Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
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Chapter 16: Staffing and Scheduling
Waddell/Walton: Yoder-
Wise’s Leading and Managing in Canadian Nursing, Third Edition
MULTIPLE CHOICE
The number of adverse events such as falls and pressure ulcers on your unit is increasi
ng. An ideal staffing plan to address this issue would include which of the following?
Increasing the total number of staff on the unit.
Increasing the staff and registered nurse (RN) hours per patient.
Increasing the total number of staff and implementing 12-hour shifts.
Increasing the number of RNs and number of RNs with experience on the unit.
ANS: D
A number of studies (for example, Dunton et al., 2007) have demonstrated that adverse
events such as falls can be reduced by increasing the number of RNs on a unit (relative t
o other personnel), and the number of experienced RNs. Overtime and 12-
hour shifts are linked to higher incidences of errors.
DIF: Cognitive Level: Analyze REF:
Page 316.e10 TOP:
Nursing Process: Implementation
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 c
omputes the occupancy as being;
a. 90%.
b. 85%. NURSINGTB.COM
c. 75%.
d. 60%.
ANS:
B
The occupancy level is calculated as 34/40, or 85%.
DIF: Cognitive Level: Apply REF:
Page 316.e17 TOP:
Nursing Process: Implementation
To prepare staffing schedules, a nurse manager needs to calculate paid nonproductive ti
m e. When calculating paid nonproductive time, the nurse manager considers:
Work time, educational time, and holiday time.
Paid hours minus worked hours.
Vacation time, holiday time, and sick time.
Paid hours minus meeting time.
ANS: C
Nonproductive hours are hours of benefit time and include vacation, holiday, and person
a l or sick time.
DIF: Cognitive Level: Understand REF:
Page 316.e18 TOP:
Nursing Process: Assessment
,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
vb vb vb vb vb vb vb vb vb
An important aspect of managing the costs on a unit is to plan accurately for staffing ne
e ds. Nurse managers use staffing plans to:
Assign staff on the unit on a daily basis.
Ensure that days off are planned for the staff.
Outline the number of individuals by classification on a per-shift basis.
Predict the numbers and classifications of float staff needed to augment regu
l ar staff.
ANS: C
Among the largest expenditures for a nursing unit are employee salaries and benefits. In
order to manage the costs on a unit, it is important that the nurse manager develop staffi
ng plans that outline the number of individuals by classification that are needed on a per-
shift basis, thus optimizing the management of financial resources.
DIF: Cognitive Level: Apply
REF: Pages 316.e3-
4 | Page 316.e7 | Page 316.e12 TOP:
Nursing Process: Implementation
A nurse manager must consider a number of external variables when preparing the p
ersonnel budget and projecting the unit‘s staffing needs. An external consideration i
s:
Organizational staffing policies.
Staffing models.
Changes in services that will be offered.
Department of Health licensing standards.
ANS: D
Internal considerations are staffing policies, regulations, or recommendations and how they
N R I G B.C
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USNT O
can relate to the minimum n u m b e r of reg ulated or professional nurses required on an ac
ut e
care unit at a given time, or to the amount of minimum staffing in an ambulatory care pr
ogram, a continuing care facility, or correctional facility. Licensing standards and staffing
recommendations by provincial and territorial professional association and regulatory bo
dies affect staffing plans and are considered to be external, or outside of the organization.
DIF: Cognitive Level: Understand REF: Pages 316.e8-
9 TOP: Nursing Process: Planning
A nurse manager must also consider a number of internal variables that will affect staff
i ng patterns. Which of the following is an internal variable to be considered?
Organizational staffing policies.
Provincial/territorial licensing standards.
Canadian Nurses Association guidelines.
Consumer expectations.
ANS: A
Internal policies determine what a nurse may do in a particular setting—
for example, organizational staffing policies. External variables to consider are provincia
l/territorial licensing standards that outline what a nurse can do; the Canadian Nurses As
sociation is a national regulatory organization; and consumer expectations fall within the
public realm, which is also an external variable that affects staffing plans.
