When preparing staffing schedules, a nurse manager needs to calculate paid nonproductive time. Which of the following should the nurse manager consider?

Vacation time, holiday time, and sick time

Paid hours minus meeting time

Work time, educational time, and holiday time

Paid hours minus worked hours

Answer and Explanation

The Correct Answer is A

Choice A reason: Paid nonproductive time typically includes periods when staff members are compensated but are not directly engaged in productive work, such as providing patient care. This includes vacation time, holiday time, and sick time. These are standard components of nonproductive time that must be accounted for in staffing schedules to ensure adequate coverage and maintain operational efficiency.

Choice B reason: Paid hours minus meeting time does not accurately represent nonproductive time. While meeting time may not be directly related to patient care, it is generally considered productive work time as it contributes to staff development and operational planning.

Choice C reason: Work time and educational time are considered productive time because they contribute to patient care and staff development, respectively. Holiday time can be considered nonproductive, but when combined with work and educational time, it does not accurately reflect nonproductive time alone.

Choice D reason: Paid hours minus worked hours could theoretically represent nonproductive time; however, this is an overly simplistic view. Nonproductive time should account for specific types of leave that are planned and predictable, such as vacation and sick leave, rather than just the difference between paid and worked hours.

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Correct Answer is C

Explanation

Choice A reason: Accepting the security levels as a consequence of funding realities may be seen as passive and could potentially compromise the safety of the nurses and patients. It does not address the concerns of the nurses or seek to improve the situation.

Choice B reason: Referring the matter to the head of security and letting them deal with it removes the opportunity for nurses to be informed and involved in the decision-making process, which can lead to feelings of helplessness and frustration.

Choice C reason: Providing nurses with information about the rationale for recent changes in security staffing empowers them with knowledge and may help in understanding the broader context of the decisions made, which can alleviate concerns and foster a sense of inclusion in the workplace.

Choice D reason: While providing mentors to help nurses defuse aggressiveness can be beneficial in managing difficult situations, it does not address the root concern of decreased security presence and the reasons behind it.

A. supervise the nursing staff members who implement the care map. B. Reduce the clients financial cost. C. Prevent additional hospitalizations resulting from complications of the clients disease. D. Provide direct nursing care through out the hospitalization

Correct Answer is C

Explanation

Choice A:

While nurse case managers do oversee the overall care of their patients, their role is not typically to supervise the nursing staff members who implement the care map. Their focus is more on coordinating care, communicating with the healthcare team, and ensuring the patient's needs are met.

Choice B:

While reducing the client's financial cost can be a part of a nurse case manager's role, it is not the primary consideration. The main goal is to ensure the patient receives the best possible care. While cost-effectiveness is important, it should not compromise the quality of care.

Choice C:

This is the correct answer. One of the main goals of a nurse case manager, especially when working with a client with a chronic condition like end-stage renal disease, is to prevent additional hospitalizations. This is achieved by coordinating care, educating the patient and their family, and closely monitoring the patient's condition.

Choice D:

While nurse case managers are registered nurses and capable of providing direct nursing care, their role is more focused on coordinating and managing care rather than providing direct care. They work closely with the healthcare team to ensure the patient's needs are met, but they do not typically provide bedside care.

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When preparing staffing schedules, a nurse manager needs to calculate paid nonproductive time. Which of the following should the nurse manager consider?

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Correct Answer is C

Explanation

The nurse case manager is working with a client admitted for end-stage renal disease. The case managers major goal concerning the patient during this hospitalization is?

Correct Answer is C

Explanation

At a hospital, there has been a 20% increase in incidents of instruments and sponges being left in patients during surgery, and surgeries performed on the wrong limbs. These incidents are known as:

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