In the past year, you have noticed an increase in patient falls ...

[nramada]

In the past year, you have noticed an increase in patient falls on your unit. In reading studies related to staffing and patient outcomes, you realize that you will need to plan for:
 
  a. Higher patient care hours.
  b. Safer facilities.
  c. Institution of a patient classification system.
  d. An increased number of RN positions.

Question 2

A particular classification system assigns revenue according to the functional capacity of patients and the progression of patients during their stay in rehabilitation units.
 
  More independent patient activities, such as prompted voiding, require higher staff utilization than dependent activities but do not result in increased staff resources. This is an example of:
 
  a. Bureaucracy.
  b. Concern related to the validity of classification systems.
  c. Inadequate reliability of classification systems.
  d. Inappropriate subjectivity in making judgments about staffing.

[manuelcastillo]

Answer to Question 1

ANS: D
Lower fall rates are shown to be related to higher total nursing hours and a higher percentage of nursing hours supplied by RNs.

Answer to Question 2

ANS: B
Validity of categories and implications for staffing levels are in question in this situation because staffing levels are not reflective of the levels of activity required for patient care.