With the current health care industry focus on managed care, ...

[futuristic]

With the current health care industry focus on managed care, nurses must be more cost -conscious. An example of a nurse being cost-conscious is:
 
  1. Daily review of the itemized clients bill.
  2. The nurses decision to use fewer supplies when changing in dressing.
  3. The nurse manager reviewing client costs on a daily basis.
  4. The nurse manager requesting the materials management director obtain quotes for less expensive items.

Question 2

The nursing supervisor is assessing a unit that has received several written complaints. The nurse manager seems overwhelmed and stressed trying to address many client situations. The charge nurse is trying to help everyone at once.
 
  Based on this assessment, what might this supervisor conclude? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The nurse manager is inexperienced and needs time to adjust.
  2. The unit culture may foster distrust and poor communication among staff.
  3. Client complaints are usually an indicator of a larger unit problem.
  4. Nurses on the unit are in need of additional training and skills.
  5. The unit is short staffed.

[bbburns21]

Answer to Question 1

2
Explanation: 1. The nurse and the nurse manager do not have time nor is it their responsibility to review a
clients hospital bill. The nurse is to utilize resources wisely to decrease costs to the client and
the hospital. The materials management director does look for inexpensive materials to
provide client care supplies and hospital supplies, which indirectly affects the client.

Answer to Question 2

2,3,4
Rationale 1: There is nothing in this scenario to suggest that the nurse manager is inexperienced.
Rationale 2: The unit clearly is having problems getting client responsibilities completed in a timely manner, resulting in stress and complaints. Reasons behind this might include distrust, poor communication, and a lack of delegation training.
Rationale 3: When multiple client complaints are lodged against one unit, there is generally an overall problem with some aspect of the unit.
Rationale 4: A lack of delegation training may result in chaos and client complaints.
Rationale 5: There is no indication that the unit is short staffed.
Global Rationale: