Question 1

A nurse is educating a new nurse on grievances.The teaching has been effective when the new nurse states:

Accepted Answer

A)  "I can file a grievance" 
B)  "My employer cannot file a grievance" 
C)  "The nursing union cannot file a grievance" 
D)  "My coworkers cannot file a grievance" 
A)  "I can file a grievance" 
B)  "My employer cannot file a grievance" 
C)  "The nursing union cannot file a grievance" 
D)  "My coworkers cannot file a grievance" A

Question 2

A nurse is teaching nursing students about issues that keep nursing from becoming a profession of choice.The nurse knows that the teaching has been effective when one of the nursing students states:

Accepted Answer

A)  "Nurses downplay their role in health care" 
B)  "Nurse's take credit for their role in health care" 
C)  "Nurses are often seen on the news discussing their role in health care" 
D)  "Nurses are willing to take to media" 
A)  "Nurses downplay their role in health care" 
B)  "Nurse's take credit for their role in health care" 
C)  "Nurses are often seen on the news discussing their role in health care" 
D)  "Nurses are willing to take to media" A

Question 3

A nurse is educating a new nurse on grievance mechanisms.The nurse judges that the teaching has been effective when the new nurse states:

Accepted Answer

A)  "Nurses should attend any meeting where they believe discipline may be given without representation" 
B)  "The nurse must ask a supervisor to file a grievance" 
C)  "As a new nurse,I cannot file a grievance" 
D)  "Any nurse can file a grievance" 
A)  "Nurses should attend any meeting where they believe discipline may be given without representation" 
B)  "The nurse must ask a supervisor to file a grievance" 
C)  "As a new nurse,I cannot file a grievance" 
D)  "Any nurse can file a grievance" D

Question 4

A nurse is educating coworkers on the establishment of collective bargaining.The nurse knows the teaching has been successful when a coworker states:

Accepted Answer

A)  "Collective bargaining is still not recognized by hospitals." 
B)  "Nurse activists believed in a unified voice for nurses." 
C)  "Nurse activists wanted to option of working more hours." 
D)  "Collective bargaining is not effective." 
A)  "Collective bargaining is still not recognized by hospitals." 
B)  "Nurse activists believed in a unified voice for nurses." 
C)  "Nurse activists wanted to option of working more hours." 
D)  "Collective bargaining is not effective."

Question 5

A nurse believes that the patient assignment received is unsafe.Which action should be taken to correct this? (Select all that apply.)

Accepted Answer

A)  Leave the hospital. 
B)  Submit a report about the assignment following protocol. 
C)  Report the assignment to a supervisor immediately. 
D)  Accept the assignment. 
E)  Accept the assignment and only perform the skills that the nurse is comfortable with. 
A)  Leave the hospital. 
B)  Submit a report about the assignment following protocol. 
C)  Report the assignment to a supervisor immediately. 
D)  Accept the assignment. 
E)  Accept the assignment and only perform the skills that the nurse is comfortable with.

Question 6

Which action by hospitals in the 1940s began the journey to collective bargaining for nurses? (Select all that apply.)

Accepted Answer

A)  Allowed nurses to work 40-hour work weeks 
B)  Compensated nurses for overtime 
C)  Scheduled nurses to work 50- to 60-hour work weeks 
D)  Subjected nurse to arbitrary schedules 
E)  Did not offer sick or personal time 
A)  Allowed nurses to work 40-hour work weeks 
B)  Compensated nurses for overtime 
C)  Scheduled nurses to work 50- to 60-hour work weeks 
D)  Subjected nurse to arbitrary schedules 
E)  Did not offer sick or personal time

Question 7

A nurse has an adequate understanding of traditional collective bargaining when making which of the following statements?

