Nursing Elites

1. What are the advantages of using internal pools of nurses for staffing purposes?

• A. Familiarity with the hospital & Lower cost
• B. Centralization
• C. Staffing mix
• D. Staff satisfaction

Correct answer: A

Rationale: The correct answer is A: Familiarity with the hospital & Lower cost. Internal float pools of nurses offer advantages such as being familiar with the hospital environment and staff, which can enhance communication and collaboration. Additionally, utilizing internal nurses is more cost-effective compared to hiring agency nurses, contributing to financial savings for the healthcare facility. Choice B, Centralization, is not a direct advantage of using internal pools of nurses. Choice C, Staffing mix, is a broader concept that does not specifically address the advantages of internal nurse pools. Choice D, Staff satisfaction, is important but not directly related to the specific advantages of utilizing internal nurse pools for staffing purposes.

2. An expensive variable in salary budgets is overtime pay. Which of the following is a viable option to reduce overtime?

• A. Limiting overtime for highly paid workers
• B. Reducing the number of beds
• C. Using per diem workers
• D. Refusing to pay overtime

Correct answer: C

Rationale: The correct answer is C: Using per diem workers. By utilizing per diem workers, organizations can flexibly adjust staffing levels based on demand without incurring overtime costs. This approach helps in managing overtime budgets effectively. Choice A is incorrect because limiting overtime for highly paid workers may not address the root cause of overtime expenses. Choice B is incorrect as reducing the number of beds does not directly impact overtime costs. Choice D is not a practical solution as refusing to pay overtime can lead to legal issues and employee dissatisfaction.

3. A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?

• A. Wear an N95 respirator when giving direct care to the client.
• B. Place the client in a private room with negative-pressure airflow.
• C. Ensure the client's room has at least six air exchanges per hour.
• D. Ensure the client wears a mask when outside their room if there is construction in the area.

Correct answer: A

Rationale: In a protective environment for a client with an allogeneic stem cell transplant, the nurse needs to wear an N95 respirator when providing direct care to the client. This precaution is essential to protect the client, whose immune system is compromised after the transplant, from exposure to potential pathogens. Placing the client in a private room with negative-pressure airflow (choice B) is more appropriate for clients with airborne infections. Ensuring the client's room has sufficient air exchanges (choice C) is important for maintaining air quality but is not the primary precaution for protecting an immunocompromised client. Making the client wear a mask when outside the room due to construction (choice D) focuses on external factors and does not directly address the risk of infection during direct care.

4. The nurse has been teaching a patient with type 2 diabetes about managing blood glucose levels and taking glipizide (Glucotrol). Which patient statement indicates a need for additional teaching?

• A. �If I overeat at a meal, I will still take the usual dose of medication.�
• B. �Other medications besides the Glucotrol may affect my blood sugar.�
• C. �When I am ill, I may have to take insulin to control my blood sugar.�
• D. �My diabetes won�t cause complications because I don�t need insulin.�

Correct answer: D

Rationale:

5. Which of the following is one important factor in sustaining employee satisfaction?

• A. Organization culture
• B. Individual performance
• C. Performance evaluation
• D. Job satisfaction

Correct answer: D

Rationale: Job satisfaction is a crucial factor in sustaining employee satisfaction. Studies have shown that higher levels of job satisfaction lead to lower turnover rates and higher productivity. Choice A, organization culture, is important but focuses more on the overall environment rather than individual satisfaction. Choice B, individual performance, is relevant but doesn't directly address employee satisfaction. Choice C, performance evaluation, is a process rather than a factor in sustaining satisfaction.

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