QUIZ #2 HEALTHCARE LEADERSHIP
QUESTIONS WITH CORRECT
ANSWERS
Class 6: Nursing care delivery models - correct answer ✔✔
What is a functional (task oriented) nursing care delivery model? - correct answer ✔✔ is really
good when you have a lot to do and not a lot of people; increased efficient; everyone is focus on
a task instead of the whole picture (pt is chopped into task); there is no obvious team
communication; pt gets fragmented care; pt/family hate it, RN's hate it; it reduces the costs
What is a team based nursing care delivery model? - correct answer ✔✔ functional nursing with
a team leader; set up a communication strategy with a team leader; bad/overwhelmed leader;
advantages: decrease patient safety issues
What is primary care nursing care delivery model? - correct answer ✔✔ the patient has a
primary nurse (1 RN for each patient), decreases 1) create + update nursing care plan 2) care for
pt when on shift; pt/family love this!, RNs sometimes love it (because the nurse has to get
updated on their patient's care plan); its the most expensive staff individual (nurses)
What is a patient centered care nursing care delivery model? - correct answer ✔✔
Interdisciplinary team, individualized care (based on what the patient actually needs), not all
patients have to be cared for by a nurse (meaning if a pt is sedated then the nursing care would
lessen), flexibility in staffing (safe money), individualized care to what the patient actually needs
What is a total patient care nursing care delivery model? - correct answer ✔✔ 1 nurse = 1
patient (you do everything), its usually in an outpatient living arrangements, COSTLY (usually
paid my family), usually in outpatient setting (= private duty nurse); a sitter is not a total patient
care (they are just there to prevent something from happening)
,What was the effect on the staffing needs based on patient census? - correct answer ✔✔ -
Proven to be inaccurate
- Patient care needs vary greatly
- Staffing "mix" is a key component of effective care
What are things we need to consider for staffing patterns and needs? - correct answer ✔✔ -
FTEs
- productive time
- nonproductive time
- direct and indirect care
- nursing workload
- units of service
What is FTEs? - correct answer ✔✔ measure of work commitment of full time employee (full
time employee working 40 hours per week equals 1.0 FT, full time may be defined as <40 hours)
What does hours of total of all paid time include? - correct answer ✔✔ includes worked and
non worked time
What is the difference between productive hours vs. non productive hours? - correct answer
✔✔ - productive hours: hours worked for patient care
- non productive hours: paid benefit time and non patient care hours
What are variables in staffing? - correct answer ✔✔ - knowledge and expertise of staff
- acuity of patients
- complexity of care
- patient dependency for daily activities
,- care delivery model
- care management tools
- organizational supports
What is direct care? - correct answer ✔✔ -> Time spent providing hands-on care to patients
* Includes registered nurse (RN)
* licensed practical nurse (LPN)
* and nurse assistive personnel (NAP)*
What is indirect care? - correct answer ✔✔ -> Time spent on activities related to patient care
* For example, documentation, interacting with multidisciplinary team members
* Includes nurse managers, specialists, and unit secretaries
What determines units of service? - correct answer ✔✔ - Nursing workload dependent on
nursing care needs of patients
- Patient volume and work intensity contribute to nursing workload
- Volume measures used in budget negotiations to project nursing needs of patients and to
assure adequate resources for safe patient care
What so nursing hours per patient day determine by? - correct answer ✔✔ - required nursing
hours for 24 hour period
- standard measure that quantifies nursing time available to each patient by available nursing
staff
What is the NHPPD, reflect only productive nursing time available based on the following? -
correct answer ✔✔ - midnight census
- past unit needs
- expected practice trends
, - national benchmarks
- budget negotiations
What does nurse intensity measure? - correct answer ✔✔ measure of amount and complexity
of nursing care needed by patient
What does nurse intensity dependent on? - correct answer ✔✔ dependent on measures
difficult to measure -> severity of illness, assistance for ADLs, complexity of care, and amount of
time needed for care
What are examples of patient turnovers that affect nurse intensity? - correct answer ✔✔
includes patient admissions, transfers, and discharges
What does patient classification system measure? - correct answer ✔✔ measurement tool used
to determine nursing workload for specific patient or group of patients over specific period of
time
Why is patient acuity used for? - correct answer ✔✔ measure of nursing workload generated
for each patient
What is patient acuity used for? - correct answer ✔✔ - plan nursing staffing over the next 24
hours period
- cost out nursing services for specific patient populations
- prepare month end justification for variances
- benchmark with other organizations
- help negotiate payment reimbursement from third party payers
