Chapter 21: Confronting the Nursing Shortage
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. A situation in which the demand for employment of nurses (how many nurses employers
would like to employ) exceeds the available supply of nurses willing to be employed at a
given salary is known as a nursing: a. abundance.
b. deficit.
c. shortage.
d. surplus.
ANS: C
The number of nurses that employers would like to employ in relation to the number of nurses
willing to be employed at a given salary is known as a nursing shortage. In a nursing shortage,
the demand for employment of nurses exceeds the available supply for employment at a given
salary.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. The medical unit of the hospital conducts regular programs for nurses based on an annual
staff survey. The recruitment and retention strategy is known as: a. counseling and coaching.
b. orientation.
c. staff development.
d. performance evaluation.
ANS: C
Staff development has been identified in the literature as an important factor in job
satisfaction. It provides employees with an opportunity to improve their practice, level of
competency, or other areas of self-interest. Programs for staff development are typically
determined based on annual staff surveys. Programs are usually posted for staff selection, and
the institution provides scheduling flexibility and funding for employees to participate.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The total number of nurses who left a unit in 1 year divided by the total number of nurses
employed on that unit is the _____ rate. a. actualized
b. employable
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c. turnover
d. vacancy
ANS: C
The total number of nurses who left a unit in 1 year divided by the total number of nurses
employed on that unit is the turnover rate.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. The failure to retain an employee who is performing at or above a satisfactory level is: a.
selection.
b. transfer.
c. voluntary turnover.
d. termination.
ANS: C
Resignation/voluntary turnover is the failure to retain an employee who is performing at or
above satisfactory level. Although all turnovers have an associated cost to the organization,
the most costly are those dealing with termination and resignations. The number of people
who report directly to a single manager and encompass the functions of planning, organizing,
and leading is known as the span of control.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The future projected demand for nurses is related to the aging population and the increase in:
a. acute illnesses.
b. chronic illnesses.
c. medication costs.
d. primary prevention.
ANS: B
The future projected demand for nurses is related to the aging population and the increase in
chronic illnesses.
DIF: Cognitive Level: Remember (Knowledge) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. The average age of the registered nurse (RN) population is _____ years. a. 26
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