B. A way to eliminate unproductive team members must be available. C. If there are no agreements, each member will make up rules about how to handle disagreements. D. People will naturally ask for agreements about how to be together.

Correct Answer is C

Explanation

Choice A reason: This choice suggests a negative view of human nature that is not constructive for conflict resolution. It is not typically the role of a mediator to assume that people are inherently difficult.

Choice B reason: The goal of conflict resolution is not to eliminate team members but to find ways to work together effectively. This choice does not reflect a healthy approach to resolving team conflicts.

Choice C reason: This choice recognizes the importance of having clear agreements or protocols in place to guide team members in resolving conflicts. Without such agreements, there is a risk of inconsistency and further conflict, making this the most appropriate answer.

Choice D reason: While it is true that people may seek agreements, this choice does not directly address the issue of conflict resolution within a team. It is more about the desire for harmony rather than a method for resolving conflicts.

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A nurse manager is aware that which of the following is an internal factor that impacts staffing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse explains a new procedure to a staff nurse. However, the staff nurse is upset about working understaffed. The charge nurse recognizes that which barrier to communication is influencing this dialogue?

Correct Answer is A

Explanation

A mediator suggested that the nurse manager and staff members decide on a method to resolve conflicts. It is important to have agreements about how team members will work together because:

Correct Answer is C

Explanation

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