1. Demand management
2. Block scheduling
3. Organizational related
4. Patient classification
Correct Answer: 4
Rationale 1: Demand management predicts needs over the next few days, not the next shift.
Rationale 2: In block scheduling, a set amount of nurses would work during the shift and client acuity would not
be as big a factor.
Rationale 3: Organizational related refers to the principles for nurse staffing, not a staffing system.
Rationale 4: Patient classification systems focus on the client’s acuity as it is currently occurring.
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: 16-2: Demonstrate how to use patient classification systems to calculate nursing care hours
necessary.
Question 24
Type: MCSA
The hospital is caring for more high-acuity clients due to the recent flu endemic. The chief nurse officer (CNO)
reviews the census from last year’s flu season and instructs the manager to schedule more registered nurses for the
weekend. Which system has the CNO used?
1. Patient classification systems management
2. Demand management system
3. The Baylor plan
4. Automated staffing
Rationale 2: Demand management system focuses on predicting and controlling the demand for nurses and uses
historical data.
Rationale 3: The Baylor plan is a method for weekend staffing.
Rationale 4: Automated staffing matches client demand to nurse staffing on a more individual level. It does not
use historical data.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 16-2: Demonstrate how to use patient classification systems to calculate nursing care hours
necessary.
Question 25
Type: MCSA
An emergency department manager is looking over the next month’s schedule and decides to supplement the
schedule due to vacations. The manager decides to use decentralized pool staffing to lower costs and provide
quality care. Which group of nurses is a part of this manager’s decentralized staffing?
1. PRN staff from the external pool of nurses
2. Agency nurses
3. PRN staff from the emergency department nurses
4. PRN staff from the nurses who work on medical-surgical units
Client Need: Safe Effective Care Environment
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
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 26
Type: MCMA
A nurse has agreed to work on the Baylor plan. The nurse should arrange day care for which shifts?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. A 12-hour shift on Saturday
2. An 8-hour shift on Monday
3. An 8-hour shift on Sunday
4. A Thursday shift once a month
5. Shifts every weekend
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 16-5: Describe the various ways to schedule staff.
Question 27
Sullivan, Effective Leadership and Management, 8/e Test Bank
Type: FIB
Two nurses have agreed to share a schedule in which each will work 4 hours each day for a total of 20 hours a
week. In 2 weeks ____ FTEs will be generated by these nurses.
Standard Text:
Rationale 2: Automated scheduling systems do improve client outcomes.
Rationale 3: Automated scheduling often results in improved financial outcomes.
Rationale 4: The Baylor plan is not an automated scheduling system.
Rationale 5: The automated system does not allow nurses to choose shifts or clients.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 16-5: Describe the various ways to schedule staff.
Question 29
Type: MCMA
A nursing supervisor requests information technology support for posting all nursing scheduling online. What
justification can the supervisor provide for this request?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. If schedules are posted online they are open for all to see.
2. Posting schedules online will promote fairness in shift assignments.
3. It is easier to change the schedule if it is posted online.
4. If the schedule is posted online, all shifts must be 12-hours shifts.
5. Open shift scheduling is easier to maintain if all schedules are online.
Rationale 4: There is no requirement that all shifts must be 12-hour shifts.
Rationale 5: If schedules are online it is easier for nurses to see open shifts that they might wish to work.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 16-5: Describe the various ways to schedule staff.
Question 30
Type: FIB
An acute care nursing unit has determined that an acuity level III client requires 6 hours of nursing care per shift
while a level IV client requires 8 hours. Today the unit has seven level III clients and nine level IV clients. The
manger should staff for ___ hours of nursing care for the next shift.
Standard Text:
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.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.