Governance Final Review Questions and
answers With complete solution Latest 100%
PASS
Fixed Budget - Correct Answers budgeted amounts are set without regard to changes that may occur
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
during the year that have impact on the cost assumptions originally used for the coming year
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
~OPPOSITE of variable budget II! II! II!
II! Compare and contrast operating, fixed, and capital budget in relation to motivating and developing staff -
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Correct Answers 1) Operating: organization's statement of expected revenues and expenses for the
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! coming year II!
~ aka annual budget
II! II! II!
~ coincides with the fiscal year (specified 12 month period)
II! II! II! II! II! II! II! II! II!
2) Fixed: budgeted amounts are set without regard to changes that may occur during the year that have
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
impact on the cost assumptions originally used for the coming year
II! II! II! II! II! II! II! II! II! II! II!
3) Capital: identifies physical renovations, new construction, and new or replacement equipment planned
II! II! II! II! II! II! II! II! II! II! II! II!
within specified time period
II! II! II! II!
~ capital items--> have an expected performance of 1 year and exceed and certain dollar value
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
~ priority is given to those items needed most--> not all items that fall under the capital budget will
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
necessarily get funding in a given year
II! II! II! II! II! II! II!
~ nurse manager--> identify capital needs that exist in his/her areas of responsibility
II! II! II! II! II! II! II! II! II! II! II! II!
II! How do hospitals use relative weight and case mix index for budgeting? How does this impact nursing
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! staffing or scheduling? - Correct Answers Relative weight considers the amount if resources that the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! hospital has/needs to acquire in order to take care of the patient's needs in a way that reflects the level of
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! treatment expected for an average patient in this DRG. II! II! II! II! II! II! II! II! II!
Case mix index considers the diversity of patient's needs while in the hospital.
II! II! II! II! II! II! II! II! II! II! II! II! II!
Depending on the patient's needs and the amount of resources/staff the hospital has can impact how
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
many nurses are needed and when scheduling nurses to work is appropriate, especially since nurses are
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
the most expensive to the hospital.
II! II! II! II! II! II!
,II! Why do managers monitor budget each fiscal year - what could be the outcome for staff? - Correct
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Answers to make sure there is enough money to go around the entire floor and that they are able to pay
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! all of the staff, reduced budget could mean laying off staff
II! II! II! II! II! II! II! II! II! II!
II! Scenario on hospital census. What is the significance of percentage of increase in census (100% full versus
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! 95% full) as it relates to staffing? - Correct Answers more patients admitted to a hospital or floor, the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! more staff required to help take care of them
II! II! II! II! II! II! II! II!
II! What interventions would the Nurse Director consider in monitoring infections such as CAUTI on her
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! unit? What may be causes of recent increase? **think about PICOT projects - Correct Answers looking at
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! current policies and procedures II! II! II!
staff lacking adequate time to perform Foley catheter and peritoneal care
II! II! II! II! II! II! II! II! II! II!
talking to staff about what they see on the floorII! II! II! II! II! II! II! II! II!
II! Describe how to calculate Nursing Care Hours. - Correct Answers 1) Add the total number of direct care
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! nursing staff hours for each 24 hour period, using the actual number of hours each person worked.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
2) Divide the total hours for each 24 hour period by the total census for each day to calculate the PPD.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Definition of Relative Weight (RW) - Correct Answers reflects the level of treatment expected for an
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! average patient in this DRG (diagnosis related group) II! II! II! II! II! II! II!
II! Calculation of NHPPD (Nursing Hours per Client per Day). - Correct Answers divide total nursing hours by
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! total number of patients (patient census)
II! II! II! II! II!
II! Relate this chapter to staffing, scheduling, and absenteeism - Correct Answers 1) The amount of staff
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! and how much the staff work (including overtime) affects the budget for that floor.
II! II! II! II! II! II! II! II! II! II! II! II! II!
2) Making sure there is adequate staff to work on the schedule and that few or no staff are working
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
overtime help improve budget spending.
