Deck 12: Effective Staffing

Question 1

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?

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

Answer 1

11

Question 2

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

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

Answer 2

0.2 FTE

Question 3

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

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

Answer 3

data readily available

Question 4

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

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

Question 5

Which of the following is a disadvantage of functional nursing?

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 6

Which of the following is an advantage of primary nursing?

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

Question 7

As a nurse 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 from the options below. The manager has 25 clients on the unit.
8 staff × 3 shifts = XX
XX staff, each working 7.5 hours = XX hours available in a 24-hour period
XX nursing hours / 25 clients = XX NHPPD

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

Question 8

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

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?

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

Question 10

What is the name of the measure that quantifies the nursing time available to each client by available nursing staff in a 24-hour period?

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

Question 11

What is the management tool for seeking out the best practices in one's industry?

A) accreditation
B) factor system
C) benchmarking
D) scorecard

Question 12

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

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 13

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

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

Question 14

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

Question 15

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

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

Question 16

Which of the following is a factor to consider when measuring nursing workload?

A) number of hours worked by all staff
B) number of hours worked by the nurse
C) units of service and nurse intensity
D) units used in one 24-hour shift

Question 17

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

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

Question 18

Which of these factors should be included as one of the first guidelines when doing self-scheduling?

A) nurse manager's work schedule
B) client scheduling outcomes
C) staff scheduling objectives
D) scheduling period

Question 19

Which of these tools is used to articulate the nursing tasks for a specific client or group of clients over a specific period of time?

A) benchmarking
B) skill mix
C) staffing pattern
D) workload measurement system

Question 20

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

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

Question 21

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

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

Question 22

Which term is applied to client pairings to which nursing acuity has been assigned?

A) resource intensity weights
B) prototype system
C) case mix groups
D) scorecard

Question 23

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

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 24

Which of these terms applies to holiday time?

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

Question 25

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

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

Question 26

Identify the term that refers to a full-time employee who works 37.5 hours a week.

A) 0.5 FTE
B) 0.8 FTE
C) 0.9 FTE
D) 1.0 FTE

Question 27

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.)

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 28

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

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

Question 29

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

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

Question 30

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.

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

Question 31

Which of these options refers to a full-time employee who works 37.5 hours a week?

A) 0.5 FTE
B) 0.8 FTE
C) 0.9 FTE
D) 1.0 FTE