Question 1

In a team nursing health care delivery model environment, the nurse would observe for which action by the staff?

Accepted Answer

A) The UAPs answer all call lights. 
B) The charge nurse is notified when there are patient complaints about care. 
C) The UAPs answer their patients' call lights. 
D) The RN is notified when there are patient care complaints. 
A) The UAPs answer all call lights. 
B) The charge nurse is notified when there are patient complaints about care. 
C) The UAPs answer their patients' call lights. 
D) The RN is notified when there are patient care complaints. D

Question 2

There are four major types of staffing plans used in the hospital setting.The primary advantage of self-scheduling is which of the following?

Accepted Answer

A) It saves the nurse manager time. 
B) It encourages negotiation among staff. 
C) The most senior staff get first pick. 
D) The freshman staff get the more undesirable shifts. 
A) It saves the nurse manager time. 
B) It encourages negotiation among staff. 
C) The most senior staff get first pick. 
D) The freshman staff get the more undesirable shifts. B

Question 3

When calculating for staffing needs, what should be considered?

Accepted Answer

A) Weekend option 
B) Hourly salary of employee 
C) Productive versus nonproductive hours of an employee 
D) Vacation time accrued 
A) Weekend option 
B) Hourly salary of employee 
C) Productive versus nonproductive hours of an employee 
D) Vacation time accrued C

Question 4

Overtime to cover shortages in staff coverage can be a daunting problem.Which of the following can be a short-term solution to a nursing shortage?

Accepted Answer

A) Increase length of shift. 
B) Work a double shift. 
C) Use an agency nurse. 
D) Ask each shift to work 4 extra hours. 
A) Increase length of shift. 
B) Work a double shift. 
C) Use an agency nurse. 
D) Ask each shift to work 4 extra hours.

Question 5

Automated computerized staffing allows for which advantage to the staff?

Accepted Answer

A) It reduces the workload of the nurse manager. 
B) Staff has many options on a first-come, first-served basis. 
C) It provides for changes in daily patient acuity. 
D) Weekend options are available. 
A) It reduces the workload of the nurse manager. 
B) Staff has many options on a first-come, first-served basis. 
C) It provides for changes in daily patient acuity. 
D) Weekend options are available.

Question 6

Which ANA Principles for Nurse Staffing standards are applied to patient care?

Accepted Answer

A) Staffing levels that must be sufficient for providing quality patient care 
B) Mandated staffing ratios 
C) Recommended a new method for determining staffing needs 
D) Staffing based on patient census 
A) Staffing levels that must be sufficient for providing quality patient care 
B) Mandated staffing ratios 
C) Recommended a new method for determining staffing needs 
D) Staffing based on patient census

Question 7

Which ANA Principles for Nurse Staffing standard is applied to the organization?

Accepted Answer

A) Nursing ratios are mandated. 
B) The need for documented competencies for all nurses delivering patient care is supported. 
C) That nursing budgeted positions are not filled in a timely manner is accepted. 
D) The needs of the staff nurse are secondary to the patient's needs. 
A) Nursing ratios are mandated. 
B) The need for documented competencies for all nurses delivering patient care is supported. 
C) That nursing budgeted positions are not filled in a timely manner is accepted. 
D) The needs of the staff nurse are secondary to the patient's needs.

Question 8

Which ANA Principles for Nurse Staffing standard is applied to staffing?

Accepted Answer

A) Nurse/patient ratios should be mandated. 
B) Clinical competencies of the staff are standardized for all units. 
C) Support of the staff nurses must come from all levels of nursing. 
D) Experienced nurses should work the day shift because it is the busiest. 
A) Nurse/patient ratios should be mandated. 
B) Clinical competencies of the staff are standardized for all units. 
C) Support of the staff nurses must come from all levels of nursing. 
D) Experienced nurses should work the day shift because it is the busiest.

Question 9

Most institutions use one or more types of future scheduling in their planning.Which of the following provides advantages for creativity and staff satisfaction in scheduling?

Accepted Answer

A) Pattern scheduling 
B) Preference scheduling 
C) Rules scheduling 
D) Self-scheduling 
A) Pattern scheduling 
B) Preference scheduling 
C) Rules scheduling 
D) Self-scheduling

Question 10

A nurse working on a unit using the primary care delivery model would expect to observe which practice specific to primary care delivery?

Accepted Answer

A) The UAP measures blood sugar levels on all patients. 
B) The RN administers medications to a team of patients. 
C) The RN verifies a new order for patient started on an antihypertensive with a blood pressure of 100/60 mm Hg. 
D) The RN holds the morning dose of insulin for a patient scheduled for surgery later that day. 
A) The UAP measures blood sugar levels on all patients. 
B) The RN administers medications to a team of patients. 
C) The RN verifies a new order for patient started on an antihypertensive with a blood pressure of 100/60 mm Hg. 
D) The RN holds the morning dose of insulin for a patient scheduled for surgery later that day.

Question 11

What is the advantage to the institution in using external agency nurses?

Accepted Answer

A) Competency 
B) Availability 
C) Cost 
D) Staff relationships 
A) Competency 
B) Availability 
C) Cost 
D) Staff relationships

Question 12

The student nurse learns about the advantages and disadvantages of various patient care delivery models.The student understands that besides an historical perspective of nursing practice, a patient delivery care model may need to be instituted to adapt to

Accepted Answer

A) alterations in available staff due to weather emergencies. 
B) the financial environment of the patient population. 
C) a wide range of ages among the staff. 
D) a limited number of unlicensed staff on the unit. 
A) alterations in available staff due to weather emergencies. 
B) the financial environment of the patient population. 
C) a wide range of ages among the staff. 
D) a limited number of unlicensed staff on the unit.

