Exam 19: Collective Action

As a new nurse manager who has "inherited" a unit with high nurse turnover and complaints of patient dissatisfaction,your first course of action would be to:

The chief nursing officer utilizes the hospital's Workplace Advocacy to help the overwhelmed emergency department staff.Workplace Advocacy is designed to assist nurses by:

Nurses on the dialysis unit notice that changes in labeling of fluids have meant several alarming near misses in terms of wrong administration of fluids.They take this concern to the unit manager.As an advocate of nurse autonomy,the most appropriate response in this situation would be to:

Senior executives at Hospital A determine that the hospital will engage in a strategic planning process after changes in healthcare funding and concerns expressed in the community about care that is being delivered at the hospital.The senior executives decide on a participatory process in which staff are widely consulted regarding input about the organization and the external environment and are actively invited to be part of decisions related to mission statement,goals,and objectives.For true shared governance to be seen as part of this approach:

A group of staff nurses and a nurse manager in an unrepresented facility have been unable to resolve a conflict regarding a change in protocol.Their agreeing to have a nurse from another unit assist them in their group process is an example of:

In looking at an organizational chart for her institution,Jennifer notes that nursing is led at the senior level by a non-nurse executive.Jennifer expresses concern that this is a reflection of how nursing is viewed within the organization.Jennifer's comments reflect:

A Magnet™ hospital surveys the staff about job satisfaction.This type of environment,in which nurses have authority and autonomy,is linked with:

The emergency department nurses' decision to organize for the purpose of collective bargaining is being driven by a desire to:

In an inner-city area,a group of nurses meet and develop a plan to negotiate with local businesses to support a breakfast program for young elementary children.This is an example of:

Martin,the unit manager,receives complaints from community agencies that patients who have been discharged from his unit seem to lack understanding about their disorder and immediate strategies for managing elements of their care.Martin checks the patient teaching sheets and notes that the sheets are initialed by staff.He calls the agencies and indicates that teaching has been done.Martin's follow-up to complaints from the community is:

The emergency department staff decides to use a collective bargaining model for negotiation,rather than a traditional trade union model.A traditional trade union model is characterized by:

In accomplishing the goal of breakfast for children in elementary school,Leanne is particularly effective in approaching businesses with the needs that the group has determined and articulating the ways that the group has found for businesses to participate.Leanne is exemplifying:

The emergency department staff members are concerned that working long hours without rest puts patient safety at risk.One staff member decides that she will risk her job and become a whistleblower.Whistle-blowing is an appropriate recourse when management:

Sandra,an RN on the surgery unit,is assisting with a procedure in the patient examination room.The physician orders a medication to be given through IV.Sandra questions the order,based on her knowledge of the patient's history and of other medications that the patient has been given.The physician reiterates the order and Sandra refuses to give it.In this instance,Sandra is demonstrating:

Potential outcomes of Martin's actions (Question 16)include

Collective action is effective in:

Awareness and use of power have been challenging for nurses in general because of:

Sarah determines,in partnership with her patient,that current medications are not enabling her patient,a married account executive with fibromyalgia,to continue with her employment and family responsibilities.After searching for additional information on fibromyalgia,Sarah finds nonpharmacologic interventions that are supported through credible evidence.Sarah suggests that the patient,her physician,and she meet to discuss the medications and possible options and a plan of care for the patient's discharge.This action exemplifies which of the four historical concepts identified by Lewis and Batey?

On Unit 62,the nurses and the unit manager have been involved in shared decision making to the model of nursing care delivery that the unit will adopt.All individuals have participated and been involved in decision making and implementation of changes.When issues arise during implementation,it is expected that:

Nurses in an emergency department,in an inner-city neighborhood characterized by high levels of violence,are concerned with low levels of security presence in their department.Security levels have recently been decreased.An appropriate action would be to: