Nokea
A nurse has heard rumors that other nurses are interested in unionizing but knows little about the purpose of unions. The nurse's first action is to:
- A. contact an arbitrator who has worked with other nurses in unions.
- B. picket the agency where employed to gain inside information as to why unionization is sought.
- C. sign the dual-purpose union authorization card.
- D. review the National Nurses United website for collective bargaining information.
Correct Answer: D
Rationale: The correct answer is D because reviewing the National Nurses United website for collective bargaining information is the most appropriate first action. This option allows the nurse to educate themselves on the purpose of unions and understand the benefits of collective bargaining. It promotes informed decision-making and empowers the nurse with knowledge before taking any further actions.
A: Contacting an arbitrator may be premature as the nurse needs to first understand the basics of unions.
B: Picketing the agency is counterproductive and may create a hostile environment without proper information.
C: Signing a union authorization card without understanding the implications is not advisable and may lead to unintended consequences.
Summary: Option D is correct as it promotes education and informed decision-making, while the other choices are premature, potentially harmful, or lack necessary information.
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Troops from the United States participating in a peace mission in a foreign country were the victims of suicide bombers and many soldiers were evacuated back home to receive specialized medical care. The nation's medical responses will be augmented by:
- A. the federally coordinated National Disaster Medical System.
- B. local homeland communities where troops receive care.
- C. the Medical Reserve Corps, which organizes and utilizes public health, nursing, medical, and other volunteers.
- D. the National Incident Management System, which guides government, nongovernmental organizations, and the private sector to work seamlessly during disaster situations.
Correct Answer: A
Rationale: The correct answer is A: the federally coordinated National Disaster Medical System (NDMS). This system is specifically designed to provide medical care and support during disasters, including incidents involving mass casualties like the suicide bombing in the question. NDMS can rapidly deploy medical teams, equipment, and supplies to support local medical responses.
Choice B is incorrect because local homeland communities may not have the necessary resources and capabilities to handle a large-scale medical emergency like this. Choice C is incorrect because while the Medical Reserve Corps can provide additional support, it may not have the same level of coordination and resources as the NDMS. Choice D is incorrect as the National Incident Management System focuses on overall coordination of all emergency response efforts, not specifically medical care.
The number of reported medical errors demonstrates a need for what priority intervention?
- A. Simulation experiences
- B. Performance competency exercises
- C. Comprehensive instructor-constructed examinations
- D. Detailed care planning exercises
Correct Answer: A
Rationale: The correct answer is A: Simulation experiences. This intervention allows healthcare professionals to practice real-life scenarios in a controlled environment, improving skills and decision-making. It helps identify and address potential errors before they occur, enhancing patient safety. Other choices lack the hands-on, practical approach of simulations and may not adequately prepare professionals for real-world situations. Simulation experiences are crucial for enhancing clinical competence and reducing medical errors.
Which item below correctly describes the U.S. Bureau of Labor Statistics predictions by 2020?
- A. Positions that historically required registered nurses will be filled by unlicensed personnel.
- B. The job growth rate for RNs will surpass job growth in all other occupations.
- C. The need for hospital nurses will dramatically decrease.
- D. Hospitals will finally achieve the required RN workforce.
Correct Answer: B
Rationale: The correct answer is B because the U.S. Bureau of Labor Statistics predicts that the job growth rate for RNs will surpass job growth in all other occupations by 2020. This is supported by the increasing demand for healthcare services due to an aging population and advancements in medical technology. Choice A is incorrect as the need for registered nurses is expected to continue due to the complexity of patient care. Choice C is incorrect as the need for hospital nurses is projected to increase, not decrease. Choice D is incorrect as many hospitals still struggle to achieve the required RN workforce due to various factors like turnover and retention issues.
During orientation, a novice nurse sits and "virtually spends" the first few paychecks, envisioning the money going into a personal bank account. In the dream state, the nurse smiles and knows that the pain of nursing school was worth it. Which phase of reality shock is the nurse experiencing?
- A. Honeymoon
- B. Shock or rejection
- C. Recovery
- D. Resolution
Correct Answer: A
Rationale: The nurse is experiencing the "Honeymoon" phase of reality shock. In this phase, individuals feel excited, optimistic, and idealistic about their new role and workplace. The nurse's positive visualization of enjoying the benefits of their hard work during orientation aligns with the honeymoon phase. This phase is characterized by a sense of satisfaction, fulfillment, and a belief that the sacrifices made, such as enduring nursing school, were worth it. The nurse's emotional state of smiling and feeling content reflects the honeymoon phase.
Other choices are incorrect:
B: Shock or rejection - This phase involves feeling overwhelmed, anxious, and doubting one's abilities. The nurse's positive emotions do not align with this phase.
C: Recovery - This phase involves adjusting and finding ways to cope with the challenges of the new role. The nurse is not in a phase of recovery as they are not struggling or adapting to the new environment.
D: Resolution - This phase involves accepting the reality of the new role and moving forward
A nurse is interested in working in a large trauma center that is unionized but does not want to join the union or pay fees. She accepts the position but is not required to join or pay fees to the union based on which law?
- A. National Labor Relations Act
- B. Right-to-work law
- C. National Labor Relations Act
- D. Taft-Hartley Act
Correct Answer: B
Rationale: The correct answer is B: Right-to-work law. This law prohibits requiring union membership or payment of union fees as a condition of employment. The nurse can work in the unionized trauma center without being obligated to join or pay fees due to the provisions of the Right-to-work law.
A: National Labor Relations Act - This act protects the rights of employees to join or form unions but does not specifically address the issue of mandatory union membership or fees.
C: National Labor Relations Act - This is a duplicate choice.
D: Taft-Hartley Act - This act regulates labor unions but does not specifically address the issue of mandatory union membership or fees.