The nurse manager is reviewing the previous month's budget and notes a favorable efficiency variance of the full-time equivalents (FTEs)
Which options may be reasons for this favorable variance? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Greater client acuity
2. Extravagant use of resources
3. Understaffing the unit
4. Low client acuity
5. Use of agency nurses to supplement staff
3,4
Rationale 1: Greater client acuity than allowed for in the budget would likely result in an unfavorable efficiency variance.
Rationale 2: Using more resources than the budget allows would result in an unfavorable efficiency variance.
Rationale 3: Understaffing the unit would mean fewer nursing salary hours. This would result in a favorable efficiency variance, but would not be a good long-term plan for quality of care.
Rationale 4: If client acuity is lower, fewer staff members are needed. This would result in a favorable efficiency variance.
Rationale 5: If agency nurses were used to supplement staff, the efficiency variance would be unfavorable.
Global Rationale:
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The nurse is instructing an older patient about medication management. What information should the nurse include? Standard Text: Select all that apply
1. Obtain all of your medications from the same pharmacy. 2. Request that medications be placed in childproof packages and caps. 3. Develop a method for remembering if medications have been taken, such as moving it to a different place. 4. Schedule medications at mealtimes or in conjunction with other specific activities unless contraindicated. 5. Establish a routine for taking medications, such as preparing medication for each day in different containers.
Which statement best describes the utilitarian decision-making process?
a. The needs of the many outweigh the needs of the few. b. Every individual's needs are provided for regardless of the cost to society. c. The consequences are not important if the best decision is made. d. Decisions are based on social rules, which apply to all similar situations.
The nurse assesses a patient's judgment by asking:
a. "Why did you run away?" b. "When did you first start hearing voices?" c. "What would you do if you smelled smoke in your home?" d. "Do you believe you hear voices, or do you think it is in your mind?"
A patient with postpartum depression says, "I can't seem to get out of bed and take care of my baby." Which responses by the nurse best demonstrate therapeutic communication? (Select all that apply.)
1. "It sounds like you are having a hard time." 2. "The baby blues are normal for every woman after birth." 3. "Have you felt like this before, after the birth of your oldest child?" 4. "Would I be correct in saying that you are sleeping more than usual?" 5. "I had this condition after my son's birth. It is best to seek help from family members."