Author Question: The medicalsurgical unit's census has decreased since the previous shift. The manager is reviewing ... (Read 72 times)

erika · **on:** Jul 8, 2018

The medicalsurgical unit's census has decreased since the previous shift. The manager is reviewing the staffing grid. Which factor is used to determine staffing mix?

1. Average daily census of the hospital
2. Client care needs
3. Number of staff on vacation
4. Financial productivity of the unit

Question 2

In what ways can a leader also be a follower? Select all that apply.

1. The charge nurse can lead other staff nurses but also follow the house supervisor.
2. The staff nurse can lead other staff nurses but also follow another staff nurse.
3. The CEO can lead other administrators, but also follow the Board of Directors.
4. Nurses can lead some clients, but follow others.

medine · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

2
Rationale 1: The average daily census of the hospital probably will not have a direct bearing on the staffing mix of this unit.
Rationale 2: The staffing mix should be based on the needs of the clients currently on the unit. A higher need for assessment, education, or discharge planning requires more registered nurses.
Rationale 3: The number of staff on vacation is not an issue, as the clients still need care.
Rationale 4: The financial productivity of the unit should not be an issue as that is historical data, not current client care need data.
Global Rationale:

Answer to Question 2

1, 2, 3, 4
Explanation: 1. It is possible for a nurse to lead or follow in all these situations.