Accepted Answer

A)  "The goal of traditional collective bargaining is to win something that is controlled by another." 
B)  "The goal of traditional collective bargaining is to win something that another person has worked for." 
C)  "The goal of traditional collective bargaining is to give all power to the nurse." 
D)  "The goal of traditional collective bargaining is to give all power to the organization." 
A)  "The goal of traditional collective bargaining is to win something that is controlled by another." 
B)  "The goal of traditional collective bargaining is to win something that another person has worked for." 
C)  "The goal of traditional collective bargaining is to give all power to the nurse." 
D)  "The goal of traditional collective bargaining is to give all power to the organization."

Question 8

What action can the registered nurse take to control personal practice? (Select all that apply.)

Accepted Answer

A)  Improve the professional practice of nurses and nursing assistants. 
B)  Refrain from shared governance. 
C)  Implement peer review. 
D)  Identify and recommend elimination of hazards in the workplace. 
E)  Identify and recommend processes that work to ensure the safety of patients. 
A)  Improve the professional practice of nurses and nursing assistants. 
B)  Refrain from shared governance. 
C)  Implement peer review. 
D)  Identify and recommend elimination of hazards in the workplace. 
E)  Identify and recommend processes that work to ensure the safety of patients.

Question 9

Which statement best describes when collective bargaining by nurses can occur?

Accepted Answer

A)  Only when the nurses in the group are members of a union 
B)  Whenever nurses see a need to organize to take collective action 
C)  Only when the state nurses association is willing to represent nurses at a specific agency 
D)  Whenever the state nurses association agrees that both wages and working conditions are inappropriate 
A)  Only when the nurses in the group are members of a union 
B)  Whenever nurses see a need to organize to take collective action 
C)  Only when the state nurses association is willing to represent nurses at a specific agency 
D)  Whenever the state nurses association agrees that both wages and working conditions are inappropriate

Question 10

A charge nurse is providing education to coworkers on state nursing associations.The charge nurse judges that the teaching has been effective when a coworker states:

Accepted Answer

A)  "These professional associations address nursing practice." 
B)  "These professional associations do nothing to support nursing." 
C)  "These professional associations protect the rights of physicians." 
D)  "These professional associations are managed by hospital administrators." 
A)  "These professional associations address nursing practice." 
B)  "These professional associations do nothing to support nursing." 
C)  "These professional associations protect the rights of physicians." 
D)  "These professional associations are managed by hospital administrators."

Question 11

A nurse is discussing personal seniority with the department manager.The nurse has an adequate understanding of seniority when stating which of the following?

Accepted Answer

A)  "Seniority provides certain rights to those with the highest number of years of service" 
B)  "Seniority provides the same amount of vacation time as new hires" 
C)  "Seniority no longer provides protection in today's economy" 
D)  "Seniority means that those with the highest number of years of service can be forced to retire" 
A)  "Seniority provides certain rights to those with the highest number of years of service" 
B)  "Seniority provides the same amount of vacation time as new hires" 
C)  "Seniority no longer provides protection in today's economy" 
D)  "Seniority means that those with the highest number of years of service can be forced to retire"

Question 12

A nurse is preparing a presentation.How can the nurse explain one of the primary concerns of the proponents for a nontraditional collective bargaining unit versus the traditional,union-based nursing model?

Accepted Answer

A)  "The traditional-based union model frequently puts nurses and employers in adversarial positions." 
B)  "The union dictates to members what they can and cannot do within the health care institution." 
C)  "The union-based model can initiate strikes that can be detrimental to the provision of health care in an institution." 
D)  "The union-based model is too expensive and nurses are not fairly compensated by the organization." 
A)  "The traditional-based union model frequently puts nurses and employers in adversarial positions." 
B)  "The union dictates to members what they can and cannot do within the health care institution." 
C)  "The union-based model can initiate strikes that can be detrimental to the provision of health care in an institution." 
D)  "The union-based model is too expensive and nurses are not fairly compensated by the organization."