QUESTIONS WITH CORRECT
ANSWERS
Class 6: Nursing care delivery models - correct answer ✔✔
What is a functional (task oriented) nursing care delivery model? - correct answer ✔✔ is really
good when you have a lot to do and not a lot of people; increased efficient; everyone is focus on
a task instead of the whole picture (pt is chopped into task); there is no obvious team
communication; pt gets fragmented care; pt/family hate it, RN's hate it; it reduces the costs
What is a team based nursing care delivery model? - correct answer ✔✔ functional nursing with
a team leader; set up a communication strategy with a team leader; bad/overwhelmed leader;
advantages: decrease patient safety issues
What is primary care nursing care delivery model? - correct answer ✔✔ the patient has a
primary nurse (1 RN for each patient), decreases 1) create + update nursing care plan 2) care for
pt when on shift; pt/family love this!, RNs sometimes love it (because the nurse has to get
updated on their patient's care plan); its the most expensive staff individual (nurses)
What is a patient centered care nursing care delivery model? - correct answer ✔✔
Interdisciplinary team, individualized care (based on what the patient actually needs), not all
patients have to be cared for by a nurse (meaning if a pt is sedated then the nursing care would
lessen), flexibility in staffing (safe money), individualized care to what the patient actually needs
What is a total patient care nursing care delivery model? - correct answer ✔✔ 1 nurse = 1
patient (you do everything), its usually in an outpatient living arrangements, COSTLY (usually
paid my family), usually in outpatient setting (= private duty nurse); a sitter is not a total patient
care (they are just there to prevent something from happening)
,What was the effect on the staffing needs based on patient census? - correct answer ✔✔ -
Proven to be inaccurate
- Patient care needs vary greatly
- Staffing "mix" is a key component of effective care
What are things we need to consider for staffing patterns and needs? - correct answer ✔✔ -
FTEs
- productive time
- nonproductive time
- direct and indirect care
- nursing workload
- units of service
What is FTEs? - correct answer ✔✔ measure of work commitment of full time employee (full
time employee working 40 hours per week equals 1.0 FT, full time may be defined as <40 hours)
What does hours of total of all paid time include? - correct answer ✔✔ includes worked and
non worked time
What is the difference between productive hours vs. non productive hours? - correct answer
✔✔ - productive hours: hours worked for patient care
- non productive hours: paid benefit time and non patient care hours
What are variables in staffing? - correct answer ✔✔ - knowledge and expertise of staff
- acuity of patients
- complexity of care
- patient dependency for daily activities
,- care delivery model
- care management tools
- organizational supports
What is direct care? - correct answer ✔✔ -> Time spent providing hands-on care to patients
* Includes registered nurse (RN)
* licensed practical nurse (LPN)
* and nurse assistive personnel (NAP)*
What is indirect care? - correct answer ✔✔ -> Time spent on activities related to patient care
* For example, documentation, interacting with multidisciplinary team members
* Includes nurse managers, specialists, and unit secretaries
What determines units of service? - correct answer ✔✔ - Nursing workload dependent on
nursing care needs of patients
- Patient volume and work intensity contribute to nursing workload
- Volume measures used in budget negotiations to project nursing needs of patients and to
assure adequate resources for safe patient care
What so nursing hours per patient day determine by? - correct answer ✔✔ - required nursing
hours for 24 hour period
- standard measure that quantifies nursing time available to each patient by available nursing
staff
What is the NHPPD, reflect only productive nursing time available based on the following? -
correct answer ✔✔ - midnight census
- past unit needs
- expected practice trends
, - national benchmarks
- budget negotiations
What does nurse intensity measure? - correct answer ✔✔ measure of amount and complexity
of nursing care needed by patient
What does nurse intensity dependent on? - correct answer ✔✔ dependent on measures
difficult to measure -> severity of illness, assistance for ADLs, complexity of care, and amount of
time needed for care
What are examples of patient turnovers that affect nurse intensity? - correct answer ✔✔
includes patient admissions, transfers, and discharges
What does patient classification system measure? - correct answer ✔✔ measurement tool used
to determine nursing workload for specific patient or group of patients over specific period of
time
Why is patient acuity used for? - correct answer ✔✔ measure of nursing workload generated
for each patient
What is patient acuity used for? - correct answer ✔✔ - plan nursing staffing over the next 24
hours period
- cost out nursing services for specific patient populations
- prepare month end justification for variances
- benchmark with other organizations
- help negotiate payment reimbursement from third party payers
