Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life.
Fixed costs
Variable costs
Direct costs
Zero-based costs
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Non-revenue expense
Capital expense
Variable cost
Allocation of funds
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The personnel budget
The operating budget
The revenue budget
The fixed budget
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The assistant’s sick time is earned and should be used in any way the assistant wishes.
The assistant should use personal time, not sick time for this situation.
The assistant’s absence will not be a major problem for the unit as long as only one day is missed.
It will be okay for the assistant to miss a day because it will help another assistant get overtime wages.
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Efficiency
Nonsalary expenditure
Rate
Volume
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“You will receive an additional 10 percent for overtime.”
“The night shift differential is 10 percent.”
“Your evening premium is 10 percent.”
“You will get a 10 percent cost-of-living raise for working the night shift.”
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Complete an expenditure report for the month.
Complete a variance report for the month’s budget.
Forward a non-revenue-producing report to the administration.
Forward the expense line budget to the administration.
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It will help the manager create the budget for the next year.
It is required by The Joint Commission.
All variances must be documented and forwarded to the hospital attorney.
It ensures that there is no question of diversion of hospital funds.
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The laboratory has increased charges for its services.
Environmental services is a non-revenue-producing cost center.
The laboratory is a non-revenue-producing cost center.
The nursing units affect the laboratory charges.
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The equipment is jointly owned by all units that use it.
If clients on the manager’s unit require the use of this equipment, a portion of the cost will be charged to the unit.
The equipment will be rented to the units for use.
The nurse manager will ask physicians to refrain from using the equipment.
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The equipment was not approved by the manger’s supervisor.
The budgetary cycle takes up to 1 year to occur.
The hospital has experienced a downturn in revenue and it not fulfilling promises.
The nurse manager failed to complete the correct request.
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Medicare will pay the total cost for the care provided.
Medicare will pay an average of the total costs.
Medicare will pay based on the usual cost of the treatments provided.
Medicare will pay based on a set amount for the specific condition for which the client was hospitalized.
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Hospital administration
Nursing administration of the hospital
The Joint Commission
Nursing personnel of the special care units
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The nurse reviewing the client’s itemized bill each day
The nurse’s decision to use fewer supplies when changing a dressing
The nurse manager reviewing client costs on a daily basis
The nurse manager requesting that the materials management director obtain quotes for less expensive items
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As an expense
As part of revenue
As part of the capital budget
As part of the operating budget
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Increasing the number of unlicensed assistants providing direct nursing care
Limiting dressing supplies on the nursing unit
Labeling the cost of each item in the clean supply closet
Eliminating staff education sessions
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The fixed cost
The variable cost
The indirect cost
The direct cost
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Sick days
Weekend days
Vacation days
Holidays
Bereavement days
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Greater client acuity
Extravagant use of resources
Understaffing the unit
Low client acuity
Use of agency nurses to supplement staff
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Were any unexpected bonuses awarded?
Did agency personnel hours exceed the number predicted in the budget?
Were new employees hired at lower wages?
Did the number of client days exceed the predicted budgeted amount?
Were fewer nursing hours worked than were predicted?
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“The finance department sent me the budget worksheet with last year’s expenses.”
“We have $1,000 left in our education account that we need to spend before the year is over. Who has an idea for a class to attend?”
“I have to justify all our activities as if we have never done them before.”
“I like this type of budget preparation because it is fairly simple and straightforward.”
“In order to create next year’s budget, I am to start at 80 percent of what we budgeted last year.”
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The average daily census for the facility over the last year
Current community wage ranges for employee classifications
Changes in accrediting body or legislative regulations
Number of nurses terminated for cause over the last year
Current staff mix across the hospital
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There is a higher turnover rate of nursing staff on the medical unit.
Costs were incurred during a recent remodeling of the medical unit.
The client acuity on the critical care unit is higher.
The critical care manager is a better manager than the medical unit manager.
More staff on the medical unit received premium pay this year.
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The FTE factor for an LPN hired this month
The current wage range for RNs working on the units
The names of all unit clerks working in the unit
The level of licensure of a nurse working on the unit
The fact that two RNs have retired this year
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