Deck 9: Effective Staffing

Question 1

An advantage of the protype patient classification system is:

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

Answer 1

reduction of work

Question 2

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:

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

Answer 2

team nursing

Question 3

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

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

Answer 3

staffing ratios

Question 4

In which model of patient care delivery does the nurse have the responsibility for the total care of the patient assignment during a shift?

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

Question 5

Acuity data and nursing hours per patient day (NHPPD)are concrete parameters that are used primarily for:

A)benchmarking
B)adjusting staffing levels
C)developing nursing budgets
D)reviewing patient care outcomes

Question 6

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?

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

Question 7

You are a newly hired nurse assigned to an inpatient neuro unit and have been asked to assist with the self-scheduling staffing process.Which of the following guidelines should be followed for this type of staffing?

A)nurse manager outcomes
B)patient outcomes
C)staff outcomes
D)scheduling period

Question 8

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

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

Question 9

Holiday time is considered to be:

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

Question 10

Nurse A is doing patient charting.This activity is considered _____.

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

Question 11

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 _____.

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

Question 12

A full-time employee (FTE)who works 40 hours a week is referred to as a:

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

Question 13

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?

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

Question 14

A patient classification system that uses units of measure that equate to nursing time is called:

A)protype
B)seven domain
C)factor system
D)scorecard

Question 15

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

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

Question 16

An FTE works how many hours per year?

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

Question 17

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

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

Question 18

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:

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

Question 19

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:

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

Question 20

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

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

Question 21

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.

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

Question 22

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.

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

Question 23

Two ways hospitals attempt to reduce costs through reduction in the LOS are:

A)disease management and case management
B)disease management and DRGs
C)case management and clinical pathways
D)DRGs and clinical pathways

Question 24

One advantage of functional nursing care is that:

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 25

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

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

Question 26

One disadvantage of team or modular nursing is that:

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

Question 27

Diagnostic-related groups (DRGs)were established by the federal government for the purpose of:

A)reimbursement
B)staffing levels
C)decreasing LOS
D)giving better care

Question 28

One advantage to primary nursing is that:

A)the approach to care is holistic
B)there is a higher RN skill mix
C)RNs provide all the care
D)nurse patient ratios are realistic

Question 29

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

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