Your healthcare organization has a decentralized system for scheduling. As part of this process, after you have developed a draft schedule, you may need to

negotiate the schedule with unit staff.

seek budgetary approval.

submit the schedule to a centralized staffing office for review.

balance personal schedules against institutional needs

Answer and Explanation

The Correct Answer is A

A.   In a decentralized scheduling system, the responsibility for creating and managing schedules lies primarily with the individual units. Therefore, after developing a draft schedule, the nurse manager or designated scheduler would need to negotiate it with the unit staff to ensure it meets their needs and is feasible.
B.   Budgetary approval is typically handled at a higher organizational level and is not typically part of the decentralized scheduling process.
C.   This would be the case in a centralized scheduling system, not a decentralized one.
D.   Balancing personal schedules with institutional needs is important but it's not a specific step in the decentralized scheduling process after creating a draft schedule. This is an ongoing consideration for all schedulers.

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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.

A. “I will begin upon the client's admission to the facility." B. “I will begin 48 hr before the client's discharge." C. ‘I will begin once the client's insurance company approves discharge coverage." D. “I will begin once the client's discharge order is written."

Correct Answer is A

Explanation

A. Discharge planning should start as soon as the client is admitted to the facility. Early planning helps anticipate and address the patient’s needs and ensures that all necessary arrangements for post- discharge care are made well in advance.
B. Starting discharge planning 48 hours before discharge is generally too late. Effective discharge planning requires more time to coordinate care, education, and resources. Beginning the process 48 hours before discharge may not allow enough time to address all aspects of the plan adequately, potentially leading to issues in the transition.
C. Waiting for insurance approval before starting discharge planning can lead to delays and may not be in the best interest of the patient. Discharge planning should be initiated based on the patient’s needs rather than insurance coverage. Waiting for approval can also disrupt the timeline for arranging follow- up care and services.
D. Waiting until the discharge order is written is too late for effective discharge planning. By the time the discharge order is written, many elements of the discharge plan should already be in place. Waiting until this point can lead to rushed arrangements and potentially inadequate preparation for the patient’s needs after leaving the facility.

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Your healthcare organization has a decentralized system for scheduling. As part of this process, after you have developed a draft schedule, you may need to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following scenarios best exemplifies compromising?

Correct Answer is A

Explanation

A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?

Correct Answer is A

Explanation

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