Exam 20: Collective Nursing Advocacy

A group of staff nurses and a nurse manager represent a subculture in their facility.Subcultures differ in regard to

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

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?

Evidence-informed practices (EIPs)are a key strategy for enhancing learning and increasing nurse capacity,as well as for contributing to

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

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

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 that administration is not able to allocate.Nursing and administration

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

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?

You are a new nurse manager who has "inherited" a unit with high nurse turnover and complaints of patient dissatisfaction.What would be your first course of action?

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?

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

The chief nursing officer uses the hospital's workplace advocacy to help the overwhelmed emergency department staff.Workplace advocacy is designed to assist nurses by

Health care inequities frequently arise from

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

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 nurses' decision to organize for the purpose of collective bargaining is being driven by a desire to

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

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