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
vb vb vb vb vb vb vb vb vb
DIF: Cognitive Level: Understand REF:
Page 316.e12 TOP: Nursing
Process: Planning
A nurse manager uses many sources of data when planning the unit‘s workload for the y
e ar. Which of the following data must be considered in the planning?
Hours of operation of the unit.
Trends in the numbers of acutely ill patients on the unit.
Maximum work stretch for each employee.
Weekend requirements.
ANS: B
The numbers of acutely ill patients are determined through classification systems, whic
h determine the nursing resources required.
DIF: Cognitive Level: Understand REF: Page 316.e3-
4 TOP: Nursing Process: Planning
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 nurs
manager must schedule:
All weekends off.
All holidays off.
A variety of scheduling options.
Rotating shifts.
ANS: C
It is important for staff retention to have a variety of scheduling options. Exact constrain
t
N R HH
U
I HHG B.C
S N T O
s regarding weekends and hHoHlHiHdHaHyHsHareHde t erm ine d through contracts and policies
.
DIF: Cognitive Level: Understand REF: Pages 316.e14-
15 TOP:
Nursing Process: Implementation
The difference between staffing and scheduling is that staffing:
Puts the right person in the right position.
Puts the right person in the right time and place.
Refers to the number of nursing hours per patient per day.
Accounts for interpretation of benefits and compensation.
ANS: A
Staffing is concerned with finding and assigning qualified individuals to care for a group of pa
tients. Scheduling assigns personnel to specific hours and days of the week.
DIF: Cognitive Level: Understand REF:
Page 316.e2 TOP:
Nursing Process: Assessment
A busy neurologic intensive care unit and a step-
down unit are most likely to use which patient classification system?
Factor evaluation.
Prototype evaluation.
Canadian National Database of Nursing Quality Indicators.
vb vb vb vb vb vb vb vb vb
Chapter 16: Staffing and Scheduling
Waddell/Walton: Yoder-
Wise’s Leading and Managing in Canadian Nursing, Third Edition
MULTIPLE CHOICE
The number of adverse events such as falls and pressure ulcers on your unit is increasi
ng. An ideal staffing plan to address this issue would include which of the following?
Increasing the total number of staff on the unit.
Increasing the staff and registered nurse (RN) hours per patient.
Increasing the total number of staff and implementing 12-hour shifts.
Increasing the number of RNs and number of RNs with experience on the unit.
ANS: D
A number of studies (for example, Dunton et al., 2007) have demonstrated that adverse
events such as falls can be reduced by increasing the number of RNs on a unit (relative t
o other personnel), and the number of experienced RNs. Overtime and 12-
hour shifts are linked to higher incidences of errors.
DIF: Cognitive Level: Analyze REF:
Page 316.e10 TOP:
Nursing Process: Implementation
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 c
omputes the occupancy as being;
a. 90%.
b. 85%. NURSINGTB.COM
c. 75%.
d. 60%.
ANS:
B
The occupancy level is calculated as 34/40, or 85%.
DIF: Cognitive Level: Apply REF:
Page 316.e17 TOP:
Nursing Process: Implementation
To prepare staffing schedules, a nurse manager needs to calculate paid nonproductive ti
m e. When calculating paid nonproductive time, the nurse manager considers:
Work time, educational time, and holiday time.
Paid hours minus worked hours.
Vacation time, holiday time, and sick time.
Paid hours minus meeting time.
ANS: C
Nonproductive hours are hours of benefit time and include vacation, holiday, and person
a l or sick time.
DIF: Cognitive Level: Understand REF:
Page 316.e18 TOP:
Nursing Process: Assessment
,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
vb vb vb vb vb vb vb vb vb
An important aspect of managing the costs on a unit is to plan accurately for staffing ne
e ds. Nurse managers use staffing plans to:
Assign staff on the unit on a daily basis.
