Question 1

A strategy used to improve patient care and help reduce hospital costs through the coordination of care is called:

Accepted Answer

A)  clinical pathways
B)  case management
C)  primary nursing
D)  utilization review B

Question 2

Your nursing unit advocates the use of the factor-type of patient classification system.A new RN graduate states that he has a basic knowledge of this system,but would like to know one advantage to using a system such as this.Your response includes:

Accepted Answer

A)  ongoing workload for nurses to classify patients
B)  capturing holistic patient needs
C)  data readily available
D)  capturing typical nursing time C

Question 3

An advantage of both the total patient care and the case method of care delivery is:

Accepted Answer

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

Question 4

A measurement tool used to articulate the nursing workload for a specified patient or group of patients over a specific period of time is called:

Accepted Answer

A)  benchmarking
B)  skill mix
C)  staffing pattern
D)  patient classification

Question 5

An FTE works how many hours per year?

Accepted Answer

A)  1,040
B)  2,080
C)  1,664
D)  1,872

Question 6

One disadvantage of team or modular nursing is that:

Accepted Answer

A)  requires more RNs
B)  communication may be problematic
C)  responsibility is not shared
D)  no one person has authority

Question 7

You are a nurse manager on a busy pediatric unit in a large metropolitan hospital.You understand that it is important to utilize nursing intensity when determining staffing needs over the upcoming holidays.Which of the following factors will you use when you evaluate the nurse intensity on your unit? Select all that apply.

Accepted Answer

A)  severity of patient illness
B)  complexity of care
C)  requests for time off
D)  patient dependency regarding ADL

Question 8

Holiday time is considered to be:

Accepted Answer

A)  productive time
B)  nonproductive time
C)  direct care
D)  indirect care

Question 9

On your inpatient ob-gyn unit,the model of patient care delivery consists of a group of patients who are cared for by an RN,an LPN,and a nursing assistive personnel (NAP).This patient care model is called:

Accepted Answer

A)  functional nursing
B)  team nursing
C)  total patient care
D)  primary nursing

Question 10

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

Accepted Answer

A)  primary
B)  patient-centered
C)  differentiated practice
D)  modular

Question 11

When there is inadequate NHPPD which of the following is increased?

Accepted Answer

A)  patient satisfaction
B)  medication errors
C)  balanced budget
D)  nurse satisfaction

Question 12

Some new options in staffing patterns for nursing units include which of the following? Select all that apply.

Accepted Answer

A)  8-hour shifts
B)  12-hour shifts
C)  weekend programs
D)  week day shifts.

Question 13

An advantage of the protype patient classification system is:

Accepted Answer

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

Question 14

You have been floated to another inpatient unit that utilizes the primary nursing model of care.You are excited about being able to work under this type of care model because one of the advantages of this particular model is _____.

Accepted Answer

A)  accountability
B)  cost
C)  geographic boundaries
D)  perform all interventions

Question 15

You are a nursing manager on an inpatient medical-surgical unit.How many FTEs per day would you need if your target NHPPD was 8,and you expected to have 22 patients on your 24-bed unit?

Accepted Answer

A)  20
B)  22
C)  24
D)  26

Question 16

California was the first state to mandate nurse-to-patient _____.

Accepted Answer

A)  staffing plans
B)  staffing ratios
C)  staffing patterns
D)  staffing departments

Question 17

You are a perioperative nurse in a small rural hospital and have just received your schedule for the upcoming month.You are dismayed to find that you seem to be scheduled to work on the one day you requested off in order to attend an event at your son's elementary school.Whose responsibility is it to schedule staff,and whom should you talk to about this?

Accepted Answer

A)  staff members themselves
B)  nursing staffing office
C)  nurse manager
D)  director of nursing

Question 18

One advantage of functional nursing care is that:

Accepted Answer

A)  care can be delivered to a large number of patients
B)  care is delivered to patients by several staff members
C)  patients feel they get better care from multiple providers
D)  there is more RN care than unskilled care

Question 19

Which of the following are considered to be care delivery management tools that may be used by organizations when trying to reduce LOS? Select all that apply.

Accepted Answer

A)  clinical pathways
B)  case management
C)  disease management
D)  nurse management

Question 20

Which of the following are disadvantages of the functional nursing care model? Select all that apply.

Accepted Answer

A)  task-focused care
B)  cannot be used when there is a shortage of RNs
C)  care may feel disjointed to patients
D)  does not provide care to larger numbers of patients per unit

Exam 9: Effective Staffing