Question 13

A nurse is giving a lecture on the primary problem that decreases the power of both types of collective bargaining models.The nurse knows that the teaching has been effective when a colleague states:

Accepted Answer

A)  "The small number of states that recognize either type of collective bargaining" 
B)  "The political influences of the American Hospital Association on nursing organizations" 
C)  "The adversarial goals of each of the respective organizations or models" 
D)  "The lack of membership of the majority of practicing nurses" 
A)  "The small number of states that recognize either type of collective bargaining" 
B)  "The political influences of the American Hospital Association on nursing organizations" 
C)  "The adversarial goals of each of the respective organizations or models" 
D)  "The lack of membership of the majority of practicing nurses"

Question 14

What would the nurse identify as a primary difference between traditional and nontraditional collective bargaining?

Accepted Answer

A)  Traditional collective bargaining is not organized through the state nursing association. 
B)  Traditional collective bargaining units are organized and members belong to the National Nurses United. 
C)  Nontraditional collective bargaining units are not recognized by health care organizations as a collective bargaining agency. 
D)  Nontraditional collective bargaining has a long history and is based on the support of organizations throughout the country. 
A)  Traditional collective bargaining is not organized through the state nursing association. 
B)  Traditional collective bargaining units are organized and members belong to the National Nurses United. 
C)  Nontraditional collective bargaining units are not recognized by health care organizations as a collective bargaining agency. 
D)  Nontraditional collective bargaining has a long history and is based on the support of organizations throughout the country.

Question 15

The nurse believes that an adequate understanding of arbitration through the traditional collective bargaining unit has been obtained.Which of the following statements supports this belief?

Accepted Answer

A)  "Arbitration is a management technique to discharge an employee." 
B)  "Arbitration is useful to resolve conflicts having a basis in the labor-management" contract. 
C)  "Arbitration is always used before the formal grievance process." 
D)  "Arbitration is a process used to establish nursing standards." 
A)  "Arbitration is a management technique to discharge an employee." 
B)  "Arbitration is useful to resolve conflicts having a basis in the labor-management" contract. 
C)  "Arbitration is always used before the formal grievance process." 
D)  "Arbitration is a process used to establish nursing standards."

Question 16

A nurse is striving to control personal nursing practice.Which action should the nurse avoid?

Accepted Answer

A)  Recommend a new system for bedside report. 
B)  Refrain from participating in peer review. 
C)  Create a unit presentation on how to increase patient safety. 
D)  Identify ways to reduce hazards. 
A)  Recommend a new system for bedside report. 
B)  Refrain from participating in peer review. 
C)  Create a unit presentation on how to increase patient safety. 
D)  Identify ways to reduce hazards.

Question 17

Which action can the nurse take during a job interview to ensure job satisfaction in the future? (Select all that apply.)

Accepted Answer

A)  Ask about benefits associated with the job. 
B)  Assess the potential employer's mission. 
C)  Determine wages and pay increases. 
D)  Ask questions to determine the culture of the organization. 
E)  Question the hours that are required for a full-time status. 
A)  Ask about benefits associated with the job. 
B)  Assess the potential employer's mission. 
C)  Determine wages and pay increases. 
D)  Ask questions to determine the culture of the organization. 
E)  Question the hours that are required for a full-time status.

Question 18

Which provision-if labor management included it in a contract-would not be to nursing's advantage?

Accepted Answer

A)  A workforce retraining provision 
B)  Seniority rights 
C)  A grievance procedure 
D)  Wage adjustments based on bed occupancy 
A)  A workforce retraining provision 
B)  Seniority rights 
C)  A grievance procedure 
D)  Wage adjustments based on bed occupancy

Question 19

A staff nurse is scheduled to work 3 to 11 pm in the cardiac step-down unit.The staff nurse realizes they are the only RN that will be on duty.The staff nurse calls the supervisor to say that help will be needed.The supervisor replies that there are no available nurses to assign to this unit.What should the nurse do?

