Question 1

What would the nurse identify as a primary difference between traditional and nontraditional collective bargaining?&#10;A)Traditional collective bargaining is not organized through the state nursing association.&#10;B)Traditional collective bargaining units are organized,and members belong to the National Nurses United.&#10;C)Nontraditional collective bargaining units are not recognized by health care organizations as a collective bargaining agency.&#10;D)Nontraditional collective bargaining has a long history and is based on the support of organizations throughout the country.

Accepted Answer

The nontraditional collective bargaining activities in nursing are organized and supported by the Center for American Nurses,which is affiliated with the American Nurses Association.The traditional unit in the past was the United American Nurses (UAN).This union has joined other traditional bargaining units and has become the National Nurses United,which is a relatively new union (started in 2009).

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&#10;A)&#34;Nurses downplay their role in health care.&#34;&#10;B)&#34;Nurses take credit for their role in health care.&#34;&#10;C)&#34;Nurses are often seen on the news discussing their role in health care.&#34;&#10;D)&#34;Nurses are willing to talk to the media.&#34;

Accepted Answer

There are many factors that prevent nursing from becoming a profession of choice.These include nurses downplaying their role in health care,not taking credit for their role,and not being seen in the media.

Question 3

A nurse has an adequate understanding of traditional collective bargaining when making which of the following statements?&#10;A)&#34;The goal of traditional collective bargaining is to win something that is controlled by another.&#34;&#10;B)&#34;The goal of traditional collective bargaining is to win something that another person has worked for.&#34;&#10;C)&#34;The goal of traditional collective bargaining is to give all power to the nurse.&#34;&#10;D)&#34;The goal of traditional collective bargaining is to give all power to the organization.&#34;

Accepted Answer

The goal of traditional collective bargaining is to win something that is controlled by another.The other statements are not accurate.

Question 4

Which provision-if labor management included it in a contract-would not be to nursing's advantage?&#10;A)A workforce retraining provision&#10;B)Seniority rights&#10;C)A grievance procedure&#10;D)Wage adjustments based on bed occupancy

Accepted Answer

Unions may stimulate better hospital management by fostering formal,central,and consistent personnel policies with better lines of communication.Consistent personnel policies include a consistent wage base,regardless of bed occupancy.Workforce retraining,seniority rights,and a grievance procedure would be important provisions in a labor contract that would be advantageous to nursing.

Question 5

A staff nurse is scheduled to work 3 to 11 PM in the cardiac step-down unit.The staff nurse realizes he/she is the only RN who 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?

A)Leave and go home rather than assume this responsibility.
B)Protect him/herself 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.

Accepted Answer

Nurses who disagree with an assignment should submit their objection in writing when the assignment could violate the patient protection language of the state nurse practice act.An assignment-despite-objection report is submitted to the nursing administrator and the bargaining agent simultaneously,thus officially registering the complaint.This procedure is used both in the traditional and in the nontraditional collective bargaining units.Professional responsibility would be staying with the assignment and not abandoning the work (i.e.,patients).The staff nurse does not have the authority or power to contact a temporary agency for obtaining staffing.The state department of health does not review or investigate staffing issues.

Question 6

A nurse is educating a new nurse on grievances.The teaching has been effective when the new nurse states&#10;A)&#34;I can file a grievance.&#34;&#10;B)&#34;My employer cannot file a grievance.&#34;&#10;C)&#34;The nursing union cannot file a grievance.&#34;&#10;D)&#34;My coworkers cannot file a grievance.&#34;

Accepted Answer

Any nurse,the employer,or the nursing union can file a grievance.

Question 7

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 which of the following?&#10;A)&#34;These professional associations address nursing practice.&#34;&#10;B)&#34;These professional associations have limited ability to support nursing.&#34;&#10;C)&#34;These professional associations protect the rights of physicians.&#34;&#10;D)&#34;These professional associations are managed by hospital administrators.&#34;

Accepted Answer

State nursing associations have represented nurses since 1946.They are multipurpose and are involved in many activities such as addressing nursing practice.These organizations do not protect the rights of physicians and are not managed by hospital administrators.

