Question 1

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. B, D, E

Question 2

The proportion of direct-care RNs to total direct-care nursing staff, expressed as a percentage of RNs to total nursing staff, is called _____.

Accepted Answer

skill mix
Skill mix is the proportion of direct-care RNs to total direct-care nursing staff, expressed as a percentage of RNs to total nursing staff.

Question 3

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. A

Question 4

The staffing method used when units are staffed below maximum workload conditions and staff is then supplemented when needed is called:

Accepted Answer

A)  fixed staffing. 
B)  variable staffing. 
C)  strategic staffing. 
D)  staffing by acuity. 
A)  fixed staffing. 
B)  variable staffing. 
C)  strategic staffing. 
D)  staffing by acuity.

Question 5

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.

Question 6

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 7

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 patient classification system that the nursing manager has used is criticized for its:

Accepted Answer

A)  lack of reliability. 
B)  medical elements. 
C)  stereotyping of patients. 
D)  subjective basis. 
A)  lack of reliability. 
B)  medical elements. 
C)  stereotyping of patients. 
D)  subjective basis.

Question 8

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 9

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 10

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 11

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

Accepted Answer

workload
The amount of work performed by

Question 12

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 patient's 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 patient's needs. 
D)  hospitals may limit the number of admissions to ensure there are an adequate number of staff members to meet patient needs.

Question 13

The new nursing care model, developed by the American Association of Critical-Care Nurses (2016), focuses on the needs of the patient and the competencies of the nurse. It is known as the:

Accepted Answer

A)  Synergy Model for Patient Care. 
B)  Case Management Model. 
C)  Primary Nursing Model. 
D)  Clinical Nurse Leader Model. 
A)  Synergy Model for Patient Care. 
B)  Case Management Model. 
C)  Primary Nursing Model. 
D)  Clinical Nurse Leader Model.

Question 14

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 15

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. In numerals, the total patient days on Betty's unit is _____ days.

Accepted Answer

84
Total patient days are comm

Question 16

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.

Question 17

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

Accepted Answer

synergy
Synergy-or optimum patient outco

Question 18

Staffing management is one of the most critical activities for nurse leaders at every level of the health care organization today because it affects:

Accepted Answer

A)  delegation and supervision. 
B)  unit leadership productivity. 
C)  organizational outcomes. 
D)  professional development and quality control. 
A)  delegation and supervision. 
B)  unit leadership productivity. 
C)  organizational outcomes. 
D)  professional development and quality control.

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

An approach for decreasing nursing RN skill mix was implemented in a one size fits all approach across organizations in the 1990s. These changes in skill mix led to:

Accepted Answer

A)  decreases in RN workload. 
B)  increased nursing satisfaction. 
C)  decreased patient satisfaction. 
D)  decreased patient safety concerns. 
A)  decreases in RN workload. 
B)  increased nursing satisfaction. 
C)  decreased patient satisfaction. 
D)  decreased patient safety concerns.

Exam 22: Staffing and Scheduling

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

The proportion of direct-care RNs to total direct-care nursing staff, expressed as a percentage of RNs to total nursing staff, is called _____.

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:

The staffing method used when units are staffed below maximum workload conditions and staff is then supplemented when needed is called:

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:

A common element among nursing care delivery models is 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.)

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

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

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

The new nursing care model, developed by the American Association of Critical-Care Nurses (2016), focuses on the needs of the patient and the competencies of the nurse. It is known as the:

A forecasted workload and a recommended care standard determine 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. In numerals, the total patient days on Betty's unit is _____ days.

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

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

Staffing management is one of the most critical activities for nurse leaders at every level of the health care organization today because it affects:

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

An approach for decreasing nursing RN skill mix was implemented in a one size fits all approach across organizations in the 1990s. These changes in skill mix led to:

Leadership and Management Principles

Change and Innovation

Organizational Climate and Culture

Managerial Decision Making

Managing Time and Stress

Legal and Ethical Issues

Communication Leadership

Team Building and Working With Effective Groups

Delegation in Nursing

Power and Conflict

Workplace Diversity

Organizational Structure

Decentralization and Shared Governance

Strategic Management

Professional Practice Models

Case and Population Health Management

Evidence-Based Practice: Strategies for Nursing Leaders

Quality and Safety

Measuring and Managing Outcomes

Prevention of Workplace Violence

Confronting the Nursing Shortage

Budgeting, Productivity, and Costing Out Nursing

Performance Appraisal

Emergency Management and Preparedness

Data Management and Clinical Informatics

Marketing

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