Question 1

How many hours does a full-time employee work per year?

Accepted Answer

A)  1,040 hours 
B)  1,664 hours 
C)  1,872 hours 
D)  1,950 hours 
A)  1,040 hours 
B)  1,664 hours 
C)  1,872 hours 
D)  1,950 hours D

Question 2

Which of the following is an advantage of the prototype client classification system?

Accepted Answer

A)  reduction of work 
B)  ongoing data to monitor accuracy of nursing requirements 
C)  ongoing measure of actual nursing work required 
D)  commonly used system 
A)  reduction of work 
B)  ongoing data to monitor accuracy of nursing requirements 
C)  ongoing measure of actual nursing work required 
D)  commonly used system A

Question 3

In which model of care delivery is the focus on patient needs rather than on staff needs?

Accepted Answer

A)  primary care 
B)  client-centred care 
C)  differentiated practice 
D)  modular care 
A)  primary care 
B)  client-centred care 
C)  differentiated practice 
D)  modular care B

Question 4

Which one of these terms refers to the time spent on activities that are client related but are NOT done directly to the client?

Accepted Answer

A)  direct care 
B)  productive time 
C)  indirect care 
D)  non-productive time 
A)  direct care 
B)  productive time 
C)  indirect care 
D)  non-productive time

Question 5

Identify the part-time equivalent (FTE) measure for a part-time employee who works one 7.5-hour shift per week.

Accepted Answer

A)  0.6 FTE 
B)  0.5 FTE 
C)  0.4 FTE 
D)  0.2 FTE 
A)  0.6 FTE 
B)  0.5 FTE 
C)  0.4 FTE 
D)  0.2 FTE

Question 6

Which one of the following statements represents the main feature of primary care nursing?

Accepted Answer

A)  It is basically an inexpensive system. 
B)  It requires a smaller nursing staff. 
C)  One nurse is the primary caregiver. 
D)  It is primarily dependent on associate nurses. 
A)  It is basically an inexpensive system. 
B)  It requires a smaller nursing staff. 
C)  One nurse is the primary caregiver. 
D)  It is primarily dependent on associate nurses.

Question 7

Which of the following is a client classification system that uses units of measure that equate to nursing time?

Accepted Answer

A)  the prototype system 
B)  a case mix system 
C)  the factor system 
D)  a scorecard system 
A)  the prototype system 
B)  a case mix system 
C)  the factor system 
D)  a scorecard system

Question 8

Which of the following must the nurse manager first take into account when scheduling staff?

Accepted Answer

A)  staffing pattern 
B)  volume of staff 
C)  volume of clients 
D)  staff needs 
A)  staffing pattern 
B)  volume of staff 
C)  volume of clients 
D)  staff needs

Question 9

In which model of care delivery does the nurse have responsibility for entire care for the clients assigned during the shift?

Accepted Answer

A)  case method 
B)  total client care 
C)  functional nursing 
D)  team nursing 
A)  case method 
B)  total client care 
C)  functional nursing 
D)  team nursing

Question 10

How many FTEs per day would you need if your target NHPPD was 4, and you expected to have 22 clients on your 24-bed unit?

Accepted Answer

A)  8 
B)  11 
C)  15 
D)  20 
A)  8 
B)  11 
C)  15 
D)  20

Question 11

Identify the part-time equivalent (FTE) measure for a part-time employee who works three 7.5-hour shifts per week.

Accepted Answer

A)  0.6 FTE 
B)  0.5 FTE 
C)  0.4 FTE 
D)  0.2 FTE 
A)  0.6 FTE 
B)  0.5 FTE 
C)  0.4 FTE 
D)  0.2 FTE

Question 12

Which of the following is an advantage of the total client care and the case method models of care delivery?

Accepted Answer

A)  cost 
B)  same clients 
C)  continuum of care 
D)  consistency of care 
A)  cost 
B)  same clients 
C)  continuum of care 
D)  consistency of care

Question 13

Which of the following is a disadvantage of applying the clinical pathways concept?

Accepted Answer

A)  time consuming 
B)  longer length of stay 
C)  increased variability 
D)  standardized care 
A)  time consuming 
B)  longer length of stay 
C)  increased variability 
D)  standardized care

Question 14

Which of the following is a disadvantage of functional nursing?

Accepted Answer

A)  serves large number of clients 
B)  utilizes different skill levels to deliver care 
C)  client receives task-focused care 
D)  client receives segmented care from several staff 
A)  serves large number of clients 
B)  utilizes different skill levels to deliver care 
C)  client receives task-focused care 
D)  client receives segmented care from several staff

Question 15

Which of the following is an advantage of the factor-type client classification system?

