The nurse manager is explaining her staffing budget to the hospital administration. The manager has developed a flexible staffing pattern. The administration questions the manager as to why this pattern was developed
Which answer is most correct? 1. Staff members would prefer to make out their own schedules.
2. Nursing shortages and salary constraints have affected staffing patterns.
3. Lower client acuity has contributed to the need for more flexibility.
4. Flexible pattern staffing is the easiest method available.
2
Rationale 1: The fact that staff members like to make out their own schedule is not pertinent to a flexible pattern.
Rationale 2: Nursing shortages and wage constraints have necessitated an innovative approach to using the staff available to cover client care needs. A flexible staffing pattern can help fill this need.
Rationale 3: Client acuity has risen, not lowered.
Rationale 4: Flexible staffing can be very complex from a management standpoint.
Global Rationale:
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1. Providing client teaching to prevent complications. 2. Providing screening for gestational diabetes. 3. Providing screening for pre-eclampsia. 4. Assessing fetal heart tones.
An older client is prescribed diet supplementation to combat unintentional weight loss. How should the nurse provide these supplements to the client?
1. Serve at room temperature 2. Provide with the next meal 3. Provide separate from medications 4. Provide more than an hour before the next meal
A patient who is pregnant reports a family history of cystic fibrosis and asks about the risks for transmission to her child. What concepts should the nurse include in the discussion?
1. There is less risk for transmission to male children. 2. The condition does not skip generations. 3. Male and female children are equally affected. 4. Both parents must be affected with this disorder for transmission to occur.
Because young adults are less likely to experience serious illness, which of the following nursing interventions is most effective in determining risk for illness in this age-group?
1. Health screenings 2. Personal lifestyle assessment 3. Full body systems assessment 4. Cardiopulmonary focal assessment