The hospital is experiencing high acuity clients due to the ...

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The hospital is experiencing high acuity clients due to the recent flu endemic. The ICU and medical-surgical units have a large number of elderly clients.
 
  The chief nurse officer (CNO) instructs the manager to schedule more registered nurses for the weekend. This is a result of: 1. Patient classification systems management.
  2. Demand management system.
  3. Institutional-related system management.
  4. Staff-related systems management.

Question 2

The chief nursing officer (CNO) recognizes a large increase in turnover on a given unit. The nurse manager of the unit says that this is just a coincidence and that the unit is fine. What action by the CNO is appropriate?
 
  1. Talk to current nursing staff and review the exit interviews of those who have left.
  2. Call the unit supervisor and inquire as to why the turnover rate is high.
  3. Discuss the matter with other nurse managers.
  4. Discuss the matter with the hospital chief administrator.

[pami445]

Answer to Question 1

2
Explanation: 1. Demand management systems focus on predicting and controlling the demand for nurses.
Patient classification systems focus on patient acuity in which data are collected on the current
census. Institutional- and staff-related systems are unique to the facility.

Answer to Question 2

1
Rationale 1: The CNO should investigate the matter to determine what has caused a high turnover in staff. Reviewing exit interview notes of employees who have left and insightful discussion of the matter with current staff will provide the CNO with information regarding the director's management style. Assessment is the first step of the nursing process.
Rationale 2: If the nurse manager thinks all is well, it is unlikely that issues leading to turnover have been reported to the supervisor.
Rationale 3: Other nurse managers will not be likely to have information about this unit that will be helpful.
Rationale 4: The CNO may need to discuss the matter with another administrator at some time, but not until further investigation is conducted.
Global Rationale:

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Excellent

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TYSM