Chapter 24 Effective Leadership and Management in Nursing 8th Edition

Chapter 24  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
The nurse manager is educating staff about the collective bargaining process. Who should this nurse say controls collective bargaining in health care?
1. The judicial system
2. Individual hospitals
3. Nurses’ unions
4. Federal laws
Correct Answer: 4
Rationale 1: The judicial system has ruled on some collective bargaining laws but does not write the law.
Rationale 2: Individual hospitals are participants in collective bargaining but do not govern it.
Rationale 3: Nurses’ unions are participants in collective bargaining but do not govern it.
Rationale 4: Laws have been enacted by Congress to guide and control labor relations between employees and employers.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 24-1: Discuss the laws that govern collective bargaining.

Question 2
Type: MCMA
The nurses of a hospital have given notice of their desire to unionize. The nurse executive is meeting with all nurse managers to discuss their role. Which information should the executive provide for these managers?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “We need to stop this if at all possible. I am counting on you to discourage nurses from joining the union.”
2. “If the nurses on your unit want to organize, do not interfere.”
3. “You cannot say anything about the union, but your actions can speak for you.”
4. “We are not going to participate in this.”
5. “I will keep you posted as we move through this process.”
Correct Answer: 2,5
Rationale 1: Encouraging or discouraging union membership by a manager is an unfair labor practice.
Rationale 2: Interference with the right to organize is an unfair labor practice.
Rationale 3: Any act of domination or indication of preference regarding the union is an unfair labor practice.
Rationale 4: Refusal to bargain collectively is an unfair labor practice.
Rationale 5: The managers must be kept apprised of the process.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 24-2: Describe the nurse manager’s role in collective bargaining.

Question 3
Type: MCSA
Nurses in a hospital are working to establish a union. Which finding will these nurses be interested in seeing?
1. Thirty percent of eligible hospital nurses have signed a card indicating interest.
2. Seventy percent of hospital employees have said they are interested.
3. Fifty percent of staff nurses and management nurses must vote.
4. Thirty percent of all nurses working for the agency must vote.
Correct Answer: 1
Rationale 1: Before an election can be held, the union must demonstrate interest by 30 percent of eligible hospital nurses signing an authorization card.
Rationale 2: Interest in establishing a union must be demonstrated by those who will be establishing the union—in this case, nurses.
Rationale 3: Management nurses are not considered eligible employees when interest in a union is measured.
Rationale 4: Eligible employees include staff nurses but not managers and supervisors.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 24-1: Discuss the laws that govern collective bargaining.

Question 4
Type: MCSA
The nurses in an organization are in the process of selecting a bargaining agent. Which action by the nurse executive is considered a fair labor practice?
1. Promising wage increases if the desired agent is chosen
2. Questioning staff nurses regarding their vote
3. Threatening demotions if the desired agent is not chosen
4. Disallowing collective bargaining organizational meetings at the hospital
Correct Answer: 4
Rationale 1: Administrators are not allowed to promise incentives in return for a favorable selection.
Rationale 2: Nursing management is not allowed to question nurses regarding their feelings about the union activity.
Rationale 3: Nursing administrators are not allowed to threaten punishment for undesirable choices.
Rationale 4: Nursing administrators are not required to allow union activities on hospital property or during working hours.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 24-1: Discuss the laws that govern collective bargaining.