Exam 21: Collective Nursing Advocacy

On Unit 62,the nurses and the unit manager have been involved in shared decision-making about the model of nursing care delivery that the unit will adopt.All individuals have participated and been involved in decision-making and implementation of changes.When issues arise during implementation,it is expected that:

The emergency department staff members are concerned that working long hours without rest puts patient safety at risk.One staff member decides that she will risk her job and become a whistle-blower.Whistle-blowing is an appropriate recourse when management:

The emergency department staff decides to use a collective bargaining model for negotiation.This model is characterized by:

After changes in health care funding and the community's expressed concerns about care that is being delivered at Hospital A,senior executives at the hospital determine that the hospital will engage in a strategic planning process.The senior executives decide on a participatory process in which staff are widely consulted regarding input about the organization and the external environment and are actively invited to be part of decisions related to mission statement,goals,and objectives.For true shared governance to be seen as part of this approach,which of the following conditions is necessary?

Workplace advocacy is an umbrella term that encompasses advocacy activities within the practice setting.Which of the following are examples of workplace advocacy.(Select all that apply.)

In Hospital STV,senior administration is strongly oriented toward fiscal and social conservatism.The nursing department is deeply concerned with the provision of quality to the community,which includes a high number of poor and unemployed residents.To accomplish the goals of the nursing department,resources need to be allocated,but administration is not able to allocate.Nursing and administration:

Work environment factors have a direct effect on nurses' job satisfaction and the ability to influence patient care,and is mainly influenced by the:

In an inner-city neighbourhood characterized by high levels of violence,the nurses in the emergency department continue to be concerned about safety levels.As the manager,you ask the nurses to:

Some of the major issues that have led to increased union activity in nursing are? (Select all that apply.)

Nurses on the dialysis unit notice that changes in labelling of fluids have caused several alarming instances in which fluids were almost administered incorrectly.They take this concern to the unit manager.As an advocate of nurse autonomy,the most appropriate response in this situation would be which of the following?

In a nurse managers' meeting,strategies for ways to help retain staff are discussed.One strategy for assisting nurses in developing collective action skills is:

In an inner-city neighbourhood characterized by high levels of violence,nurses in an emergency department are concerned with low levels of security presence in their department.Security levels have recently been decreased.An appropriate action would be which of the following?

A Magnet hospital surveys the staff about job satisfaction.This type of environment,in which nurses have authority and autonomy,is linked with:

Government has indicated to provincial health departments that the budget will be decreased in the coming year by 7%.After the funding announcements,senior officials at the hospital meet and make decisions regarding cost containment of new revenue streams.This action is consistent with:

Which of the following is a common belief related to the relationship between supervisory and nonsupervisory nursing positions?

In an inner-city area,a group of nurses meet and develop a plan to negotiate with local businesses to support a breakfast program for young elementary school-age children.This is an example of:

Evidence-informed practices (EIPs)are a key strategy for enhancing learning and increasing nurse capacity,and also for contributing to: (Select all that apply.)

Sandra,a registered nurse on the surgery unit,is assisting with a procedure in the patient examination room.The physician orders a medication to be given intravenously.Sandra questions the order on the basis of her knowledge of the patient's history,and of other medications that the patient has been given.The physician reiterates the order and Sandra refuses to give it.In this instance,Sandra is demonstrating:

In looking at an organizational chart for her institution,Marie notes that the nursing staff is led at the senior level by a non-nurse executive.Marie expresses concern that this is a reflection of how nursing is viewed within the organization.Marie's comments reflect:

Martin,the unit manager,receives complaints from community agencies that patients who have been discharged from his unit seem to lack understanding about their disorder and immediate strategies for managing elements of their care.Martin checks the patient teaching sheets and notes that the sheets are initialled by staff.He calls the agencies and indicates that teaching has been done.Martin's follow-up to complaints from the community is: