NURSING LEADERSHIP AND
MANAGEMENT CHAPTER 16
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
The number of adverse events such as falls and pressure ulcers on your unit is increasing. An ideal
staffing plan to address this issue would include which of the following?
a. Increasing the total number of staff on the unit.
b. Increasing the staff and registered nurse (RN) hours per patient.
c. Increasing the total number of staff and implementing 12-hour shifts.
d. Increasing the number of RNs and number of RNs with experience on the unit. - ANSWER D
A small rural hospital has been designated as a critical access hospital. It has 40 beds and an average
occupancy rate of 34 beds. To prepare the staffing, the chief nursing officer computes
the occupancy as being;
a. 90%.
b. 85%.
c. 75%.
d. 60%. - ANSWER B
To prepare staffing schedules, a nurse manager needs to calculate paid nonproductive time. When
calculating paid nonproductive time, the nurse manager considers:
a. Work time, educational time, and holiday time.
b. Paid hours minus worked hours.
c. Vacation time, holiday time, and sick time.
d. Paid hours minus meeting time. - ANSWER C
An important aspect of managing the costs on a unit is to plan accurately for staffing needs. Nurse
managers use staffing plans to:
a. Assign staff on the unit on a daily basis.
, b. Ensure that days off are planned for the staff.
c. Outline the number of individuals by classification on a per-shift basis.
d. Predict the numbers and classifications of float staff needed to augment regular staff. - ANSWER C
A nurse manager must consider a number of external variables when preparing the personnel budget
and projecting the unit's staffing needs. An external consideration is:
a. Organizational
staffing policies.
b. Staffing models.
c. Changes in services that will be offered.
d. Department of Health licensing standards. - ANSWER D
A nurse manager must also consider a number of internal variables that will affect staffing patterns.
Which of the following is an internal variable to be considered?
a. Organizational staffing policies.
b. Provincial/territorial licensing standards.
c. Canadian Nurses Association guidelines.
d. Consumer expectations. - ANSWER A
A nurse manager uses many sources of data when planning the unit's workload for the year. Which of
the following data must be considered in the planning?
a. Hours of operation of the unit.
b. Trends in the numbers of acutely ill patients on the unit.
c. Maximum work stretch for each employee.
d. Weekend requirements. - ANSWER B
Scheduling is a function of implementing the staffing plan by assigning unit personnel to work specific
hours and specific days of the week. To retain nursing staff, the nurse manager must
schedule:
a. All weekends off.
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