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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct answer because it demonstrates a leader's emotional intelligence through active engagement, showing interest in the team's concerns, and fostering open communication.
Choice B reason: Writing down thoughts for others to read does not necessarily illustrate emotional intelligence. Expecting immediate responses can be inconsiderate of others' time and does not foster a supportive environment.
Choice C reason: Holding meetings at the nurses' station may show responsiveness to emergencies, but rarely participating in bedside care could indicate a lack of hands-on leadership and empathy.
Choice D reason: While accountability is important, interrupting people and raising one's voice during disagreements can create a hostile environment and does not reflect emotional intelligence.
Correct Answer is B
Explanation
Choice A reason: While analyzing the cause is an important part of the process, it cannot be effectively done without first having a clear definition of what the problem is.
Choice B reason: Defining the problem is crucial as it sets the stage for all subsequent steps in the Quality Management process. It ensures that everyone understands what the issue is and agrees on its importance.
Choice C reason: Measuring the problem is necessary to understand its extent and impact, but it comes after the problem has been defined and before solutions are considered.
Choice D reason: Solving the root cause is the ultimate goal, but it is a later step that follows defining, analyzing, and measuring the problem.
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