Governance Final Review Questions With Complete
Solutions
Analyze the ethical principles of autonomy, beneficence,
nonmaleficence, and distributive justice- examples of each
Correct Answers Autonomy: right of individuals to take action
for themselves; includes respect for individuals and right of
individuals to make decisions for and about themselves, even if
those decisions are not congruent with others' goals
Beneficence: duty to help others by doing what is best for them
Nonmaleficence: "do no harm"
Distributive Justice: giving person that which he or she
deserves; implies that benefits and burdens ought to be
distributed equally and fairly, regardless of race, gender,
religion, or socioeconomic status
Assess changes affecting the future in healthcare: what role does
consumerism play in healthcare Correct Answers 1)
Technological Innovations: communications, examination and
monitoring, automated technology
2) Healthcare Legislation
3) Demands of Consumerism:
~ consumers can choses from a variety of possibilities and make
informed decisions before buying
~ people expect their healthcare to be easily accessible as other
products and services
~ younger customers want access to information and interaction
with healthcare providers
Be able to define the task and nurturing roles for Homan's
framework-basic definition and compare and contrast Correct
,Answers ~ framework for understanding group input, processes,
& outcomes
~ distinguishes btw required factors imposed by external system
from factors that emerge from internal group dynamics
(activities, interactions, attitudes)
~ determines productivity of group & quality of work life
Norms:
~ informal rules of behavior are shared and enforced by group
members
~ groups develop norms that members believe must be adhered
to for fruitful, stable group functioning
~ norms are likely to be enforced if they serve to facilitate group
survival
Calculating FTE (What does "FTE" stand for?) Correct
Answers Full-Time Equivalent
~ used information regarding the hours of work for staff for 2
weeks (80hours), average daily census and hours of care
(average nursing care hours x days in staffing period x average
patient census)/(hours of work per FTE in 2 weeks)
Calculation of NHPPD (Nursing Hours per Client per Day).
Correct Answers divide total nursing hours by total number of
patients (patient census)
Compare and contrast operating, fixed, and capital budget in
relation to motivating and developing staff Correct Answers 1)
Operating: organization's statement of expected revenues and
expenses for the coming year
~ aka annual budget
~ coincides with the fiscal year (specified 12 month period)
,2) Fixed: budgeted amounts are set without regard to changes
that may occur during the year that have impact on the cost
assumptions originally used for the coming year
3) Capital: identifies physical renovations, new construction,
and new or replacement equipment planned within specified
time period
~ capital items--> have an expected performance of 1 year and
exceed and certain dollar value
~ priority is given to those items needed most--> not all items
that fall under the capital budget will necessarily get funding in
a given year
~ nurse manager--> identify capital needs that exist in his/her
areas of responsibility
Current management issues: floating-relate to staff chapter
Correct Answers due to shortage, nurses may be floated to
another floor
this may cause the other floor to suffer due to shortage
Define and describe Employee Engagement Correct Answers
degree in which an employee is inspired by, willing to invest
effort for, likely to recommend, and plans to remain in an
organization
Define Salary compression Correct Answers organizations
imagine they can reduce expenses by constraining nurses'
salaries or allowing open positions to go unfilled (this is because
nurses are the largest group of healthcare professionals and their
wages account for the majority of the organization's salary
budget)
, ~ nurses employed for many years find their salaries only
slightly greater than (or even less than) nurses with only a few
years of experience
Define/Apply Brainstorming Correct Answers when group
members meet together and generate many diverse ideas about
the nature, cause, definition or solution to a problem w/o
consideration of their relative values
Define/Apply Incubation Period Correct Answers unconscious
work going on--> after all information available has been
gathered allow as much time as possible to elapse before
deciding on solutions--> meetings shift to the ordinary
interacting group format
Define/Apply Satisficing. Correct Answers a decision-making
strategy whereby the individual chooses an alternative that is not
idea; but either is good enough (suffices) under existing
circumstances to meet minimum standards of acceptance or is
the first acceptable alternative
~ ex: a nurse manager hiring all the nurses to help in staff
shortage w/o considering which applicants may not be the best
fit
Definition of Relative Weight (RW) Correct Answers reflects
the level of treatment expected for an average patient in this
DRG (diagnosis related group)
Definitions of supplemental staffing options Correct Answers
RNs: Registered Nurses
