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A nurse is approached to sign a union authorization card. If signed, the card:
- A. authorizes the union to serve as his or her legal representative.
- B. indicates that the person is requesting additional information about collective bargaining.
- C. indicates the nurse desires to share information about grievances.
- D. gives permission for union dues to be deducted from pay.
Correct Answer: A
Rationale: Rationale for Answer A: Signing a union authorization card authorizes the union to serve as the nurse's legal representative in labor negotiations and other matters. By signing, the nurse is indicating consent for the union to act on their behalf. This is a crucial step in the unionization process.
Summary of Other Choices:
B: Requesting additional information about collective bargaining does not require signing a union authorization card.
C: Sharing information about grievances does not necessarily require signing a union authorization card.
D: Deducting union dues from pay is a separate process that typically requires a separate authorization form, not the union authorization card.
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A nurse is concerned about safe staffing levels at a facility and observes that several units have no RN coverage but instead have RNs who float among several units. In determining whether this staffing concern should be reported to an outside agency, the nurse understands that, with whistle-blowing:
- A. reporting unsafe staffing levels to The Joint Commission provides protection from the employer.
- B. keeping copies of documented inappropriate staffing patterns in the nurse's personal file is illegal.
- C. when observing inappropriate staffing, the nurse should record her personal thoughts concerning the outcomes.
- D. one should seek guidance from a trusted individual who can provide an objective point of view.
Correct Answer: A
Rationale: The correct answer is A because reporting unsafe staffing levels to The Joint Commission is an appropriate course of action for addressing concerns about patient safety. The Joint Commission is an independent organization that accredits healthcare facilities and promotes high-quality care standards. Whistleblower protection laws safeguard employees who report violations of laws, regulations, or standards that threaten public health or safety. Reporting to The Joint Commission can lead to an investigation and potential improvement in staffing levels to ensure patient safety.
Incorrect answers:
B: Keeping copies of documented inappropriate staffing patterns in the nurse's personal file is not illegal, but it may not be the most effective way to address the issue.
C: Recording personal thoughts on outcomes is not as effective as taking action to report concerns to the appropriate regulatory body.
D: Seeking guidance is important, but in cases of unsafe staffing levels, it is crucial to report the issue to the appropriate regulatory agency for resolution.
The NCLEX examination is created and administered by the:
- A. American Association of Colleges of Nursing (AACN).
- B. American Nurses Association (ANA).
- C. National Council of State Boards of Nursing (NCSBN).
- D. National League for Nursing (NLN).
Correct Answer: C
Rationale: The correct answer is C: National Council of State Boards of Nursing (NCSBN). The NCLEX examination is developed and administered by the NCSBN, which is responsible for regulating nursing practice in the United States. They create the exam to ensure that nurses entering the profession meet minimum competency standards. The AACN (choice A) focuses on advancing nursing education, the ANA (choice B) is a professional organization representing nurses, and the NLN (choice D) is an organization that promotes excellence in nursing education. Therefore, the NCSBN is the only organization directly involved in the creation and administration of the NCLEX exam.
The Karnofsky prognostication scale is most appropriately used to screen patients with which medical diagnoses?
- A. Respiratory diseases
- B. Cancers
- C. Cardiac diseases
- D. AIDS
Correct Answer: D
Rationale: The Karnofsky Prognostication Scale is commonly used in patients with terminal illness, such as AIDS, to assess their functional status and predict their prognosis. Patients with AIDS often experience rapid decline in health, making this scale useful in determining their overall well-being and potential outcomes.
Incorrect choices:
A: Respiratory diseases - The Karnofsky scale is not commonly used for screening patients with respiratory diseases.
B: Cancers - While the Karnofsky scale can be used for cancer patients, it is most commonly associated with terminal illnesses like AIDS.
C: Cardiac diseases - The Karnofsky scale is not typically used for screening patients with cardiac diseases.
A client arrives in active labor and exhibits toxemia with irregular fetal heart tones. The client is an immigrant and is uninsured. Which act would prevent the client from being transferred to another facility?
- A. Emergency Medical Treatment and Active Labor Law
- B. Health Insurance Portability and Accountability Act
- C. Patient Self-Determination Act
- D. The Patient Safety and Quality Improvement Act
Correct Answer: A
Rationale: The correct answer is A: Emergency Medical Treatment and Active Labor Law (EMTALA). This act prohibits hospitals from transferring patients in active labor or with an emergency condition based on insurance status or ability to pay. It ensures that all individuals, regardless of insurance or immigration status, receive necessary emergency medical treatment. The other choices are incorrect because:
B: Health Insurance Portability and Accountability Act (HIPAA) protects patient privacy and does not address transfer of patients in active labor.
C: Patient Self-Determination Act focuses on patient autonomy in making healthcare decisions, not on preventing transfer based on insurance status.
D: The Patient Safety and Quality Improvement Act promotes patient safety and quality improvement but does not specifically address transfer of patients in active labor.
A hospital refused to purchase a better grade of utility gloves, even after learning that the cheaper utility gloves are easily punctured during routine use. This unsafe situation led nurses to seek unionization. During the pre-election phase for unionization, which actions by union representatives are prohibited by the National Labor Relations Board? (select all that apply)
- A. Scheduling a meeting in the agency's cafeteria to determine employees' interest in unionization
- B. Distributing nondocumented information that female nurses receive lower annual performance evaluations than do male nurses
- C. Distributing information about the benefits of unionization and grievances in a public parking garage located across from the hospital
- D. Suggesting to workers the likelihood of job loss should the union not win the election
Correct Answer: B
Rationale: The correct answer is B because distributing nondocumented information about gender-based performance evaluations violates the National Labor Relations Act, which prohibits making false statements about an employer. This action could potentially mislead employees and interfere with the election process. Choices A, C, and D are not prohibited actions by the National Labor Relations Board. Choice A involves a legal and common method of gauging interest in unionization. Choice C involves providing information about union benefits and grievances, which is a protected activity. Choice D is permissible as long as it does not contain false or coercive statements.