Accepted Answer

A)  ongoing workload for nurses to classify clients 
B)  captures holistic client needs 
C)  data readily available 
D)  captures typical nursing time 
A)  ongoing workload for nurses to classify clients 
B)  captures holistic client needs 
C)  data readily available 
D)  captures typical nursing time

Question 16

As a nursing manager you have been asked to calculate the number of nursing hours per patient day (NHPPD) after examining the following information. Please review the following information and identify the correct NHPPD. The manager has 30 clients on the unit.
8 staff × 3 shifts = XX staff members working.
XX staff each working 7.5 hours = XX hours available to be used in a 24-hour period.
XX nursing hours divided by 30 clients = XX NHPPD.

Accepted Answer

A)  7 NHPPD 
B)  6 NHPPD 
C)  10 NHPPD 
D)  12 NHPPD 
A)  7 NHPPD 
B)  6 NHPPD 
C)  10 NHPPD 
D)  12 NHPPD

Question 17

The nurse is preparing to facilitate an in-service on client-centred care that will be introduced and promoted on the unit. The nurse knows that part of planning is to include the following points related to client-centred care on the agenda. (Select all that will apply.)

Accepted Answer

A)  Client-centred care is a model of care. 
B)  Client-centred care is based on client needs, not staff needs. 
C)  Client-centred care is an affordable way to plan care. 
D)  Client-centred care involves members of the intraprofessional team. 
A)  Client-centred care is a model of care. 
B)  Client-centred care is based on client needs, not staff needs. 
C)  Client-centred care is an affordable way to plan care. 
D)  Client-centred care involves members of the intraprofessional team.

Question 18

Which of these standard measures quantifies the nursing time available to each client by available nursing staff?

Accepted Answer

A)  FTE 
B)  NHPPD 
C)  productive time 
D)  non-productive time
Indicate one or more answer choices that best complete the statement or answer the question. 
A)  FTE 
B)  NHPPD 
C)  productive time 
D)  non-productive time
Indicate one or more answer choices that best complete the statement or answer the question.

Question 19

Which of the following is an advantage of primary nursing?

Accepted Answer

A)  accountability 
B)  cost 
C)  geographic boundaries 
D)  One person provides all care. 
A)  accountability 
B)  cost 
C)  geographic boundaries 
D)  One person provides all care.

Question 20

What is the measure that is used to look at the amount and complexity of nursing care needed by a client?

Accepted Answer

A)  nursing hours per patient day 
B)  units of service 
C)  nurse intensity 
D)  FTE measure 
A)  nursing hours per patient day 
B)  units of service 
C)  nurse intensity 
D)  FTE measure

Exam 12: Effective Staffing

How many hours does a full-time employee work per year?

Which of the following is an advantage of the prototype client classification system?

In which model of care delivery is the focus on patient needs rather than on staff needs?

Which one of these terms refers to the time spent on activities that are client related but are NOT done directly to the client?

Identify the part-time equivalent (FTE) measure for a part-time employee who works one 7.5-hour shift per week.

Which one of the following statements represents the main feature of primary care nursing?

Which of the following is a client classification system that uses units of measure that equate to nursing time?

Which of the following must the nurse manager first take into account when scheduling staff?

In which model of care delivery does the nurse have responsibility for entire care for the clients assigned during the shift?

How many FTEs per day would you need if your target NHPPD was 4, and you expected to have 22 clients on your 24-bed unit?

Identify the part-time equivalent (FTE) measure for a part-time employee who works three 7.5-hour shifts per week.

Which of the following is an advantage of the total client care and the case method models of care delivery?

Which of the following is a disadvantage of applying the clinical pathways concept?

Which of the following is a disadvantage of functional nursing?

Which of the following is an advantage of the factor-type client classification system?

The nurse is preparing to facilitate an in-service on client-centred care that will be introduced and promoted on the unit. The nurse knows that part of planning is to include the following points related to client-centred care on the agenda. (Select all that will apply.)

Which of these standard measures quantifies the nursing time available to each client by available nursing staff?

Which of the following is an advantage of primary nursing?

What is the measure that is used to look at the amount and complexity of nursing care needed by a client?

Canadas Health Care Environment

Basic Clinical Health Care Economics

Evidence-Based Practice

Nursing and Health Care Informatics

Population-Based Health Care Practice

Personal and Interprofessional Communication

Politics and Consumer Partnerships

Nursing Leadership and Management

Current Issues and Trends

Effective Team Building

Budget Concepts for Client Care

Delegation of Nursing Care

Strategic Planning and Organizing Client Care

Change, Innovation, and Conflict Resolution

Power

Managing Performance and Outcomes Using an Organizational Quality Improvement Model

Decision Making

Legal Aspects of Client Care

Spirituality and the Profession of Nursing

Ethics and the Profession of Nursing

Collective Bargaining

Career Planning and Development: Creating Your Path to the Future

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