Author Question: In planning the budget for next year, the nurse manager in a special care unit includes line items ... (Read 53 times)

V@ndy87 · **on:** Jul 11, 2018

In planning the budget for next year, the nurse manager in a special care unit includes line items for a toaster, flowering plants, and a birdfeeder. How should the manager justify these costs to administration?

A) Personal items for patients
B) Items for residents' sensory stimulation
C) Suggested requirements to meet labor contract
D) Important tools for maintaining staff satisfaction

Question 2

Mrs. V is an elderly woman in the final stages of Alzheimer's disease; she is unlikely to live more than a year longer. Breast cancer has been diagnosed, and her surgeon wants to operate.

Mrs. V cannot grasp the situation, however, and is becoming agitated about it. Her children think surgery would be painful and not worth the potential benefit. What might a nurse advise Mrs. V's family?
A) The patient herself should make the decision.
B) The need for surgery is of secondary importance.
C) Surgery is definitely indicated.
D) The insurer should be involved in the decision.

josephsuarez · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
Feedback:
These are elements of a program for sensory stimulation. The program allows patients to smell bread toasting and the sweet aroma of flowers, as well as the sound of birds singing. These are not personal items for patients or tools to maintain staff satisfaction. These are not requirements to meet labor contracts.

Answer to Question 2

B
Feedback:
Surgery for an elderly patient is often more difficult than for a younger patient, and in this case the patient is already unlikely to live much longer. She is no longer capable of making rational decisions. Her peace of mind should take precedence over any other consideration, and the insurer should not be involved.