LPNs: Licensed Practical Nurse
Solutions
Analyze the ethical principles of autonomy, beneficence,
nonmaleficence, and distributive justice- examples of each
Correct Answers Autonomy: right of individuals to take action
for themselves; includes respect for individuals and right of
individuals to make decisions for and about themselves, even if
those decisions are not congruent with others' goals
Beneficence: duty to help others by doing what is best for them
Nonmaleficence: "do no harm"
Distributive Justice: giving person that which he or she
deserves; implies that benefits and burdens ought to be
distributed equally and fairly, regardless of race, gender,
religion, or socioeconomic status
Assess changes affecting the future in healthcare: what role does
consumerism play in healthcare Correct Answers 1)
Technological Innovations: communications, examination and
monitoring, automated technology
2) Healthcare Legislation
3) Demands of Consumerism:
~ consumers can choses from a variety of possibilities and make
informed decisions before buying
~ people expect their healthcare to be easily accessible as other
products and services
~ younger customers want access to information and interaction
with healthcare providers
Be able to define the task and nurturing roles for Homan's
framework-basic definition and compare and contrast Correct
,Answers ~ framework for understanding group input, processes,
& outcomes
~ distinguishes btw required factors imposed by external system
from factors that emerge from internal group dynamics
(activities, interactions, attitudes)
~ determines productivity of group & quality of work life
Norms:
~ informal rules of behavior are shared and enforced by group
members
~ groups develop norms that members believe must be adhered
to for fruitful, stable group functioning
~ norms are likely to be enforced if they serve to facilitate group
survival
Calculating FTE (What does "FTE" stand for?) Correct
Answers Full-Time Equivalent
~ used information regarding the hours of work for staff for 2
weeks (80hours), average daily census and hours of care
(average nursing care hours x days in staffing period x average
patient census)/(hours of work per FTE in 2 weeks)
Calculation of NHPPD (Nursing Hours per Client per Day).
Correct Answers divide total nursing hours by total number of
patients (patient census)
Compare and contrast operating, fixed, and capital budget in
relation to motivating and developing staff Correct Answers 1)
Operating: organization's statement of expected revenues and
expenses for the coming year
~ aka annual budget
~ coincides with the fiscal year (specified 12 month period)
,2) Fixed: budgeted amounts are set without regard to changes
that may occur during the year that have impact on the cost
assumptions originally used for the coming year
3) Capital: identifies physical renovations, new construction,
and new or replacement equipment planned within specified
time period
~ capital items--> have an expected performance of 1 year and
exceed and certain dollar value
~ priority is given to those items needed most--> not all items
that fall under the capital budget will necessarily get funding in
a given year
~ nurse manager--> identify capital needs that exist in his/her
areas of responsibility
Current management issues: floating-relate to staff chapter
Correct Answers due to shortage, nurses may be floated to
another floor
this may cause the other floor to suffer due to shortage
Define and describe Employee Engagement Correct Answers
degree in which an employee is inspired by, willing to invest
effort for, likely to recommend, and plans to remain in an
organization
Define Salary compression Correct Answers organizations
imagine they can reduce expenses by constraining nurses'
salaries or allowing open positions to go unfilled (this is because
nurses are the largest group of healthcare professionals and their
wages account for the majority of the organization's salary
budget)
, ~ nurses employed for many years find their salaries only
slightly greater than (or even less than) nurses with only a few
years of experience
Define/Apply Brainstorming Correct Answers when group
members meet together and generate many diverse ideas about
the nature, cause, definition or solution to a problem w/o
consideration of their relative values
Define/Apply Incubation Period Correct Answers unconscious
work going on--> after all information available has been
gathered allow as much time as possible to elapse before
deciding on solutions--> meetings shift to the ordinary
interacting group format
Define/Apply Satisficing. Correct Answers a decision-making
strategy whereby the individual chooses an alternative that is not
idea; but either is good enough (suffices) under existing
circumstances to meet minimum standards of acceptance or is
the first acceptable alternative
~ ex: a nurse manager hiring all the nurses to help in staff
shortage w/o considering which applicants may not be the best
fit
Definition of Relative Weight (RW) Correct Answers reflects
the level of treatment expected for an average patient in this
DRG (diagnosis related group)
Definitions of supplemental staffing options Correct Answers
RNs: Registered Nurses
LPNs: Licensed Practical Nurse
