There is general agreement on a postsurgical unit that the admission assessment template that is ...

There is general agreement on a postsurgical unit that the admission assessment template that is used is lengthy, unwieldy, and includes many parameters that are not relevant to the care of the patient population on the unit.
 
  Which of following aspects of amending the assessment
  template best exemplifies the concept of shared governance?
 
  A) Managers and nurses cooperatively make a change and share accountability for the
  outcomes.
  B) The unit manager consults with nurses and members of other disciplines prior to changing
  the document.
  C) The decision-making process reflects the chain of command that exists at the hospital.
  D) Nurses collectively present the change in practice to the manager, who is then accountable
  for the outcomes of the change.

Question 2

Which of the following conditions must be met in order to ensure the efficient and effective operation of a healthcare organization?
 
  A) Span of control must be kept as narrow as possible.
  B) The chain of command must be explicitly and clearly delineated.
  C) The formal organizational structure must closely mimic the informal relationships that exist
  (the grapevine).
  D) Registered nurses must occupy positions in employee, middle management, and executive
  roles.

Question 3

A nurse has concerns about some of the practices on the hospital unit and met with the unit manager to explain these concerns. After the meeting, the nurse felt misunderstood and rebuffed by the manager.
 
  How should the nurse determine who in the organization to meet with next?
 
  A) Consult with the hospital bureaucracy
  B) Enlist the help of a union representative
  C) Ask colleagues about who is most influential in the organization
  D) Refer to the hospital's chain of command

Question 4

As part of the development of a new inner-city clinic, a group of nurses and members of other health disciplines have drafted a mission statement for the clinic. This statement will most likely specify
 
  A) the priorities for the health of the identified population.
  B) the main goals and functions that the organizers envision for the clinic.
  C) the philosophies and beliefs that underlie the existence and functioning of the clinic.
  D) the health outcomes that the organizers see as currently lacking in the community.

Question 5

Nurses decide to go on strike to try to force improvement in the quality of patient care in their facility.
 
  Once the strike is resolved, what are their options for being rehired by the facility under the reinstatement privilege that is in effect in their contract?
 
  A) They will be rehired after the strike whether or not it is decided that the strike was lawful.
  B) They will be rehired after the strike as positions become available provided they have not
  engaged in unfair labor practices.
  C) They will be rehired to replace nurses hired during the strike who were hired to replace
  them.
  D) They will be rehired at their former job as soon as the strike is resolved.

Question 6

Which of the following statements accurately reflects the general use of the grievance process by nurses?
 
  A) Grievances usually are related to interpretations of a contract or to policies and procedures.
  B) Although either the management or an employee can file grievances, in most instances it is
  management that initiates the case.
  C) A grievance involves informal talk between the management and the employee until the
  issue is resolved.
  D) Employees may have grievances about the contract negotiation process itself.

Question 7

Nurses working in a hospital initiate a negotiating session in which they offer to take a pay cut to allow management to provide job security and to hire more nurses to alleviate understaffing. What is the term for this type of session?
 
  A) Interest-based bargaining
  B) Collective action bargaining
  C) Concession bargaining
  D) Good faith bargaining