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leadership/capstone wk 1-4 Questions With Complete Solutions
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leadership/capstone wk 1-4 Questions With Complete Solutions
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leadership/capstone wk 1-4 Questions With CompleteSolutions
1. Correct Answer A nurse manager has calculated that
providing 75 hours of direct nursing care per day requires that
120 hours must actually be worked by nursing staff. The
manager is involved in: (Select all that apply.)
a.
developing the capital budget.
b.
applying a productivity metric.
c.
monitoring the labor budget.
d.
incremental budgeting processes.
e.
addressing budget assumptions.
ANS: B, C
The nurse manager is determining the amount of work produced
by calculating the actual number of nursing hours worked,
which is a productivity metric.
Budgets use productivity metrics.
The manager is not evaluating long-term major expenses, which
are the components of the capital budget.
The nurse is not planning a new budget by using an incremental
increase from the prior budgeting period; this activity is part of
the incremental budgeting process.
The manager is not addressing issues such as the stability of
prices, projected patient census, and recruitment efforts for the
,next year, all of which would be considerations in budget
assumptions.
1. Correct Answer A nurse manager plans the fiscal budget to
include salaries for two RNs for two 12-hour shifts with a
patient census of 6 in the short-stay observation room. The nurse
manager reviews the budget report 3 months later and notes that
the salary expenses are higher than was budgeted because of
higher than planned RN staff salaries. This additional RN staff is
necessary to meet patient care needs because the census has
remained constant at 10 patients rather than the 6 projected
when the budget was developed. The difference between the
planned budget and the actual cost is known as:
a.
revenue.
b.
variance.
c.
monitoring.
d.
capital expenditures.
ANS: B
Variance is the difference between the planned budget and
actual results; it can be a positive or a negative discrepancy.
Revenue is the income, but it is not analyzed to detect variations
between predicted and actual expenses.
Monitoring is the process by which variances are identified.
,Capital expenditures, which are long-term investments such as
bedside computers, are part of the budget but are included in
comparison with projected results.
1. Correct Answer According to current data related to the
nursing shortage: (Select all that apply.)
a.
salaries of nurses are competitive with those of other
professionals such as teachers.
b.
only 10.6% of nurses are minorities.
c.
overall, nurses are satisfied with their jobs but leave the
profession because of fear of contracting fatal diseases.
d.
over the next decade, more than half of RNs in the United States
will retire.
e.
staff nurses are returning to school to obtain certificates to teach
nursing.
ANS: B, D
Only 10% of nurses are minorities.
Nurses are older, with a mean age of 46.8 years.
Salaries are not a problem related to the nursing shortage. Most
facilities are willing to increase salaries and benefits for nurses.
It has not been documented that nurses are afraid of contracting
a fatal disease. Nurses take precautions to reduce this risk.
There is a shortage of nursing faculty, and graduate education is
required rather than certificates to teach nursing.
, 1. Correct Answer Accrediting and licensure agencies such as
The Joint Commission address staffing by:
a.
imposing maximum staffing levels.
b.
requiring a specific staff mix.
c.
stipulating nurse/patient ratios.
d.
looking for evidence that patients receive satisfactory care.
ANS: D
Accrediting agencies do not address minimum staffing levels;
however, they do look for evidence that patients receive
adequate care, and this can occur only with adequate staffing.
Accrediting agencies do not impose maximum staffing levels.
Staff mix is not addressed by accrediting agencies; however,
long-term care facilities specify minimum RN coverage for the
facility.
Agencies do not stipulate mandatory staffing ratios, with the
exception of those in California, a state that recently enacted
legislation mandating specific nurse/patient ratios.
1. Correct Answer In an attempt to persuade employees to
bargain for another type of health insurance, a handout is
circulated that describes the present employees' health care
insurance as being insensitive, limiting choices of care
providers, and providing inferior care. This reflects which aspect
of Lewin's planned change?
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