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A group of RNs wish to seek union representation that would protect all workers in the agency including nonlicensed assistive personnel and non-nursing employees such as nutritionists and dietary workers. The type of union being sought is the strongest collective group and is known as a(n):
- A. occupational union.
- B. industrial union.
- C. union shop.
- D. right-to-work bargaining organization.
Correct Answer: B
Rationale: The correct answer is B: industrial union. Industrial unions represent all workers in a particular industry regardless of their specific job roles, providing collective bargaining power for a broader group. In this scenario, the RNs seeking union representation aim to include nonlicensed personnel and non-nursing employees, making an industrial union the most appropriate choice.
A: Occupational union focuses on specific occupational groups, not as inclusive as industrial unions.
C: Union shop refers to a workplace where all employees must join the union after being hired, not related to the scope of representation.
D: Right-to-work bargaining organization allows employees to choose whether or not to join the union, not the strongest type of union for collective representation.
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A large corporation employs nurses all over the United States. Nurses in one agency learned that fellow nurses in another agency are striking because they are required to work 16-hour shifts to cover for nurses who have left due to unsafe staffing practices. The union of the nonstriking agency nurses decides to stop work to support the nurses who are striking; thus, this union:
- A. is placing nurses at risk for a lawsuit because their direct employer did not cause the strike.
- B. must be an industry union representing both parties.
- C. is participating in a sympathy strike, which, if done correctly, is legal.
- D. must pay for any losses incurred by the agency during the strike.
Correct Answer: C
Rationale: The correct answer is C because the union of the nonstriking agency nurses is engaging in a sympathy strike to support their fellow nurses who are striking due to unsafe working conditions. A sympathy strike is legal as long as it is conducted correctly. In this case, the nonstriking agency nurses are showing solidarity with their colleagues to address the issue of unsafe staffing practices.
Choice A is incorrect because the union's decision to support the striking nurses does not automatically expose them to a lawsuit. Choice B is incorrect as the union represents only one group of nurses, not both parties. Choice D is incorrect because there is no legal requirement for the union to pay for any losses incurred by the agency during the strike.
Overall, the correct answer is C because it accurately reflects the union's action of participating in a sympathy strike to show support for the striking nurses.
The role of the Clinical Nurse Leader (CNL) would include:
- A. diagnosing a patient with pneumonia and prescribing antibiotics.
- B. teaching members of a faith community how to avoid skin cancer and referring those with suspicious lesions.
- C. participating in the team who is investigating possible abuse of elderly persons by members of a gang known to sell illegal drugs.
- D. coordinating care of a patient admitted 4 days ago with stage IV heart failure and chronic bronchitis by revising care plan to include ambulation 50 feet with assistance.
Correct Answer: D
Rationale: The correct answer is D because the role of a Clinical Nurse Leader (CNL) involves coordinating and managing the care of patients. In this scenario, the CNL is revising the care plan for a patient with complex health issues, such as heart failure and chronic bronchitis, by incorporating specific interventions like ambulation with assistance. This aligns with the core responsibilities of a CNL, which include care coordination, implementation of evidence-based practice, and leadership in interdisciplinary teams.
Choice A is incorrect because nurses, including CNLs, do not have the authority to diagnose and prescribe medications, as this falls under the scope of practice of a physician or advanced practice nurse.
Choice B is incorrect because while health education and referral are important aspects of nursing practice, they are more aligned with the role of a community health nurse rather than a CNL.
Choice C is incorrect because investigating abuse and criminal activities is beyond the scope of a CNL's role, as their focus is primarily on
A researcher is interested in learning if elderly persons perceive their health to be satisfactory even with comorbidities and chronic illness. A large multisite assistive living facility will be the site. The researcher lists residents in alphabetical order and chooses every third person on the list. To ensure improved generalizability, the researcher is using:
- A. triangulation.
- B. randomization.
- C. informed consent.
- D. a meta-analysis approach.
Correct Answer: B
Rationale: The correct answer is B: randomization. Randomization helps ensure improved generalizability by reducing bias and increasing the likelihood that the sample is representative of the population. In this scenario, choosing every third person from an alphabetical list introduces a systematic bias and may not represent the entire population accurately. Triangulation involves using multiple methods or data sources to validate findings, which is not applicable here. Informed consent is a necessary ethical consideration but does not directly impact generalizability. A meta-analysis approach involves combining and analyzing data from multiple studies, which is not relevant to the sampling method in this scenario. Thus, randomization is the best choice to improve generalizability in this study.
A nurse is having difficulty managing assignments at work, which results in a feeling of "failure" and tasks that are not completed or that are not completed satisfactorily. The mentor suggests some tips for time management. These include: (select all that apply)
- A. focusing on activities to be completed, rather than on objectives.
- B. planning for tomorrow today.
- C. making certain that the last hours are the most productive in tying up loose ends.
- D. maintaining a log of how the nurse spends time (no need to worry about using complete sentences).
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct:
1. Planning for tomorrow today allows the nurse to set clear goals and prioritize tasks in advance.
2. By planning ahead, the nurse can allocate time efficiently, reducing the feeling of overwhelm.
3. This approach fosters better organization and focus, enhancing productivity and task completion.
4. Planning helps in identifying potential obstacles and developing strategies to overcome them.
5. Ultimately, effective planning leads to better time management and a sense of accomplishment.
Summary of why other choices are incorrect:
A: Focusing on activities rather than objectives can lead to a lack of direction and prioritization.
C: Making the last hours most productive neglects the importance of consistent time management throughout the day.
D: Maintaining a log of time spent can be helpful but does not address the proactive approach of planning ahead for better time management.
A person who is covered by Medicaid moves from one state to another and asks the nurse at the health department why the benefits changed. The correct response by the nurse is:
- A. "Local government controls which benefits each county can provide to Medicaid recipients."
- B. "The federal government does not fund any part of Medicaid, so each state must find ways to pay for benefits."
- C. "Each state determines benefits on the basis of the present economy."
- D. "Medicaid is funded by both state and federal governments, but benefits vary from state to state."
Correct Answer: D
Rationale: The correct answer is D: "Medicaid is funded by both state and federal governments, but benefits vary from state to state."
Rationale:
1. Medicaid is a joint federal and state program, meaning it is funded by both levels of government.
2. States have flexibility in designing and administering their Medicaid programs, leading to variations in benefits across states.
3. When an individual covered by Medicaid moves to a different state, they may experience changes in benefits due to these state-specific variations.
Summary:
A: Incorrect. While local governments may have some influence, Medicaid is primarily funded by both state and federal governments.
B: Incorrect. The federal government does provide funding for Medicaid, but states also contribute, and benefits do vary across states.
C: Incorrect. State benefits under Medicaid are not solely determined by the present economy; they are influenced by various factors and state policies.