Accepted Answer

A)  Leave and go home rather than assume this responsibility. 
B)  Protect themself by filing a written objection to the assignment. 
C)  Call a temporary agency and arrange for coverage by a registered nurse. 
D)  Call the state health department to investigate the staffing issue. 
A)  Leave and go home rather than assume this responsibility. 
B)  Protect themself by filing a written objection to the assignment. 
C)  Call a temporary agency and arrange for coverage by a registered nurse. 
D)  Call the state health department to investigate the staffing issue.

Question 20

The nurse manager has an adequate understanding of the common issues in nursing when stating which of the following? (Select all that apply.)

Accepted Answer

A)  "There are no common issues in nursing." 
B)  "Mandated staffing is a common issue." 
C)  "Unsafe patient assignments are a common issue." 
D)  "Lack of overtime is a common issue." 
E)  "Negotiations are a common issue." 
A)  "There are no common issues in nursing." 
B)  "Mandated staffing is a common issue." 
C)  "Unsafe patient assignments are a common issue." 
D)  "Lack of overtime is a common issue." 
E)  "Negotiations are a common issue."

Exam 18: Collective Bargaining: Traditional (Union)and Nontraditional Approaches

A nurse is educating a new nurse on grievances.The teaching has been effective when the new nurse states:

A nurse is teaching nursing students about issues that keep nursing from becoming a profession of choice.The nurse knows that the teaching has been effective when one of the nursing students states:

A nurse is educating a new nurse on grievance mechanisms.The nurse judges that the teaching has been effective when the new nurse states:

A nurse is educating coworkers on the establishment of collective bargaining.The nurse knows the teaching has been successful when a coworker states:

A nurse believes that the patient assignment received is unsafe.Which action should be taken to correct this? (Select all that apply.)

Which action by hospitals in the 1940s began the journey to collective bargaining for nurses? (Select all that apply.)

A nurse has an adequate understanding of traditional collective bargaining when making which of the following statements?

What action can the registered nurse take to control personal practice? (Select all that apply.)

Which statement best describes when collective bargaining by nurses can occur?

A charge nurse is providing education to coworkers on state nursing associations.The charge nurse judges that the teaching has been effective when a coworker states:

A nurse is discussing personal seniority with the department manager.The nurse has an adequate understanding of seniority when stating which of the following?

A nurse is preparing a presentation.How can the nurse explain one of the primary concerns of the proponents for a nontraditional collective bargaining unit versus the traditional,union-based nursing model?

A nurse is giving a lecture on the primary problem that decreases the power of both types of collective bargaining models.The nurse knows that the teaching has been effective when a colleague states:

What would the nurse identify as a primary difference between traditional and nontraditional collective bargaining?

The nurse believes that an adequate understanding of arbitration through the traditional collective bargaining unit has been obtained.Which of the following statements supports this belief?

A nurse is striving to control personal nursing practice.Which action should the nurse avoid?

Which action can the nurse take during a job interview to ensure job satisfaction in the future? (Select all that apply.)

Which provision-if labor management included it in a contract-would not be to nursing's advantage?

The nurse manager has an adequate understanding of the common issues in nursing when stating which of the following? (Select all that apply.)

Role Transitions

Personal Management: Time and Self-Care Strategies

Mentorship, Preceptorship, and Nurse Residency Programs

Employment Considerations: Opportunities, Resumes, and Interviewing

NCLEX-RN Examination and the New Graduate

Historical Perspectives: Influences on the Present

Nursing Education

Nursing Theory

Image of Nursing: Influences of the Present

Challenges of Nursing Management and Leadership

Building Nursing Management Skills

Effective Communication and Team Building

Conflict Management

Delegation in the Clinical Setting

The Health Care Organization and Patterns of Nursing Care Delivery

Economics of the Health Care Delivery System

Political Action in Nursing

Ethical Issues

Legal Issues

Cultural and Spiritual Awareness

Quality Patient Care

Nursing Informatics

Using Nursing Research in Practice

Workplace Issues

Emergency Preparedness

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