Chapter 12: Staffing and Scheduling Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition

Chapter 12: Staffing and Scheduling Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition MULTIPLE CHOICE 1. Which ANA Principles for Nurse Staffing standards are applied to patient care? a. Staffing levels that must be sufficient for providing quality patient care b. Mandated staffing ratios c. Recommended a new method for determining staffing needs d. Staffing based on patient census ANS: A The principles identified by the ANA addressing patient care and staffing recommend that staffing be maintained to provide quality patient care for the individual patient as well as the unit population as a whole and not be based on previously used nursing hours per patient day. Mandated staffing ratios is not a recommendation. The ANA recommended that the old method be retired or at least questioned for its efficacy. Option D is incorrect because the recommendation was that staffing be based on patient needs. DIF: Cognitive Level: Application REF: pages 145-146 2. Which ANA Principles for Nurse Staffing standard is applied to staffing? a. Nurse/patient ratios should be mandated. b. Clinical competencies of the staff are standardized for all units. c. Support of the staff nurses must come from all levels of nursing. d. Experienced nurses shoulN d wR orkI theG dayB s. hiC ft bM ecause it is the busiest. ANS: C The principles presented by the ANA include the importance of support for the staff nurse from all levels of nursing. Option A is incorrect because this is not included. Option B is incorrect because the ANA recommends that staff competencies be consistent with the level of patient care required. Option D is incorrect because it is not a recommendation of the ANA. DIF: Cognitive Level: Application REF: pages 145-146 3. Which ANA Principles for Nurse Staffing standard is applied to the organization? a. Nursing ratios are mandated. b. The need for documented competencies for all nurses delivering patient care is supported. c. That nursing budgeted positions are not filled in a timely manner is accepted. d. The needs of the staff nurse are secondary to the patient’s needs. ANS: B The principles related to the organization are mostly supportive of the nurse. Nursing ratios are not included. Option C is incorrect because it is recommended that these unfilled positions be filled in a timely manner. Option D is incorrect because the organization should consider the needs of the nurse as comparable to the needs of the patients. DIF: Cognitive Level: Application REF: pages 145-146 U S N T O 4. The process of determining daily staffing incorporates which factor? a. Competency of staff b. Nursing degree of staff c. Acute change in patient acuity d. Emergency department admissions ANS: A Nursing competency (regardless of degree attained) is the most important factor for determining staffing. Options B and C are not factors determining daily staffing. Option D is incorrect because emergency department admissions can change the makeup of the unit and therefore cannot be planned. DIF: Cognitive Level: Application REF: page 145 5. There are four major types of staffing plans. The centralized method of staff planning refers to which of the following? a. The schedule is planned based on the core staff. b. The schedule is planned on each individual unit. c. The schedule is planned by the nurses themselves. d. The schedule is planned by the nursing service. ANS: D A centralized method refers to the nursing service or office making plans that affect the entire organization. Option A is incorrect because it is not a type of scheduling method. Options B and C are incorrect because they refer to other methods. DIF: Cognitive Level: Application REF: page 148 6. There are four major types of staffing plans. The decentralized method of staff planning refers to which of the following? a. The schedule is planned based on the central or core staff. b. The schedule is planned on each individual unit by the nurse manager. c. The schedule is planned by the nurses themselves. d. The schedule is planned by nursing service. ANS: B The decentralized schedule is done by the nurse manager and is very individualized to the needs of that unit. Option A is not a plan for scheduling and is incorrect. Options C and D refer to other scheduling methods. DIF: Cognitive Level: Application REF: page 148 7. There are four major types of staffing plans. The self-scheduling method of staff planning refers to which of the following? a. The schedule is planned based on the central or core staff. b. The schedule is planned on each individual unit by the nurse manager. c. The schedule is planned by the nurses themselves. d. The schedule is planned by nursing service. ANS: C Self-scheduling allows the nursing staff to accept full responsibility for staffing the unit. Option A is not a plan. Options B and D are examples of centralized scheduling. DIF: Cognitive Level: Application REF: page 148 8. There are four major types of staffing plans. The mixed method of staff planning refers to which of the following? a. The schedule uses decentralized scheduling and its staffing needs are supplemented by the centralized office. b. The schedule is planned on each individual unit by the nurse manager. c. The schedule is planned by the nurses themselves. d. The schedule is planned by nursing service. ANS: A The mixed method combines both centralized and decentralized for scheduling. The other options are incorrect because they refer to other methods. DIF: Cognitive Level: Application REF: page 148 9. There are four major types of staffing plans used in the hospital setting. The primary advantage of self-scheduling is which of the following? a. It saves the nurse manager time. b. It encourages negotiation among staff. c. The most senior staff get first pick. d. The freshman staff get the more undesirable shifts. ANS: B Self-scheduling forces staff to interact at a different level than before and can produce more camaraderie and a better working environment. Option A is not the primary advantage to using self-scheduling. OptionNsU CRaS ndIDN GdoT nBo.t aCpO plMy. DIF: Cognitive Level: Analysis REF: page 148 10. What is the best advantage to preference scheduling for nurses? a. Institutional rules can be applied. b. Staff decide shifts. c. Scheduling is determine by first-come, first-served basis. d. Blocks of time are predictable. ANS: B Preference scheduling allows for staff requests or preferences. Option A refers to rules scheduling. Option C refers to self-scheduling. Option D refers to pattern scheduling DIF: Cognitive Level: Application REF: page 149 11. Most institutions use one or more types of future scheduling in their planning. Which of the following provides advantages for the organization’s scheduling policies? a. Pattern scheduling b. Preference scheduling c. Rules scheduling d. Self-scheduling ANS