Exam 14: Work Force Engagement Through Collective Action and Governance

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.To accomplish the goals of the nursing department, resources need to be allocated that administration is not able to allocate.Nursing and administration:

Sandra, an RN on the surgery unit, is assisting with a procedure in the patient examination room.The physician orders a medication to be given through IV.Sandra questions the order, based on 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:

While making rounds, a night supervisor finds a unit with a low census and too many staff members.The night supervisor is performing as a statutory supervisor when he or she:

Senior executives at Hospital A determine that the hospital will engage in a strategic planning process after changes in healthcare funding and concerns expressed in the community about care that is being delivered at the hospital.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 the mission statement, goals, and objectives.For true shared governance to be seen as part of this approach:

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 initialed by staff.He calls the agencies and indicates that teaching has been done.Potential outcomes of Martin's actions include: (Select all that apply.)