WorksheetsEvaluation Exam NCM 119 - Midterm
Total questions: 25
Worksheet time: 38mins
Name
Class
Date
1.
The number of adverse events such as falls and pressure ulcers on your unit is increasing. An ideal staffing plan to address this issue would include which of the following? Increasing the:
a)
Total number of staff on the unit.
b)
Staff and RN hours per patient.
c)
Total number of staff, and implementing 12-hour shifts.
d)
Number of RNs and number of RNs with experience on the unit.
2.
To prepare staffing schedules, a nurse manager needs to calculate paid nonproductive time. When calculating paid nonproductive time, the nurse manager considers:
a)
Work time, educational time, and holiday time.
b)
Paid hours minus worked hours.
c)
Vacation time, holiday time, and sick time.
d)
Paid hours minus meeting time.
3.
A nurse manager uses many sources of data when planning the unit's workload for the year. Which of the following data must be considered in the planning?
a)
Hours of operation of the unit
b)
Trends in acuity on the unit
c)
Maximum work stretch for each employee
d)
Weekend requirements
4.
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 nurse manager must schedule:
a)
All weekends off.
b)
All holidays off.
c)
A variety of scheduling options.
d)
Rotating shifts.
5.
The difference between staffing and scheduling is that staffing:
a)
Puts the right person in the right position.
b)
Puts the right person in the right time and place.
c)
Refers to the number of nursing hours per patient per day.
d)
Looks after interpretation of benefits and compensation.
6.
In the past year, you have noticed an increase in patient falls on your unit. In reading studies related to staffing and patient outcomes, you realize that you will need to plan for:
a)
Higher patient care hours.
b)
Safer facilities.
c)
Institution of a patient classification system.
d)
An increased number of RN positions.
7.
A nurse staffing plan takes into account:
a)
Specific nurse-to-patient ratios per shift.
b)
Participation of nurses in projecting staffing needs.
c)
Compensation and benefits for each level of staff.
d)
The occupancy load of a unit.
8.
In a job interview for a staff position, which of the following indicates your knowledge of patient safety?
a)
"Will I be able to get overtime hours on your unit?"
b)
"If there is an opportunity to work extra shifts, I would really like that."
c)
"Is there a strategy in place to reduce the number of overtime hours on the unit?"
d)
"I see no reason why I wouldn't be able to work overtime."
9.
Automated computerized staffing allows for which advantage to the institution?
a)
Reduces workload of nurse manager
b)
Provides coverage on weekends
c)
Uses part-time staff
d)
Provides coverage for daily changes in acuity of patients
10.
A large university hospital has commisioned a multidisciplinary group to review patient records following discharge in order to evaluate patient outcomes and the character and quality of nursing care that patients receive. This evaluative program is:
a)
an outcome evaluation
b)
a process evaluation
c)
a structure evaluation
d)
a nursing audit
11.
Mr. Jacobs has been recenlty diagnosed with diabetes mellitus after receiving emergency treatment for a hyperglycemic episode. Which of Mr. Jacobs' actions indicates that he has achieved a cognitive outcome in the management of his new health problem?
a)
Mr. Jacobs is able to explain when and why he needs to check his blood sugar
b)
Mr. Jacobs expresses a desire to change the way that he eats and the amount of exercise he performs
c)
Mr. Jacobs' blood sugars have been maintained within acceptable range in the days prior to discharge
d)
Mr. Jacobs can demonstrate the correct technique for using his new glucometer
12.
Informed Consent constitution includes all of the following EXCEPT:
a)
Debates
b)
Agreement
c)
Voluntary
d)
Understanding
13.
The nurse has responded to a patient's request to view her medical chart by arranging a meeting between the patient, the clinical nurse leader, and her primary care physician. The nurse is exemplifying which of the following characteristics of quality healthcare?
a)
Information
b)
Individualizatioin
c)
Science
d)
Cooperation
14.
If two doctors have two different ideas, it is important in resolving the conflict to choose:
a)
The right and most benefit choice
b)
The right choice
c)
The most benefit choice
d)
None of the above
15.
The nurse reports for a day shift and learns that the unit is understaffed due to several sick calls. The charge nurse has arranged for two unlicensed assistive personnel to be available due to the nursing shortage on this morning. The nurse is aware that this shortage has the potential to affect the nursing care delivered on the unit on this day. What type of variable has the nurse identified as potentially affecting the care delivery?
a)
Healthcare system variable
b)
Patient variable
c)
Nurse variable
d)
Legal variable
16.
A new nurse is interested in working a "weekend option." Which of the following describes this pattern of scheduling?
a)
Nurse works two 12-hour shifts on the weekend and is paid for either 36 or 40 hours a week.
b)
Nurse works five shifts a week with alternating weekends.
c)
Nurse works three shifts a week and alternates weekends.
d)
Nurse works alternating weekends and alternates shifts
17.
Based upon chart reviews, it is determined that documentation on a telemetry unit is inadequate and incomplete. What is an appropriate nursing response to this problem?
a)
The nurse manager mandates hourly documentation for each patient.
b)
The hospital's legal department provides a written warning to nurses with poor documentation skills
c)
The nurse educator reviews the legal reasons for careful and complete documentation
d)
The registered nurse delegates documentation to UAP
18.
What factors are primarily used when quantifying patient care required and staffing needs?
a)
Number of patients per nurse
b)
Number of discharges
c)
Acuity and time required for care
d)
Number of admissions
19.
Upon evaluation of the patient's plan of care, the nurse determines that the expected outcomes have been achieved. Based upon this response, the nurse will:
a)
continue the plan of care
b)
re-evaluate the plan of care
c)
modify the plan of care
d)
terminate the plan of care
20.
The student nurse learns about the advantages and disadvantages of various patient care delivery models. The student understands that besides an historical perspective of nursing practice, a patient delivery care model may need to be instituted to adapt to
a)
alterations in available staff due to weather emergencies.
b)
the financial environment of the patient population.
c)
a wide range of ages among the staff.
d)
a limited number of unlicensed staff on the unit.
21.
Why is documentation important in nursing audit?
a)
To hide mistakes and errors
b)
To waste time and resources
c)
To make the nurses' job more difficult
d)
To provide a record of care provided, identify areas for improvement, and ensure accountability.
22.
What are the different methods of data collection in nursing audit?
a)
Direct observation, interviews, document review, and surveys
b)
X-ray imaging, ultrasound, MRI
c)
Blood pressure measurement, physical examination, laboratory tests
d)
Social media polls, online quizzes, random guessing
23.
How can technology be utilized for efficient data collection in nursing audit?
a)
Utilizing Morse code to transmit audit results
b)
Using carrier pigeons to deliver handwritten reports
c)
Sending smoke signals to communicate data findings
d)
Using electronic health records (EHR), mobile applications for data entry, and data analytics tools for analysis
24.
What factors are considered in risk assessment during nursing audit?
a)
Patient demographics, medical history, current health status, and environmental factors
b)
Number of siblings, childhood pets, high school GPA, favorite vacation spot
c)
Weather forecast, traffic conditions, local news, social media trends
d)
Favorite color, favorite food, favorite movie, favorite song
25.
What are the steps involved in the auditing process in nursing?
a)
Writing reports, conducting interviews, creating treatment plans
b)
Data collection, data analysis, identifying areas for improvement, implementing changes, and evaluating the effectiveness of the changes
c)
Prescribing medication, performing surgery, monitoring vital signs
d)
Ordering supplies, scheduling appointments, updating medical records
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