Ensure that days off are planned for the staff.
Outline the number of individuals by classification on a per-shift basis.
Predict the numbers and classifications of float staff needed to augment regu
l ar staff.
ANS: C
Among the largest expenditures for a nursing unit are employee salaries and benefits. In
order to manage the costs on a unit, it is important that the nurse manager develop staffi
ng plans that outline the number of individuals by classification that are needed on a per-
shift basis, thus optimizing the management of financial resources.
DIF: Cognitive Level: Apply
REF: Pages 316.e3-
4 | Page 316.e7 | Page 316.e12 TOP:
Nursing Process: Implementation
A nurse manager must consider a number of external variables when preparing the p
ersonnel budget and projecting the unit‘s staffing needs. An external consideration i
s:
Organizational staffing policies.
Staffing models.
Changes in services that will be offered.
Department of Health licensing standards.
ANS: D
Internal considerations are staffing policies, regulations, or recommendations and how they
N R I G B.C
vb vb v vb
USNT O
can relate to the minimum n u m b e r of reg ulated or professional nurses required on an ac
ut e
care unit at a given time, or to the amount of minimum staffing in an ambulatory care pr
ogram, a continuing care facility, or correctional facility. Licensing standards and staffing
recommendations by provincial and territorial professional association and regulatory bo
dies affect staffing plans and are considered to be external, or outside of the organization.
DIF: Cognitive Level: Understand REF: Pages 316.e8-
9 TOP: Nursing Process: Planning
A nurse manager must also consider a number of internal variables that will affect staff
i ng patterns. Which of the following is an internal variable to be considered?
Organizational staffing policies.
Provincial/territorial licensing standards.
Canadian Nurses Association guidelines.
Consumer expectations.
ANS: A
Internal policies determine what a nurse may do in a particular setting—
for example, organizational staffing policies. External variables to consider are provincia
l/territorial licensing standards that outline what a nurse can do; the Canadian Nurses As
sociation is a national regulatory organization; and consumer expectations fall within the
public realm, which is also an external variable that affects staffing plans.
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
vb vb vb vb vb vb vb vb vb
DIF: Cognitive Level: Understand REF:
Page 316.e12 TOP: Nursing
Process: Planning
A nurse manager uses many sources of data when planning the unit‘s workload for the y
e ar. Which of the following data must be considered in the planning?
Hours of operation of the unit.
Trends in the numbers of acutely ill patients on the unit.
Maximum work stretch for each employee.
Weekend requirements.
ANS: B
The numbers of acutely ill patients are determined through classification systems, whic
h determine the nursing resources required.
DIF: Cognitive Level: Understand REF: Page 316.e3-
4 TOP: Nursing Process: Planning
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 nurs
manager must schedule:
All weekends off.
All holidays off.
A variety of scheduling options.
Rotating shifts.
ANS: C
It is important for staff retention to have a variety of scheduling options. Exact constrain
t
N R HH
U
I HHG B.C
S N T O
s regarding weekends and hHoHlHiHdHaHyHsHareHde t erm ine d through contracts and policies
.
DIF: Cognitive Level: Understand REF: Pages 316.e14-
15 TOP:
Nursing Process: Implementation
The difference between staffing and scheduling is that staffing:
Puts the right person in the right position.
Puts the right person in the right time and place.
Refers to the number of nursing hours per patient per day.
Accounts for interpretation of benefits and compensation.
ANS: A
Staffing is concerned with finding and assigning qualified individuals to care for a group of pa
tients. Scheduling assigns personnel to specific hours and days of the week.
DIF: Cognitive Level: Understand REF:
Page 316.e2 TOP:
Nursing Process: Assessment
A busy neurologic intensive care unit and a step-
down unit are most likely to use which patient classification system?
Factor evaluation.
Prototype evaluation.
Canadian National Database of Nursing Quality Indicators.
