Your healthcare organization has a decentralized system for scheduling. As part of this process, after you have developed a draft schedule, you may need to

negotiate the schedule with unit staff.

seek budgetary approval.

submit the schedule to a centralized staffing office for review.

balance personal schedules against institutional needs

Answer and Explanation

The Correct Answer is A

A.   In a decentralized scheduling system, the responsibility for creating and managing schedules lies primarily with the individual units. Therefore, after developing a draft schedule, the nurse manager or designated scheduler would need to negotiate it with the unit staff to ensure it meets their needs and is feasible.
B.   Budgetary approval is typically handled at a higher organizational level and is not typically part of the decentralized scheduling process.
C.   This would be the case in a centralized scheduling system, not a decentralized one.
D.   Balancing personal schedules with institutional needs is important but it's not a specific step in the decentralized scheduling process after creating a draft schedule. This is an ongoing consideration for all schedulers.

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Correct Answer is C

Explanation

A. While it's possible that a worsening health state could contribute to non-adherence, it's unlikely to be the sole factor, especially given that the patient has been explained the medication regimen multiple times.
B. While motivation is important for adherence, it's also unlikely to be the sole factor. Many patients with chronic conditions experience challenges with motivation, but effective education and support can help address this.

C. This is the most likely explanation for the patient's repeated non-adherence to the medication regimen. Health literacy refers to an individual's ability to understand and use health information to make informed decisions.
D. This is a possibility, but it's important to rule out other factors first. Cognitive impairment would likely manifest in other areas of the patient's life as well, and it's important to conduct a thorough assessment to determine if this is the case.

A. To save resources, I should wait to empty my client's drainable colostomy bag until it is completely full." B. To reduce cost, I should encourage clients to receive an annual flu immunization." C. To save money, I will re-use PPE after patient care as long as it is not visibly soiled." D. To reduce time wasted, I should delegate my assistive personnel (AP) to perform my head-to- toe assessments."

Correct Answer is B

Explanation

A. Waiting to empty a colostomy bag until it is completely full can lead to complications such as leakage, skin irritation, or infection. This practice does not effectively save resources and could potentially increase overall costs due to additional care needs and complications.
B. Encouraging clients to receive an annual flu immunization is an appropriate and effective method to reduce costs. Vaccinations help prevent the spread of infectious diseases, which can reduce the incidence of illness and the associated costs of treatment and hospitalizations.
C. Re-using personal protective equipment (PPE) is not safe or recommended. PPE is designed for single- use to prevent the spread of infections and ensure the safety of both healthcare workers and patients. Re-using PPE, even if it is not visibly soiled, compromises infection control standards and can lead to increased costs and health risks if infections occur. This approach is neither cost-effective nor safe.
D. Head-to-toe assessments are critical for patient evaluation and require the expertise and judgment of a licensed nurse. Delegating this responsibility to assistive personnel (AP) is inappropriate and could jeopardize patient safety. While delegating tasks to APs can help manage workload, it is important to assign tasks within the scope of their training and responsibilities.

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Explanation

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