II! II! II! II! II! II!
3) lowering voluntary absenteeism is important because the more they are absent, the more money the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
staff gets paid for not working.
II! II! II! II! II! II!
II! What strategies would support critical thinking and creativity? - Correct Answers ASKing Questions
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
1) What are the underlying assumptions?
II! II! II! II! II! II!
, 2) How is evidence interrupted?
II! II! II! II! II!
3) How are the arguments to be evaluated?
II! II! II! II! II! II! II! II!
4) What are the possible alternative perspectives?
II! II! II! II! II! II!
ADPIE
Stages of Creativity: II! II! II!
1) Preparation
II!
2) IncubationII!
3) Insight II!
4) Verification
II!
II! How could a nurse improve personal decision-making skills? - Correct Answers trial-and-error
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
trying different decision making techniques/models
II! II! II! II!
figuring out which ones work in certain situations and which ones do not
II! II! II! II! II! II! II! II! II! II! II! II!
II! What are the attributes of critical thinking skills that are essential to nurses today? - Correct Answers 1)
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! nurses that are managed by managers with higher critical thinking skills
II! II! II! II! II! II! II! II! II! II! II!
~ problem solving
II! II!
2) having clinical competence/experience
II! II! II!
~ decision making
II! II!
3) orientation programs that help new hires to improve their critical thinking skills
II! II! II! II! II! II! II! II! II! II! II! II!
4) the ability to be creative helps in the critical thinking skills process
II! II! II! II! II! II! II! II! II! II! II! II!
~ creative
II!
II! What is the first step in problem solving? - Correct Answers Define the problem: descriptive statement
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! of the state of affairs, not a judgement or conclusion
II! II! II! II! II! II! II! II! II!
II! How do you use past experience and intuition to problem solve? - Correct Answers using trial and error
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! method or experimentation method II! II! II!
1) learning what techniques/solutions work and which ones don't
II! II! II! II! II! II! II! II! II!
2) give time, resources and support to discover own solutions
II! II! II! II! II! II! II! II! II!
answers With complete solution Latest 100%
PASS
Fixed Budget - Correct Answers budgeted amounts are set without regard to changes that may occur
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
during the year that have impact on the cost assumptions originally used for the coming year
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
~OPPOSITE of variable budget II! II! II!
II! Compare and contrast operating, fixed, and capital budget in relation to motivating and developing staff -
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Correct Answers 1) Operating: organization's statement of expected revenues and expenses for the
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! coming year II!
~ aka annual budget
II! II! II!
~ coincides with the fiscal year (specified 12 month period)
II! II! II! II! II! II! II! II! II!
2) Fixed: budgeted amounts are set without regard to changes that may occur during the year that have
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
impact on the cost assumptions originally used for the coming year
II! II! II! II! II! II! II! II! II! II! II!
3) Capital: identifies physical renovations, new construction, and new or replacement equipment planned
II! II! II! II! II! II! II! II! II! II! II! II!
within specified time period
II! II! II! II!
~ capital items--> have an expected performance of 1 year and exceed and certain dollar value
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
~ priority is given to those items needed most--> not all items that fall under the capital budget will
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
necessarily get funding in a given year
II! II! II! II! II! II! II!
~ nurse manager--> identify capital needs that exist in his/her areas of responsibility
II! II! II! II! II! II! II! II! II! II! II! II!
II! How do hospitals use relative weight and case mix index for budgeting? How does this impact nursing
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! staffing or scheduling? - Correct Answers Relative weight considers the amount if resources that the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! hospital has/needs to acquire in order to take care of the patient's needs in a way that reflects the level of
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! treatment expected for an average patient in this DRG. II! II! II! II! II! II! II! II! II!
Case mix index considers the diversity of patient's needs while in the hospital.
II! II! II! II! II! II! II! II! II! II! II! II! II!
Depending on the patient's needs and the amount of resources/staff the hospital has can impact how
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
many nurses are needed and when scheduling nurses to work is appropriate, especially since nurses are
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
the most expensive to the hospital.
