Question 1

A(n) ______ provides logic and order to complex processes for administrators and scientists to consider.

Accepted Answer

A)  staffing plan 
B)  organizational chart 
C)  conceptual framework 
D)  nursing care delivery model 
A)  staffing plan 
B)  organizational chart 
C)  conceptual framework 
D)  nursing care delivery model C

Question 2

The workload standard commonly used in nursing when calculating staffing patterns is:

Accepted Answer

A)  patient days. 
B)  patient acuity system. 
C)  average length of stay. 
D)  nursing care hours per patient day. 
A)  patient days. 
B)  patient acuity system. 
C)  average length of stay. 
D)  nursing care hours per patient day. D

Question 3

The nursing manager of a general medical-surgical unit in a large hospital has gathered data reflecting the average length of time that it takes to provide nursing care to broad categories of client groups with typical characteristics. The nursing manager will most likely use the patient classification data he collected to:

Accepted Answer

A)  avoid management layoffs. 
B)  change professional nursing roles. 
C)  obtain staffing reimbursement. 
D)  staff his nursing unit appropriately. 
A)  avoid management layoffs. 
B)  change professional nursing roles. 
C)  obtain staffing reimbursement. 
D)  staff his nursing unit appropriately. D

Question 4

The core concept of the synergy model for patient care is based on the nurse-patient relationship and acknowledges:

Accepted Answer

A)  frontline charge nurses make informed patient care assignment decisions. 
B)  organizing and delivering nursing care achieves desired patient outcomes. 
C)  the needs or characteristics of the patients and families drive the competencies of the nurse. 
D)  the clinical nurse leader champions innovations that improve patient outcomes, ensures quality care, and reduces health care costs. 
A)  frontline charge nurses make informed patient care assignment decisions. 
B)  organizing and delivering nursing care achieves desired patient outcomes. 
C)  the needs or characteristics of the patients and families drive the competencies of the nurse. 
D)  the clinical nurse leader champions innovations that improve patient outcomes, ensures quality care, and reduces health care costs.

Question 5

Assigning individual personnel to work specific hours, days, or shifts and in a specific unit or area over a specified period of time is known as:

Accepted Answer

A)  scheduling. 
B)  staffing effectiveness. 
C)  nursing direct care hours. 
D)  human resources staffing strategy. 
A)  scheduling. 
B)  staffing effectiveness. 
C)  nursing direct care hours. 
D)  human resources staffing strategy.

Question 6

Evaluation of the effect of nurse staffing on quality patient, financial, and organizational outcomes is known as:

Accepted Answer

A)  patient acuity. 
B)  staffing effectiveness. 
C)  nurse-to-patient ratio. 
D)  nursing workload. 
A)  patient acuity. 
B)  staffing effectiveness. 
C)  nurse-to-patient ratio. 
D)  nursing workload.

Question 7

The amount of work performed by a unit is referred to as its _____.

Accepted Answer

The answer of The amount of work performed by a...

Question 8

A forecasted workload and a recommended care standard determine the:

Accepted Answer

A)  staffing pattern. 
B)  skill mix of the unit. 
C)  nurse-to-patient ratios. 
D)  staffing management plan. 
A)  staffing pattern. 
B)  skill mix of the unit. 
C)  nurse-to-patient ratios. 
D)  staffing management plan.

Question 9

The hospital units most likely to employ a decentralized staffing model include (select all that apply):

Accepted Answer

A)  the telemetry unit. 
B)  labor and delivery. 
C)  the medical-surgical unit. 
D)  the emergency department. 
E)  the neonatal critical care unit. 
A)  the telemetry unit. 
B)  labor and delivery. 
C)  the medical-surgical unit. 
D)  the emergency department. 
E)  the neonatal critical care unit.

Question 10

The Joint Commission's (TJC's) staffing regulation states:

Accepted Answer

A)  staffing ratios are recommended in perinatal and critical care areas. 
B)  nurse managers may determine the nurse-to-patient ratio as long as the patient's needs are being met. 
C)  hospitals must also provide the right number of competent staff members to meet the patients' needs. 
D)  hospitals may limit the number of admissions to ensure there are an adequate number of staff members to meet patient needs. 
A)  staffing ratios are recommended in perinatal and critical care areas. 
B)  nurse managers may determine the nurse-to-patient ratio as long as the patient's needs are being met. 
C)  hospitals must also provide the right number of competent staff members to meet the patients' needs. 
D)  hospitals may limit the number of admissions to ensure there are an adequate number of staff members to meet patient needs.

Question 11

Key to effective staffing are protocols and processes for daily staffing decision support that are aligned with a budget-sensitive variable staffing plan. In a decentralized model, the responsibility of daily staffing allocation belongs to the:

Accepted Answer

A)  float pool. 
B)  staffing office. 
C)  department manager. 
D)  chief nursing officer. 
A)  float pool. 
B)  staffing office. 
C)  department manager. 
D)  chief nursing officer.

Question 12

An RN is relocating and is seeking employment at a hospital that focuses on patient safety. Which staffing issues have a negative impact on patient safety (select all that apply)?