Question 13

There are four major types of staffing plans.The decentralized method of staff planning refers to which of the following?

Accepted Answer

A) The schedule is planned based on the central or core staff. 
B) The schedule is planned on each individual unit by the nurse manager. 
C) The schedule is planned by the nurses themselves. 
D) The schedule is planned by nursing service. 
A) The schedule is planned based on the central or core staff. 
B) The schedule is planned on each individual unit by the nurse manager. 
C) The schedule is planned by the nurses themselves. 
D) The schedule is planned by nursing service.

Question 14

What factors are primarily used when quantifying patient care required and staffing needs?

Accepted Answer

A) Number of patients per nurse 
B) Number of discharges 
C) Acuity and time required for care 
D) Number of admissions 
A) Number of patients per nurse 
B) Number of discharges 
C) Acuity and time required for care 
D) Number of admissions

Question 15

The fundamental element of any patient care delivery combines work allocation with

Accepted Answer

A) patient acuity. 
B) leadership. 
C) clinical decision making. 
D) delegation. 
A) patient acuity. 
B) leadership. 
C) clinical decision making. 
D) delegation.

Question 16

There are four major types of staffing plans.The centralized method of staff planning refers to which of the following?

Accepted Answer

A) The schedule is planned based on the core staff. 
B) The schedule is planned on each individual unit. 
C) The schedule is planned by the nurses themselves. 
D) The schedule is planned by the nursing service. 
A) The schedule is planned based on the core staff. 
B) The schedule is planned on each individual unit. 
C) The schedule is planned by the nurses themselves. 
D) The schedule is planned by the nursing service.

Question 17

What is the disadvantage to the institution in using external agency nurses?

Accepted Answer

A) Cost 
B) Competency 
C) Availability 
D) Staff relationships 
A) Cost 
B) Competency 
C) Availability 
D) Staff relationships

Question 18

Leadership structures in health care can be centralized or decentralized.The nurse understands that she is working in a centralized structured environment when which of the following occurs?

Accepted Answer

A) All organizational decisions must be approved by the CEO. 
B) Changes can be made rapidly based on immediate needs. 
C) Nurses must work under a dual-authority structure. 
D) Decisions can be made at the "point of care." 
A) All organizational decisions must be approved by the CEO. 
B) Changes can be made rapidly based on immediate needs. 
C) Nurses must work under a dual-authority structure. 
D) Decisions can be made at the "point of care."

Question 19

An agency nurse is assigned to work on a unit that uses the team nursing model of health care delivery.Which of the following would the nurse expect to experience in this environment?

Accepted Answer

A) UAP taking vital signs and giving baths 
B) RN taking vital signs and giving baths 
C) RN delegating patient care delivery to a group of patients 
D) Charge nurse delegating care delivery 
A) UAP taking vital signs and giving baths 
B) RN taking vital signs and giving baths 
C) RN delegating patient care delivery to a group of patients 
D) Charge nurse delegating care delivery

Question 20

The best determinant of staffing needs is based on which factor?

Accepted Answer

A) Patient acuity 
B) Productive time 
C) Nonproductive time 
D) Nurse/patient ratio 
A) Patient acuity 
B) Productive time 
C) Nonproductive time 
D) Nurse/patient ratio

Exam 12: Staffing and Scheduling

In a team nursing health care delivery model environment, the nurse would observe for which action by the staff?

There are four major types of staffing plans used in the hospital setting.The primary advantage of self-scheduling is which of the following?

When calculating for staffing needs, what should be considered?

Overtime to cover shortages in staff coverage can be a daunting problem.Which of the following can be a short-term solution to a nursing shortage?

Automated computerized staffing allows for which advantage to the staff?

Which ANA Principles for Nurse Staffing standards are applied to patient care?

Which ANA Principles for Nurse Staffing standard is applied to the organization?

Which ANA Principles for Nurse Staffing standard is applied to staffing?

Most institutions use one or more types of future scheduling in their planning.Which of the following provides advantages for creativity and staff satisfaction in scheduling?

A nurse working on a unit using the primary care delivery model would expect to observe which practice specific to primary care delivery?

What is the advantage to the institution in using external agency nurses?

The student nurse learns about the advantages and disadvantages of various patient care delivery models.The student understands that besides an historical perspective of nursing practice, a patient delivery care model may need to be instituted to adapt to

There are four major types of staffing plans.The decentralized method of staff planning refers to which of the following?

What factors are primarily used when quantifying patient care required and staffing needs?

The fundamental element of any patient care delivery combines work allocation with

There are four major types of staffing plans.The centralized method of staff planning refers to which of the following?

What is the disadvantage to the institution in using external agency nurses?

Leadership structures in health care can be centralized or decentralized.The nurse understands that she is working in a centralized structured environment when which of the following occurs?

An agency nurse is assigned to work on a unit that uses the team nursing model of health care delivery.Which of the following would the nurse expect to experience in this environment?

The best determinant of staffing needs is based on which factor?

Leadership and Management

Organizational Structure of Health Care

Strategic Management and Planning

Financial Management in Health Care

Healthcare Regulatory and Certifying Agencies

Organizational Decision Making and Shared Governance

Professional Decision Making and Advocacy

Communication in the Work Environment

Personnel Policies and Programs in the Workplace

Professional Development

Professional Practice and Care Delivery Models and Emerging Practice Models

Delegation of Nursing Tasks

Providing Competent Staff

Group Management for Effective Outcomes

Hospital Information Systems

Ethical and Legal Issues in Patient Care

Improving Organizational Performance

Evidence-Based Practice

Monitoring Outcomes and the Use of Data for Improvement

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