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contemp nurs > final > Flashcards

final Flashcards

1
Q

A hospital may plan its annual budget to maintain staffing and supplies to operate its current number of beds, provide a raise for all staff, and open a new outpatient surgical care. What is this an example of ?

A

Budgeting

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2
Q

What is Health care organization budgeting?

A

A document that details how financial resources will be allocated to ensure that the organization is able to conduct its daily business ans achieve strategic goals.

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3
Q

What are the four budgeting functions ?

A
  1. ) Planning
  2. ) coordinating and communicating
  3. ) monitoring progress
  4. ) evaluating performance
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4
Q

What is the most important function of the budgeting process?

A

Planning

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5
Q

What is the first thing managers do during the planning phase ?

A

Decide on the goals to achieve for a specified period and identify resources needed.
(ex: staff, supplies, equipment)

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6
Q

What is the second thing managers do during the planning phase ?

A

Predict revenues and expenses based on those goals

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7
Q

What allows the managers to answer various questions that will have an affect on the budget?

A

Budget Assumptions

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8
Q

What should nursing salaries be in the coming year to reward and retain nurses and to remain competitive with other health care organizations in the area? What is this example of ?

A

Planning

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9
Q

Budgets are most often developed for how long ?

A

1 year

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10
Q

Who is responsible for financial planning and development of the organizations budget?

A

Historically, nurses didn’t have any part. Now, the nurse leaders make the decision with the help the of the staff nurses.

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11
Q

The comparison of actual budget and expected that the manager deals with on a daily basis.

A

Monitoring Progress

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12
Q

The difference between planned budget and actual results. Favorable when results are better than expected.

A

Variance

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13
Q

The process by which deviations from budgeted amounts are examined.

A

Variance analysis

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14
Q

What can budget results also be a part of ?

A

Manager’s performance evaluation

ex: Staff bonus structure

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15
Q

What are the three types of budgets that a nurse manager is responsible for?

A

operational, labor and capital budgets

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16
Q

Represents revenues and expenses for an operational unit such as product line, unit, department, and overall organization.

A

Operational budget

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17
Q

Intensive care unit or medical-surgical unit

A

Example of nursing unit

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18
Q

dietary or human resources

A

Example of department

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19
Q

Expenses

A

Are those necessary to operate on a daily basis

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20
Q

What is a revenue?

A

Those paid to the organization from various payer sources

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21
Q

A subset of the operational budget

A

Labor budget

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22
Q

What is the labor budget purpose?

A

to provide detailed documentation of salaries, wages, and benefits with respect to the operational unit

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23
Q

What are the factors that affect the personnel budget?

A

Salary rates, overtime, benefits, (paid time off, health insurance), staff development, training, and employee turnover.

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24
Q

What is operating budget?

A

Allocates funds for daily expenses, such as salaries, utilities, repairs, maintenance, and patient care supplies

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25
Q

What are ex of typical expenses?

A

Salaries, benefits, patient care supplies, utilities, administrative costs, maintenance, housekeeping

26
Q

What are ex of typical revenues

A

payments from medicare, medicaid, private insurance, individuals, grants, charitable donations

27
Q

What is the largest expense in the operational budget?

A

Labor budget; ex nursing assistance, unit secretaries

28
Q

Metric?

A

the amount of work produced

29
Q

What is metric necessary for?

A

Measurement of the number of nursing hours worked with the comparison with the amount of patient care provided

30
Q

What is low productivity?

A

high nursing hours, low patient care

31
Q

What is bad about high productivity?

A

may not be able to provide safe and quality patient care

32
Q

Capital budget takes how long?

A

Couple of years to pay out; 500-2,000`

33
Q

Two basic methods for budgeting

A

incremental and zero based budgeting

34
Q

Incremental approach?

A

Most commonly used; forward trend of current performance with adjustments for future growth or decline in revenues or expenses

35
Q

zero-based budgeting?

A

Developed as though the budget is being prepared for the first time

36
Q

Ex of zero-budgeting

A
  1. ) Determine the revenue and expenses for caring for one patient
  2. ) Predict the avg. patient vol.
  3. ) calculating total expenses and revenues for budget period
37
Q

Top-down approach

A

upper management sets goes for everyone else to follow

38
Q

Participatory approach?

A

People responsible for achieving budget goals are included in goal setting

39
Q

Iterative approach

A

combination of top-down and participatory approach; management set goals then unit leaders developing their operating budgets to incorporate their individual goals with the organizations strategic goals

40
Q

unit-of-service

A

Basic measure of product or service being produced

41
Q

Communication needs:

A

receiver, sender and message

42
Q

Interpretation

A

the senders message meant something different to the receiver that was unexpected

43
Q

Interpretation factors:

A

context, environment, precipitating event, preconceived ideas, personal perceptions, style of transmission, and past experiences

44
Q

Context and environment

A

Context refers to entire situation

environment can denote physical surroundings and emotional conditions involved

45
Q

Precipitating event

A

the situation that prompted the communication.

46
Q

Style of transmission

A

open or closed statements, body language, method of organizing message, degree of attention to topic and receiver, vocabulary, and intonation.

47
Q

Past experiences

A

baggage; can not be overstated

48
Q

Personal perceptions

A

awareness through senses

49
Q

filtration

A

Leaving something out;

50
Q

What did Mehrabians study influenced ?

A

understanding of the “silent messages”

51
Q

Kim Holland talks about what?

A

How as nurses we should have relaxed nonverbal communication for patients

52
Q

Blocking

A

Nurse responds with noncommittal or generalized answers

53
Q

Felacies

A

related to a persons culture, gender, backround, personal experiences, and are barriers to meaningful convo

54
Q

Ad hominem abusive?

A

arguement that attacks the person instead of the issue

55
Q

Appeal to common practice?

A

arguement is made that something is okay because most people do it

56
Q

Appeal to emotion

A

manipulate other peoples emotions in order to avoid the real issue

57
Q

Appeal to tradition

A

Arguement that doing things a certain way is the best way because they have always been done that way

58
Q

Confusing cause and effect

A

Assumes that one event must cause another just because we often see the two events occur together

59
Q

Hasty Generalization

A

coming to conclusion based on a very small number of examples

60
Q

red herring`

A

intro of an irrelevant topic in order to divert attention away from the real issue

61
Q

Slippery slope?

A

belief that one event will inevitably follow another without any real support for that belief; “escalating disaster logic”

62
Q

Straw man?

A

when a person’s position in a logic is misrepresented

contemp nurs (1 decks)

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