Exam 2

Question 1

Describe nursing staffing education

Answer 1

Refers to nurse involvement in orientation,socialization,education,and training of fellow healthcare workers.

Question 2

What is the importance of orientation for new nurses?

Answer 2

It helps newly licensed nurses translate the knowledge, skills, and attitudes learned in nursing school into practice

Question 3

What is the difference between and preceptor and a mentor?

Answer 3

Preceptorship assist in orientating newly licensed nurses to a unit and supervise their acquisition of skills. Mentors relationships usually last longer and focuses more on the transition to the professional role.

Question 4

When using just in time training, what is the nurse doing?

Answer 4

Using technology and references to refresh or teach right before procedure.

Question 5

What are the educational training steps?

Answer 5

1. Identify and respond
2. Analyze
3. Research
4. Plan
5. Implement
6. Evaluate

Question 6

What is the goal of staff education?

Answer 6

Competence and establishing a level of performance that meets standards.

Question 7

Describe a novice nurse

Answer 7

Newly licensed with minimal clinical experience. Have a theoretical approach and rely on context free facts where rules govern practice.

Question 8

Describe an advanced beginner nurse

Answer 8

Most new nurses
Can make some clinical judgement
Begin to rely on prior experience

Question 9

Describe a competent nurse

Answer 9

2-3 years practice
Demonstrate an increasing level of skills and proficiency and clinical judgement
Abstract and analytical thinking and can anticipate long-term outcomes

Question 10

Describe a proficient nurse

Answer 10

Nurses with significant amount of experience

Well developed critical thinking and decision making skills allow nurses to recognize and respond to unexpected changes.

Question 11

Describe an expert nurse

Answer 11

In an area for a long time. Make decisions using advanced level of intuition and analytical ability
Don’t always rely of rules

Question 12

What are the 5 components of the patient workforce management

Answer 12

1. Establish patient delivery model
2. Needs and nurses interventions
3. Create core staffing schedule to support patient needs
4. Daily staffing process to match available staff with ID patient care needs
5. Evaluate

Question 13

What care model has work that is assigned by tasks

Answer 13

Functional

Question 14

What care delivery model that assigns a nurse as the lead care giver that plans and coordinates care

Answer 14

Primary= most common

Question 15

Which care delivery model functions with a group of people providing care based on tasks and skill levels and competence

Answer 15

Team

Question 16

This care delivery model consists of a two person team to provide care. Ex) RN/ AP

Answer 16

Modular

Question 17

When a nurse coordinates care using clinical pathways and quality criteria they are suing what care delivery model.

Answer 17

Case management nursing

Question 18

Commonly used in trauma units, this delivery model utilizes practice partnerships and primary care partnerships

Answer 18

Interdisciplinary model

Question 19

What is the difference between central and decentralized scheduling

Answer 19

Central scheduling is where decisions are made in a staffing center.
Decentralized scheduling has a unit manager that makes staffing decisions

Question 20

What are some variance management interventions when it comes to staffing

Answer 20

Reevaluate patient acuity ratings
Call in additional staff
Float existing staff
Sending people home early 
Mandatory overtime

Question 21

What are the ANAs 3 approaches to staffing

Answer 21

1. Require hospitals to have a nurse driven staffing committee
2. ,legislators to mandate specific nurse to patient ratios
3. Require facilities to disclose staffing levels

Question 22

Full time equivalents measure what?

Answer 22

Measure of work commitment of full time employee

Measures productive and nonproductive hours

Question 23

Describe difference between direct and indirect care

Answer 23

Direct care is time spent providing hands on care to patients
Indirect care is activities related to patient care

Question 24

Measurement tool used to determine nursing workload for specific patient/s over period of time

Answer 24

Patient classification system

A measurement of patient acuity

Question 25

A measure of value used in Medicare calculations for physician reimbursement

Answer 25

Relative value units- RVUs

Question 26

Utilization of classification system data

Answer 26

Acuity data used to plan nursing staffing during next day 24-hr period
Can be used to cost out nursing services for specific patient populations

Question 27

What are the limitations of the patient classification system

Answer 27

Low validity 
Misuse of tool
Failure to use the data generated 
Lack of tool simplicity 
Can't capture how much time a pt needs

Question 28

Describe the nursing care hours per patient day

Answer 28

Reflects only productive nursing time available based on the following:
Midnight census
Past unit needs
Expected practice trends
National benchmarks 
Budget negotiations

Question 29

What are the top three healthcare issues

Answer 29

Access to care
Quality of care
Lack of healthcare frugality