A nursing manager notes an unfavorable or negative variance in the supply budget for the month. Which of the following might have attributed to this issue?
1. Low client acuity levels
2. Three nurses used 12 hours of sick time during the last month.
3. Reduced unit occupancy rate
4. Four new nurses were hired immediately after taking their NCLEX board exams.
Answer: 4
Rationale: When supplies are being used, this usually indicates an increase in client acuity levels. More supplies are used to care for sicker clients. When nurses use sick time, it is reflected in the personnel budget. A reduced occupancy rate most likely would lead to fewer supplies being used than were budgeted. New nurses are trying to get used to new routines and how to perform procedures in the most efficient manner. New nurses most likely would account for the negative variance in the supply budget.
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