II! II! II! II! II! II!
,II! Why do managers monitor budget each fiscal year - what could be the outcome for staff? - Correct
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Answers to make sure there is enough money to go around the entire floor and that they are able to pay
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! all of the staff, reduced budget could mean laying off staff
II! II! II! II! II! II! II! II! II! II!
II! Scenario on hospital census. What is the significance of percentage of increase in census (100% full versus
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! 95% full) as it relates to staffing? - Correct Answers more patients admitted to a hospital or floor, the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! more staff required to help take care of them
II! II! II! II! II! II! II! II!
II! What interventions would the Nurse Director consider in monitoring infections such as CAUTI on her
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! unit? What may be causes of recent increase? **think about PICOT projects - Correct Answers looking at
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! current policies and procedures II! II! II!
staff lacking adequate time to perform Foley catheter and peritoneal care
II! II! II! II! II! II! II! II! II! II!
talking to staff about what they see on the floorII! II! II! II! II! II! II! II! II!
II! Describe how to calculate Nursing Care Hours. - Correct Answers 1) Add the total number of direct care
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! nursing staff hours for each 24 hour period, using the actual number of hours each person worked.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
2) Divide the total hours for each 24 hour period by the total census for each day to calculate the PPD.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Definition of Relative Weight (RW) - Correct Answers reflects the level of treatment expected for an
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! average patient in this DRG (diagnosis related group) II! II! II! II! II! II! II!
II! Calculation of NHPPD (Nursing Hours per Client per Day). - Correct Answers divide total nursing hours by
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! total number of patients (patient census)
II! II! II! II! II!
II! Relate this chapter to staffing, scheduling, and absenteeism - Correct Answers 1) The amount of staff
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! and how much the staff work (including overtime) affects the budget for that floor.
II! II! II! II! II! II! II! II! II! II! II! II! II!
2) Making sure there is adequate staff to work on the schedule and that few or no staff are working
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
overtime help improve budget spending.
II! II! II! II! II! II!
3) lowering voluntary absenteeism is important because the more they are absent, the more money the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
staff gets paid for not working.
II! II! II! II! II! II!
II! What strategies would support critical thinking and creativity? - Correct Answers ASKing Questions
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
1) What are the underlying assumptions?
II! II! II! II! II! II!
, 2) How is evidence interrupted?
II! II! II! II! II!
3) How are the arguments to be evaluated?
II! II! II! II! II! II! II! II!
4) What are the possible alternative perspectives?
II! II! II! II! II! II!
ADPIE
Stages of Creativity: II! II! II!
1) Preparation
II!
2) IncubationII!
3) Insight II!
4) Verification
II!
II! How could a nurse improve personal decision-making skills? - Correct Answers trial-and-error
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
trying different decision making techniques/models
II! II! II! II!
figuring out which ones work in certain situations and which ones do not
II! II! II! II! II! II! II! II! II! II! II! II!
II! What are the attributes of critical thinking skills that are essential to nurses today? - Correct Answers 1)
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! nurses that are managed by managers with higher critical thinking skills
II! II! II! II! II! II! II! II! II! II! II!
~ problem solving
II! II!
2) having clinical competence/experience
II! II! II!
~ decision making
II! II!
3) orientation programs that help new hires to improve their critical thinking skills
II! II! II! II! II! II! II! II! II! II! II! II!
4) the ability to be creative helps in the critical thinking skills process
II! II! II! II! II! II! II! II! II! II! II! II!
~ creative
II!
II! What is the first step in problem solving? - Correct Answers Define the problem: descriptive statement
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! of the state of affairs, not a judgement or conclusion
II! II! II! II! II! II! II! II! II!
II! How do you use past experience and intuition to problem solve? - Correct Answers using trial and error
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! method or experimentation method II! II! II!
1) learning what techniques/solutions work and which ones don't
II! II! II! II! II! II! II! II! II!
2) give time, resources and support to discover own solutions
II! II! II! II! II! II! II! II! II!
