During a meeting of nurse managers, the chief nursing officer urges them to come up with ideas for cutting expenses. Nurse managers can have the most significant influence on cost reduction by effectively overseeing:

Medication costs.

Fixed costs.

Staffing.

Supplies.

Answer and Explanation

The Correct Answer is C

Choice A Reason:

Medication costs are a significant part of healthcare expenses, and managing these costs can contribute to overall savings. However, nurse managers typically have limited control over medication pricing and procurement, which are often handled by pharmacy departments and higher-level administration. While they can influence medication usage and waste reduction, their impact on overall cost reduction through medication management is less direct compared to staffing.

Choice B Reason:

Fixed costs, such as building maintenance, utilities, and equipment depreciation, are essential to consider in budget management. However, these costs are generally less flexible and harder to adjust in the short term. Nurse managers have limited influence over these expenses, as they are often predetermined by long-term contracts and organizational policies. Therefore, focusing on fixed costs may not yield significant immediate cost reductions.

Choice C Reason:

Staffing is the area where nurse managers can have the most significant influence on cost reduction. Effective staffing management involves optimizing nurse-to-patient ratios, reducing overtime, and ensuring that staffing levels align with patient care needs. By managing staffing efficiently, nurse managers can control labor costs, which are one of the largest expenses in healthcare. Additionally, appropriate staffing levels can improve patient outcomes and reduce turnover, further contributing to cost savings.

Choice D Reason:

Supplies are another area where nurse managers can influence cost reduction. By monitoring inventory, reducing waste, and negotiating with suppliers, nurse managers can help control supply costs. However, while managing supplies is important, the potential savings are generally smaller compared to the impact of effective staffing management.

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Correct Answer is D

Explanation

Choice A Reason:

Filing a grievance about inadequate funding and an unsafe work environment might address some systemic issues, but it does not directly resolve the immediate problem of back injuries. While it is important to advocate for better resources and safer working conditions, this action alone does not provide a practical solution for the current misuse of mechanical lifts.

Choice B Reason:

Reminding employees who experience back injuries that they are solely responsible for their actions is not an effective or supportive approach. This method can lead to a blame culture, which is counterproductive and can demoralize staff. It is essential to focus on training and support rather than placing blame on individuals.

Choice C Reason:

Copying and adopting the mechanical lift procedures implemented in neighboring hospitals might be beneficial if those procedures are proven to be effective. However, this approach assumes that the neighboring hospitals’ procedures are superior without first understanding the specific issues within the unit. It is better to tailor solutions to the unique needs and challenges of the unit.

Choice D Reason:

Reviewing the correct procedure with staff members who use the mechanical lifts incorrectly is the most immediate and practical solution. This approach addresses the root cause of the injuries by ensuring that staff are properly trained and aware of the correct usage of the equipment. Proper training and adherence to safety protocols can significantly reduce the risk of injuries. Additionally, this method fosters a culture of continuous improvement and safety.

A. The conflict can help nurses better identify their common values. B. Diverted attention and energy from patient care may potentially impact patient well-being. C. The policy change, being the correct choice, will improve the overall unit performance. D. When observing the favorable results of the decision, the dissenting nurses may recognize their previous stance was mistaken, promoting unity within the group. E. Debriefing involves temporarily setting aside the significance of our actions to concentrate on the actions themselves.

Correct Answer is B

Explanation

Choice A Reason:

The conflict can help nurses better identify their common values. While conflict can sometimes lead to positive outcomes, such as a deeper understanding of shared values and improved communication, it often requires effective conflict resolution strategies and a supportive environment. In the context of a new policy that has already sparked mistrust, it is less likely that the immediate outcome will be positive without deliberate efforts to address the underlying issues.

Choice B Reason:

Diverted attention and energy from patient care may potentially impact patient well-being. This is a significant concern in healthcare settings, especially in intensive care units where patient needs are critical. When nurses are preoccupied with internal conflicts and mistrust, their focus on patient care can be compromised, leading to potential negative outcomes for patients. Ensuring that the team remains cohesive and focused on patient care is essential for maintaining high standards of care and patient safety.

Choice C Reason:

The policy change, being the correct choice, will improve the overall unit performance. This statement assumes that the policy change is inherently beneficial and that its positive effects will be immediately apparent. However, even well-intentioned policies can face resistance if not properly communicated and implemented. The initial mistrust and conflict may hinder the potential benefits of the policy, at least in the short term.

Choice D Reason:

When observing the favorable results of the decision, the dissenting nurses may recognize their previous stance was mistaken, promoting unity within the group. While this outcome is possible, it is not the most likely immediate outcome given the initial mistrust and conflict. It often takes time for the positive effects of a policy change to become evident and for dissenting team members to change their perspectives. Effective leadership and communication are crucial in facilitating this process.

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During a meeting of nurse managers, the chief nursing officer urges them to come up with ideas for cutting expenses. Nurse managers can have the most significant influence on cost reduction by effectively overseeing:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a review of back injuries, a unit manager discovers a large number of injuries are occurring even though mechanical lifts are being used. It is also discovered that some of the mechanical lifts are outdated. In establishing a quality improvement plan, the unit manager should:

Correct Answer is D

Explanation

In the intensive care unit, nurses disagree with a new policy imposed by the manager. The decision sparks mistrust among the team. What’s the most likely outcome?

Correct Answer is B

Explanation

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