Question 8

In which situation would the traditional type of collective bargaining (union)be best to help nurses attain their goals?&#10;A)Management has agreed to no nursing layoffs for 1 year after reorganization.&#10;B)Nursing has received a 4% salary increase this year and next year.&#10;C)Nurses have identified workplace safety issues and health hazards.&#10;D)Management has arranged for nurse practitioners to have admitting privileges.

Accepted Answer

A conflict regarding safety between administration and nursing is a situation that could benefit from a nurses' union.Many nurses support collective bargaining in the workplace as a way to control their practice by redistributing power within the health care organization.Salary increases,no nursing layoffs,and nurse practitioners having admitting privileges typically do not represent as important an issue as patient and staff safety.

Question 9

A nurse is educating coworkers on the establishment of collective bargaining.The nurse knows the teaching has been successful when a coworker states which of the following?&#10;A)&#34;Collective bargaining is still not recognized by hospitals.&#34;&#10;B)&#34;Nurse activists believed in a unified voice for nurses.&#34;&#10;C)&#34;Nurse activists wanted to option of working more hours.&#34;&#10;D)&#34;Collective bargaining is not effective.&#34;

Accepted Answer

Nurse activists created the National Nurses United because they believed in the creation of a powerful,national,independent,and unified voice for union nurses.Collective bargaining is recognized in hospitals in states where it is effective.The other statements are not accurate of collective bargaining.

Question 10

A nurse manager is speaking to a group of nurses about how to choose their representative if they wish to participate in traditional or nontraditional collective bargaining.The nurse manager knows the teaching has been effective if the nurses select which of the following as ways to choose their representative? (Select all that apply.)

A)Service Employees International Union
B)The National League for Nursing
C)Their state nurses association
D)The American Federation of Teachers
E)National Nurses United (NNU)
F)Center for American Nursing (CAN)

Accepted Answer

The professional association has the means and responsibility to represent nurses.The national professional organization for nursing is the American Nurses Association (ANA)with its constituent units,the state and territorial nursing associations.Nurses can enjoy the benefit of representation by nurses either through a traditional organized union,such as the National Nurses United (NNU).The CAN has been integrated into the ANA.

Question 11

Which statement by the nurse indicates understanding of collective bargaining in the workplace?&#10;A)&#34;Collective bargaining is not useful in the professional workplace.&#34;&#10;B)&#34;Collective bargaining is used by nurses to control their practice.&#34;&#10;C)&#34;Collective bargaining is used by managers to control nurses.&#34;&#10;D)&#34;Collective bargaining is always an adversarial process in the workplace.&#34;

Accepted Answer

The answer of Which statement by the nurse indicates understanding...

Question 12

A nurse is educating a new nurse on grievance mechanisms.The nurse judges that the teaching has been effective when the new nurse states&#10;A)&#34;Nurses should attend any meeting where discipline may be given without representation.&#34;&#10;B)&#34;The nurse must ask a supervisor to file a grievance.&#34;&#10;C)&#34;As a new nurse,I cannot file a grievance.&#34;&#10;D)&#34;Any nurse can file a grievance.&#34;

Accepted Answer

The answer of A nurse is educating a new nurse...

Question 13

Which actions can the nurse take during a job interview to ensure job satisfaction in the future? (Select all that apply.)&#10;A)Ask about benefits associated with the job.&#10;B)Assess the potential employer's mission.&#10;C)Determine wages and pay increases.&#10;D)Ask questions to determine the culture of the organization.&#10;E)Question the hours that are required for a full-time status.

Accepted Answer

The answer of Which actions can the nurse take during...

Question 14

A nurse is striving to control personal nursing practice.Which action should the nurse avoid?&#10;A)Recommend a new system for bedside report.&#10;B)Refrain from participating in peer review.&#10;C)Create a unit presentation on how to increase patient safety.&#10;D)Identify ways to reduce hazards.

Accepted Answer

The answer of A nurse is striving to control personal...

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?&#10;A)&#34;Arbitration is a management technique to discharge an employee.&#34;&#10;B)&#34;Arbitration is useful to resolve conflicts having a basis in the labor-management contract.&#34;&#10;C)&#34;Arbitration is always used before the formal grievance process.&#34;&#10;D)&#34;Arbitration is a process used to establish nursing standards.&#34;

Accepted Answer

The answer of The nurse believes that an adequate understanding...

