The nurse manager knows that the most serious effect that absenteeism has on the nursing unit is that:
it inspires other staff members to participate in absenteeism.
unacceptable patient care may result.
using replacement personnel with new ideas can damage unit culture.
salary costs are lower because personnel are fewer, resulting in a positive variance.
The Correct Answer is B
A. While absenteeism may influence other staff members, this is not the most serious effect.
B. The most critical impact of absenteeism is that it may lead to unacceptable patient care due to inadequate staffing levels and continuity of care, compromising patient safety and quality.
C. Although using replacement personnel can impact unit culture, it is secondary to the immediate concern of ensuring safe patient care.
D. Lower salary costs due to fewer personnel may seem advantageous but do not outweigh the potential negative consequences of inadequate patient care and the overall effectiveness of the nursing unit.
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Correct Answer is ["A","C","D"]
Explanation
A. Blocking access to pools is essential to prevent drowning, which is a significant risk for infants. This action promotes safety in the home environment.
B. Keeping houseplants near the baby's crib is not advisable, as some plants can be toxic if ingested, posing a safety hazard.
C. Keeping plastic bags away from infants is crucial, as they can pose a suffocation risk if a child plays with or gets trapped in one.
D. Serving food in small, bite-sized pieces is recommended to prevent choking, as infants can easily gag on larger pieces of food.
E. Placing an infant in a supine position while feeding is not safe, as it can increase the risk of aspiration. Infants should be in an upright position while eating to reduce this risk.
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.