In reviewing the current delivery model, the nurse manager is aware that a demographic change that will have a significant effect on healthcare delivery systems of the future is:

escalations in the cost of health care.

increasing reports of violence in the workplace.

the increasing percentage of the population that will be over age 65.

changes in staffing patterns.

Answer and Explanation

The Correct Answer is C

A.   Escalating healthcare costs are a significant concern and will impact how healthcare is delivered.However, they are more a consequence of various factors rather than a demographic change. This option addresses financial aspects rather than population shifts or changes in demographics.
B.   Increasing reports of violence in the workplace are a serious issue but are not a demographic change. This issue affects the safety and working conditions of healthcare workers rather than the overall structure or delivery of healthcare systems.
C.   The increasing percentage of the population that will be over age 65 is a significant demographic change. This shift will greatly impact healthcare delivery systems as the older population typically requires more medical care, including management of chronic conditions, long-term care, and geriatric services. The aging population will necessitate adjustments in healthcare resources, staffing, and care models to meet the needs of this growing demographic.
D.   Changes in staffing patterns can affect healthcare delivery, but they are more about operational adjustments within the healthcare system rather than a demographic change. Staffing patterns are influenced by various factors, including demand for services, technology, and policy changes, rather than being a direct demographic shift.

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Correct Answer is B

Explanation

A. Waiting to empty a colostomy bag until it is completely full can lead to complications such as leakage, skin irritation, or infection. This practice does not effectively save resources and could potentially increase overall costs due to additional care needs and complications.
B. Encouraging clients to receive an annual flu immunization is an appropriate and effective method to reduce costs. Vaccinations help prevent the spread of infectious diseases, which can reduce the incidence of illness and the associated costs of treatment and hospitalizations.
C. Re-using personal protective equipment (PPE) is not safe or recommended. PPE is designed for single- use to prevent the spread of infections and ensure the safety of both healthcare workers and patients. Re-using PPE, even if it is not visibly soiled, compromises infection control standards and can lead to increased costs and health risks if infections occur. This approach is neither cost-effective nor safe.
D. Head-to-toe assessments are critical for patient evaluation and require the expertise and judgment of a licensed nurse. Delegating this responsibility to assistive personnel (AP) is inappropriate and could jeopardize patient safety. While delegating tasks to APs can help manage workload, it is important to assign tasks within the scope of their training and responsibilities.

A. An RN asks her head nurse if she can go on the permanent evening shift. The head nurse, Rajib, agrees, as long as Ann agrees to be involved in assisting to mentor evening staff in the use of the new clinical information system. B. The technology committee has recommended a clinical system for implementation on the nursing unit. Staff is anxious about the change. Tim, the head nurse. asks staff for ideas on how to meet the technology goals and to meet staff needs. C. During management meetings, George, the head nurse on nephrology, dominates meetings and decisions. Lee, the head nurse on the cardiac step-down unit. begins to miss the management meetings. D. Elizabeth the head nurse on neurology, finds that Tom, the RN nurse on nights, is irritable in relation to any suggestions or new ideas, and so she comes in to work after Tom leaves the unit.

Correct Answer is A

Explanation

A. This scenario best exemplifies compromising because both parties involved give up something to reach an agreement. The RN gets her desired shift, while the head nurse gets assistance with staff training on the new system.
B. This scenario describes collaboration, where everyone works together to find a solution that meets everyone's needs.
C. This scenario describes an example of accommodation, where one person gives in to the other's wishes.
D. This scenario describes avoidance, where the conflict is ignored rather than addressed.

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In reviewing the current delivery model, the nurse manager is aware that a demographic change that will have a significant effect on healthcare delivery systems of the future is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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