Accepted Answer

A)  Eight-hour shifts 
B)  Twelve-hour shifts 
C)  Mandatory overtime 
D)  Student nurses on the unit 
E)  Unplanned overtime 
A)  Eight-hour shifts 
B)  Twelve-hour shifts 
C)  Mandatory overtime 
D)  Student nurses on the unit 
E)  Unplanned overtime

Question 13

A common element among nursing care delivery models is the:

Accepted Answer

A)  ratio of nurses to patients. 
B)  manager is the frontline leader. 
C)  value of the nurse and patient/family relationship. 
D)  needs of the patients drive the competency of the nurse. 
A)  ratio of nurses to patients. 
B)  manager is the frontline leader. 
C)  value of the nurse and patient/family relationship. 
D)  needs of the patients drive the competency of the nurse.

Question 14

Betty is calculating the total patient days on her unit. Her average daily census is 35 and her average length of stay is 2.4 days. The total patient days on Betty's unit is _____ days.

Accepted Answer

The answer of Betty is calculating the total patient days...

Question 15

Relationship-based care (RBC) is a common model used in care delivery. Person (2004) articulated that _____ is/are central to the RBC model.

Accepted Answer

A)  continuity of care 
B)  case management 
C)  coordination of care 
D)  the needs or characteristics of the patients 
A)  continuity of care 
B)  case management 
C)  coordination of care 
D)  the needs or characteristics of the patients

Question 16

Examples of nursing care delivery models include (select all that apply):

Accepted Answer

A)  team nursing. 
B)  quality nursing. 
C)  primary nursing. 
D)  private duty nursing. 
E)  patient-focused care. 
A)  team nursing. 
B)  quality nursing. 
C)  primary nursing. 
D)  private duty nursing. 
E)  patient-focused care.

Question 17

Community Hospital is having a transient nursing shortage due to a high number of sick calls. The staffing office utilizes the staffing pool to obtain the required number of nurses. The staffing pool may include what types of nurses (select all that apply)?

Accepted Answer

A)  Travel nurses 
B)  Foreign nurses 
C)  Registry nurses 
D)  Per diem nurses 
E)  Full-time nurses 
A)  Travel nurses 
B)  Foreign nurses 
C)  Registry nurses 
D)  Per diem nurses 
E)  Full-time nurses

Question 18

When the needs and characteristics of the patient clinical unit, or system, are matched with a nurse's competencies, _____ results.

Accepted Answer

The answer of When the needs and characteristics of the...

Question 19

The process of providing and measuring the correct full-time equivalent (FTE), or complement, to adequately staff a given area is known as:

Accepted Answer

A)  scheduling. 
B)  position control. 
C)  forecasted workload. 
D)  demand management. 
A)  scheduling. 
B)  position control. 
C)  forecasted workload. 
D)  demand management.

Question 20

The nursing manager of a general medical-surgical unit in a large hospital has gathered data reflecting the average length of time that it takes to provide nursing care to broad categories of client groups with typical characteristics. The system that the nursing manager has used to classify patients has been criticized for its reliability, validity, and:

Accepted Answer

A)  comparability across settings. 
B)  medical elements. 
C)  stereotyping of patients. 
D)  subjective basis. 
A)  comparability across settings. 
B)  medical elements. 
C)  stereotyping of patients. 
D)  subjective basis.

Exam 21: Staffing and Scheduling

A(n) ______ provides logic and order to complex processes for administrators and scientists to consider.

The workload standard commonly used in nursing when calculating staffing patterns is:

The core concept of the synergy model for patient care is based on the nurse-patient relationship and acknowledges:

Assigning individual personnel to work specific hours, days, or shifts and in a specific unit or area over a specified period of time is known as:

Evaluation of the effect of nurse staffing on quality patient, financial, and organizational outcomes is known as:

The amount of work performed by a unit is referred to as its _____.

A forecasted workload and a recommended care standard determine the:

The hospital units most likely to employ a decentralized staffing model include (select all that apply):

The Joint Commission's (TJC's) staffing regulation states:

Key to effective staffing are protocols and processes for daily staffing decision support that are aligned with a budget-sensitive variable staffing plan. In a decentralized model, the responsibility of daily staffing allocation belongs to the:

An RN is relocating and is seeking employment at a hospital that focuses on patient safety. Which staffing issues have a negative impact on patient safety (select all that apply)?

A common element among nursing care delivery models is the:

Betty is calculating the total patient days on her unit. Her average daily census is 35 and her average length of stay is 2.4 days. The total patient days on Betty's unit is _____ days.

Relationship-based care (RBC) is a common model used in care delivery. Person (2004) articulated that _____ is/are central to the RBC model.

Examples of nursing care delivery models include (select all that apply):

Community Hospital is having a transient nursing shortage due to a high number of sick calls. The staffing office utilizes the staffing pool to obtain the required number of nurses. The staffing pool may include what types of nurses (select all that apply)?

When the needs and characteristics of the patient clinical unit, or system, are matched with a nurse's competencies, _____ results.

The process of providing and measuring the correct full-time equivalent (FTE), or complement, to adequately staff a given area is known as:

Leadership and Management Principles

Change and Innovation

Organizational Climate and Culture

Critical Thinking and Decision-Making Skills

Managing Time and Stress

Legal and Ethical Issues

Communication Leadership

Team Building and Working With Effective Groups

Delegation

Power and Conflict

Workplace Diversity

Case Population Health Management

Organizational Structure

Decentralization Shared Governance

Professional Practice Models

Evidence-Based Practice: Strategies for Nursing Leaders

Quality and Safety

Measuring and Managing Outcomes

Strategic Management

Confronting the Nursing Shortage

Budgeting, Productivity and Costing Out Nursing

Performance Appraisal

Prevention of Workplace Violence

All-Hazards Disaster Preparedness

Data Management and Clinical Informatics

Marketing

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