The most important approach that a nurse manager can take with an emotionally troubled employee is to:
adjust the employee's work schedule to decrease stress.
assist the employee in obtaining professional help.
act as a therapist for the employee.
adjust the standard of care to assist the employee.
The Correct Answer is B
A. Adjusting the employee's work schedule may provide temporary relief, but it does not address the underlying emotional issues that need professional attention.
B. Assisting the employee in obtaining professional help is the most crucial action a nurse manager can take. This ensures that the employee receives the appropriate support and intervention needed to address their emotional challenges.
C. Acting as a therapist for the employee is outside the scope of a nurse manager's role and may lead to ethical and professional boundaries being crossed.
D. Adjusting the standard of care to assist the employee compromises the quality of patient care and is not a viable solution for supporting an emotionally troubled employee.
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Correct Answer is A
Explanation
A. A decrease in actual nursing staffing hours compared to planned hours indicates a negative variance, as it suggests that staffing was not at the desired levels, potentially impacting patient care.
B. A surplus of available nurses could suggest efficient staffing; thus, it does not represent a negative variance.
C. A decrease in the cost of medical supplies would typically indicate a positive variance, reflecting better financial management.
D. An increase in patient satisfaction scores is a positive outcome and does not relate to negative variances in budgetary terms.
Correct Answer is A
Explanation
A. Charges refer to the fees billed for services rendered, which in this case is the administration of each vaccination according to the insurance company's guidelines.
B. Contractual allowance refers to the difference between the billed amount and the amount agreed upon in the contract with the insurance company, which is not the primary focus here.
C. Prospective reimbursement is based on predetermined rates rather than charges billed after services are provided.
D. Cost-based reimbursement is determined by the actual costs incurred in providing services, which does not apply in this context as the billing is based on set charges for vaccinations.