Question 16

A nurse is discussing personal seniority with the department manager.The nurse has an adequate understanding of seniority when stating which of the following?&#10;A)&#34;Seniority provides certain rights to those with the highest number of years of service.&#34;&#10;B)&#34;Seniority provides the same amount of vacation time as new hires.&#34;&#10;C)&#34;Seniority no longer provides protection in today's economy.&#34;&#10;D)&#34;Seniority means that those with the highest number of years of service can be forced to retire.&#34;

Accepted Answer

The answer of A nurse is discussing personal seniority with...

Question 17

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)"The traditional union-based 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."

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Accepted Answer

The answer of A nurse is preparing a presentation.How can...

Question 18

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 which of the following?

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"

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Accepted Answer

The answer of A nurse is giving a lecture on...

Question 19

Which statement best describes when collective bargaining by nurses can occur?&#10;A)Only when the nurses in the group are members of a union&#10;B)Whenever nurses see a need to organize to take collective action&#10;C)Only when the state nurses association is willing to represent nurses at a specific agency&#10;D)When the state nurses association agrees that working conditions are inappropriate

Accepted Answer

The answer of Which statement best describes when collective bargaining...

Question 20

A union nurse is educating a new nurse on common issues faced by nurses today.The union nurse knows that the teaching has been effective when the new nurse states&#10;A)&#34;There are no common issues;nurses faces different issues based on their jobs.&#34;&#10;B)&#34;Today,there are no issues because of the advancement of technology.&#34;&#10;C)&#34;Hospitals are well staffed so personnel shouldn't be an issue.&#34;&#10;D)&#34;Hospitals frequently mandate nurse overtime due to staffing shortages.&#34;

Accepted Answer

The answer of A union nurse is educating a new...

Question 21

A nurse believes that the patient assignment received is unsafe.Which actions should be taken to correct this? (Select all that apply.)&#10;A)Leave the hospital.&#10;B)Submit a report about the assignment following protocol.&#10;C)Report the assignment to a supervisor immediately.&#10;D)Accept the assignment.&#10;E)Accept the assignment and only perform the skills that the nurse is comfortable with.

Accepted Answer

The answer of A nurse believes that the patient assignment...

Question 22

The nurse manager has an adequate understanding of the common issues in nursing when stating which of the following? (Select all that apply.)&#10;A)&#34;There are no common issues in nursing.&#34;&#10;B)&#34;Mandated staffing is a common issue.&#34;&#10;C)&#34;Unsafe patient assignments are a common issue.&#34;&#10;D)&#34;Lack of overtime is a common issue.&#34;&#10;E)&#34;Negotiations are a common issue.&#34;

Accepted Answer

The answer of The nurse manager has an adequate understanding...

Question 23

A nurse believes that an assignment is unfair and refuses to care for the assigned patients.What could be the outcome if the nurse abandoned the patient assignment? (Select all that apply.)&#10;A)The nurse would be assigned to another group of patients.&#10;B)Untoward patient outcomes&#10;C)Other nurses would take on the nurse's assignment.&#10;D)Disciplinary action by the Board of Nursing&#10;E)Disciplinary action by the nurse's employer

Accepted Answer

The answer of A nurse believes that an assignment is...

Question 24

Which actions by hospitals in the 1940s began the journey to collective bargaining for nurses? (Select all that apply.)&#10;A)Allowed nurses to work 40-hour work weeks&#10;B)Compensated nurses for overtime&#10;C)Scheduled nurses to work 50- to 60-hour work weeks&#10;D)Subjected nurse to arbitrary schedules&#10;E)Did not offer sick or personal time

Accepted Answer

The answer of Which actions by hospitals in the 1940s...

Question 25

What actions can the registered nurse take to control personal practice? (Select all that apply.)&#10;A)Improve the professional practice of nurses and nursing assistants.&#10;B)Refrain from shared governance.&#10;C)Implement peer review.&#10;D)Identify and recommend elimination of hazards in the workplace.&#10;E)Identify and recommend processes that work to ensure the safety of patients.

Accepted Answer

The answer of What actions can the registered nurse take...

Deck 18: Collective Bargaining: Traditional Unionand Nontraditional Approaches