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Sullivan, Effective Leadership and Management, 8/e
Chapter 24
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
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.
Sullivan, Effective Leadership and Management, 8/e Test Bank
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.”
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
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
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 5
Type: MCSA
A housekeeping employee is questioning the employees’ agent regarding the role of administering the ratified
contract. The agent should explain to the employee that this role belongs to which person?
1. Union president
2. Hospital administrator
3. Designated union representative
4. Bargaining agent
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 6
Type: MCSA
The housekeeping employee asks the employees’ agent what role the union representative plays. What answer
should the agent provide?
Sullivan, Effective Leadership and Management, 8/e Test Bank
1. “They will set wages for union members.”
2. “They are responsible for writing floating policy for administration.”
3. “They oversee the retirement funds.”
4. “They are responsible for administering the contract.”
Rationale 3: Cessation is not related to union membership.
Rationale 4: A mediator is appointed if the two sides of the contract cannot agree on changes.
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 8
Type: MCSA
As a cost-saving initiative, the hospital administration has asked the night staff nurses to refill drug supplies at
night while the pharmacist is not present. The nurses file a grievance and nurse managers become involved. How
would this grievance be classified?
1. Violation of agency rules
2. Contract violation
3. Failure of management to meet its responsibilities
4. Violation of federal and state laws
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 24-2: Describe the nurse manager’s role in collective bargaining.
Question 9
Type: MCMA
Sullivan, Effective Leadership and Management, 8/e Test Bank
A nurse has been hired as a new nurse manager at a hospital that has union representation. Which union-related
activities should this manager expect will be included in the role?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Actively helping to administer any grievance procedures
2. Participating in issues related to disciplining employees
3. Encouraging union membership
4. Being certain that all disputes within management are public
5. Avoiding collective bargaining
2. The right to forbid management from unilaterally changing employment conditions for employees outside the
bargaining unit
3. The right to jointly negotiate expanded bargaining units with the employer after the election
4. The right to be the bargaining agent for a group of employees
Rationale 2: The manager should address the issue of employees not discussing collective bargaining while at
work or on the work site.
Rationale 3: It is not necessary to issue a written warning for discussion of wages.
Rationale 4: Simple discussion of wages and benefits does not herald a strike.
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 12
Type: MCMA
A nurse who works in a hospital with a collective bargaining unit requires disciplining. Which actions by the
nurse manager are critical?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Coaching the nurse as appropriate
2. Letting the collective bargaining unit handle any disciplinary needs
3. Reviewing policy and procedures with the nurse
4. Discussing expectations that were not met
5. Directing any questions the nurse has to the union representative
Rationale 5: The manager should answer questions that pertain to the actions for which the nurse is being
disciplined.
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 13
Type: MCSA
An ICU nurse manager states, “The hospital has a union but I wouldn’t advise joining,” to a newly hired nurse.
The human resources (HR) director is informed of this comment. How should the HR director respond?
1. Call the new nurse and explain that joining the union is encouraged by the hospital.
2. Remind the manager that there is to be no interference with an employee’s decision to join the union.
3. File a grievance against the manager.
4. Terminate the manager.
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 14
Sullivan, Effective Leadership and Management, 8/e Test Bank
