Correct Answer: C

Rationale: The correct answer is C: Staffing. Nurse managers are responsible for scheduling and managing staff, which directly impacts labor costs, the largest expense in healthcare. By optimizing staff utilization, nurse managers can reduce overtime, agency costs, and unnecessary labor expenses. This can be achieved through efficient scheduling, workload management, and appropriate staffing levels based on patient acuity.


Choice A: Medication costs are typically controlled by pharmacists and physicians who prescribe medications. Nurse managers may have some influence, but it is not their primary responsibility.


Choice B: Fixed costs, such as rent and utilities, are not directly managed by nurse managers. These costs are usually determined at a higher organizational level.


Choice D: Supplies management is important, but typically falls under the responsibility of materials management or supply chain departments. Nurse managers may have some input, but it is not their main focus for cost reduction.

Correct Answer: C

Rationale:
Correct
Answer: C - Hire additional staff so individual workloads are lessened.


Rationale:
1. High turnover rate suggests staff may be overworked.
2. Hiring additional staff can reduce workload, leading to better job satisfaction.
3. Lower workload can enhance work-life balance and job engagement.
4. This strategy addresses the root cause of the turnover issue.

Incorrect

Choices:
A: Advocating for higher salaries may not directly address workload issues.
B: Praise is important but may not solve underlying workload problems.
D: Allowing tasks beyond scope of practice can compromise patient safety and staff satisfaction.

Correct Answer: A

Rationale: The correct answer is A: The growing proportion of the population that will surpass the age of 65. This demographic shift is significant as it leads to an increase in healthcare utilization and demand for services due to age-related health issues. The aging population also requires specialized care and resources, impacting healthcare delivery systems.

Choices B, C, and D are incorrect because while workplace violence, healthcare expenses, and staffing patterns are important factors in healthcare management, they do not directly address the demographic shift towards an aging population and its implications on healthcare delivery systems.

Correct Answer: D

Rationale: The correct answer is D, providing safety and fall prevention education. This intervention empowers staff with knowledge and skills to identify fall risks, implement preventive measures, and respond effectively. It promotes a proactive approach to reducing falls by addressing underlying causes rather than solely blaming individuals (
A), which can lead to a culture of fear and hinder reporting. Punishing staff (
B) creates a negative environment and discourages open communication. Restraining patients (
C) violates ethical principles and poses risks of physical and psychological harm. In summary, education promotes a culture of safety, empowers staff, and addresses systemic issues to effectively reduce falls.

Correct Answer: D

Rationale: The correct answer is D: Gain 2 pounds of weight per week. For a client with anorexia nervosa, the priority goal is to address the physical health risks associated with severe weight loss. Rapid weight gain is crucial to prevent serious complications like organ damage or failure. The focus should be on restoring the client's nutritional status and stabilizing their physical health before addressing psychological or emotional aspects.

Choices A, B, and C are important but secondary to the immediate need for weight restoration. It is essential to prioritize the client's physical well-being in order to address other aspects of their care effectively.