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Type: MCSA
A grievance has been filed against a hospital whose nursing staff has just established a union. What is the nurse
executive’s first step?
1. Call the union representative for a meeting to discuss the grievance.
2. Call managers together to discuss the grievance.
3. Notify staff nurses that the grievance has been received.
4. Review the agreement for information about grievances.
Correct Answer: 4
Rationale 1: This may be a wise idea, but it is not the first step.
Rationale 2: This may be a wise idea, but it is not the first step.
Rationale 3: This is not the first step.
Rationale 4: The nurse executive’s first step should be to review the agreement with the union. This agreement
will describe the steps and progression of a grievance.
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: 24-3: Explain what is involved in the grievance process.
Question 15
Type: MCMA
A grievance has been filed against a hospital. Which statement by the nurse executive reflects common reasons
for grievances?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “The nurses want more benefits than specified in the contract we just signed.”
2. “I think there is a misunderstanding of one of the terms of the contract.”
Sullivan, Effective Leadership and Management, 8/e Test Bank
3. “I think this grievance is based on a term in the old contract that is not included in the new contract.”
4. “The nurses want higher wages because the other hospital in town just raised their pay scale.”
5. “This contract just is not going to work. We need to renegotiate.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 24-3: Explain what is involved in the grievance process.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 17
Type: MCSA
A nurse assistant states, “I don’t understand why they would select a nurse to be the union representative.” Which
response by a coworker is appropriate?
1. “Administration chose a nurse for this role.”
2. “Why do you care who is the representative?”
3. “The representative must be an employee of the union or a member of the nursing staff.”
4. “The representative must be a nurse if the unionized organization is a hospital or health care organization.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 24-3: Explain what is involved in the grievance process.
Question 18
Type: MCSA
A union representative tells the nurses of a hospital that they should review the Kentucky River trilogy as part of
their education regarding unionization. What will the nurses learn from this review?
1. A summary of the benefits of collective bargaining in the health care industry
2. The history of unionization in the United States
3. What the nurse can expect to pay as a member of the collective bargaining unit
4. Which nurses are considered to have supervisory status
Rationale 1: This is not the focus of this work.
Rationale 2: This is not the focus of this work.
Rationale 3: This is not the focus of this work.
Rationale 4: These three landmark decisions outline which nurses have supervisory status.
Global Rationale:
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 24-4: Describe the legal issues involved for nurses.
Question 19
Type: MCSA
A nurse is discussing the intent of the nurse’s collective bargaining representation to strike. The nurse’s spouse is
concerned about the length of time the nurse may lose as a result of a strike. Which statement by the nurse is
correct?
1. “Nurses can’t strike; it’s just a term on paper.”
2. “The hospital isn’t allowed to replace my position because of a strike.”
3. “The hospital has a 10-day notice before we go on strike.”
4. “Not all staff nurses are included in the strike.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 24-3: Explain what is involved in the grievance process.
Question 20
Type: MCSA
The nursing staff at a hospital is upset regarding nurse–client ratios. One of the nurses says, “Our contract is not
being honored. I think we need to tear it up and strike, starting tomorrow.” Which response by the union
representative is most appropriate?
1. “We can’t strike until we have given administration 10 days’ notice of our desire to change the contract.”
2. “The FMCS (Federal Mediation and Conciliation Service) has to have 30 days’ notice of our intent to strike.”
3. “I have to let the medical chief of staff know we are going to strike at least 30 days before it happens.”
4. “I have to meet with the Board of Directors and tell them 24 hours in advance.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 24-3: Explain what is involved in the grievance process.
Question 21
Type: MCSA
The manager tells a potential nurse hire that the organization is a “closed shop” organization. The nurse asks for
clarification. Which response by the manager is most accurate?
1. “A ‘closed shop’ is an organization in which union representation and collective bargaining practices are not
discussed.”
Sullivan, Effective Leadership and Management, 8/e Test Bank
2. “It is a term used to describe the collective bargaining practices in this state.”
3. “It means you are required to join the union if you accept this position.”
4. “You are required to sign a statement stating you received information regarding union membership.”
