Chapter 16 Effective Leadership and Management in Nursing 8th Edition By Sullivan

Chapter 16 Effective Leadership and Management in Nursing 8th Edition By Sullivan

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

A unit requires a great deal of staffing flexibility. To fill this need, the manager should use which strategy?

1. Maximizing the availability of nursing staff
2. Good communication among staff
3. A high RN-skill mix
4. Overlap between shifts

Correct Answer: 3

Rationale 1: Maximizing the availability of nursing allows for more nurses but doesn’t take into account the staffing mix. If the RN number is low, flexibility is lower.

Rationale 2: Good communication among staff is very important but does not create the greatest flexibility.

Rationale 3: A high RN-skill mix allows for more flexibility to meet client needs. An RN is educated and licensed to provide care that an assistant or LPN cannot provide.

Rationale 4: Overlap between shifts may provide more staff, but if the staff members are not RNs, flexibility is not appreciably increased.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 16-4: Determine the appropriate staffing mix and distribution of staff.

Question 2

Type: FIB

The nurse manager is determining the day’s nursing care hours (NCHs) by analyzing the client workload. The unit census is 30 and there is a total of 220 nursing care hours. The average nursing hours per client per day (NHPPD) figured to the nearest hundredth decimal point is ____.

Standard Text:

Correct Answer: 7.33

Rationale : Nursing hours per patient per day (NHPPD) is calculated by dividing the total nursing care hours (220) by the total census (30).

Global Rationale:

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 16-2: Demonstrate how to use patient classification systems to calculate nursing care hours necessary.

Question 3

Type: MCMA

The administration of a health care organization has proposed a new client care area staffing system. Which components of this system do not meet the American Nurses Association (ANA) requirements?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Registered nurses from across the facility were included on the committee that developed the system.
2. RNs will be required to accept flexible schedules that might require the nurse to practice on any unit in the facility.
3. The nurse’s level of educational preparation will be considered in staffing decisions.
4. The number of clients and their acuity will be considered for staffing purposes.
5. When low census occurs the unlicensed assistant category will be first to be furloughed.

Correct Answer: 2,5

Rationale 1: The ANA requires that staffing systems be developed with input from direct-care registered nurses.

Rationale 2: The ANA requirements state that the RN cannot be forced to work on a unit without “having established that he or she is able to provide professional care on such a unit.”

Rationale 3: The ANA requirements state that staffing will “reflect the level of preparation and experience of those providing care.”

Rationale 4: The ANA requirements state that staffing will be “based on the number of patients and patient-acuity level.”

Rationale 5: There is no mention of low census furlough in the ANA requirements for staffing systems.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 16-1: Determine staffing needs.