The magnet program grew out of several research studies that identified 14 characteristics of magnetism. These features became the conceptual framework for the magnet program. Which of the following is a characteristic of a magnet institution?
a. A flat, decentralized organizational structure
b. A bureaucratic, hierarchical organizational structure
c. Partnerships with schools of nursing
d. Rigid staffing schedules
Question 2Budget cuts, declining inpatient activity, and changing patient care patterns have caused some institutions to carry out rightsizing. The rightsizing process focuses on:
a. Units with occupancy rates below 10
b. Units in which productivity goals have been exceeded
c. Units in which revenues exceed costs
d. Units in which fixed staffing levels have increased by a small percentage of the full-time equivalents (FTEs)
Question 3Some hospitals use a variety of strategies to delay the need for downsizing. One strategy is to:
a. Initiate a new service, such as a geriatric service
b. Increase overtime to increase productivity
c. Increase the use of temporary help
d. Increase hiring
Question 4Clinical outcomes can be used to assess the adequacy of staffing. Which of the following indicates a need for better staffing?
a. Family falls
b. Short length of stay
c. Adverse drug reactions
d. Patient satisfaction
Question 5When figuring time standards for nursing care, the nurse manager needs to consider both direct and indirect care. An example of indirect care is:
a. Giving medications
b. Documenting care
c. Feeding the patient
d. Giving treatments
Question 6Because of a called-in absence, a nurse manager has to find a replacement for the uncovered position on the shift. Which of the following is an option?
a. Substituting a person of one classification for another, such as a licensed practical nurse (LPN) for a registered nurse (RN)
b. Implementing variable staffing
c. Instituting 12-hour shifts for all staff
d. Drawing from the retirement pool for the replacement
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