Correct Answer: 2,4,5
Rationale 1: Both staff nurses and supervisory nurses make clinical judgments about client care.
Rationale 2: If the nurse makes assignments to a nurse assistant, the nurse has supervisory capacity.
Rationale 3: Both staff nurses and supervisors discuss client care with supervising physicians and other
physicians.
Rationale 4: Hiring staff to manage a unit is a type of assignment that indicates supervisory capacity.
Rationale 5: If the nurse has responsibility for the actions of those to whom client care has been assigned, the
nurse has supervisory capacity.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 24-4: Describe the legal issues involved for nurses.
Question 24
Type: MCSA
A nurse who has accepted a position as an assistant ICU manager is discussing unionization with the human
resources (HR) director. The HR director says the nurse cannot join the union. What rationale should the HR
director offer for this statement?
1. The nurse has never been in a union in the past.
2. The nurse must first complete orientation before being eligible to join the union.
3. The nurse must have worked in a hospital environment for at least 5 years.
4. Registered nurses hired as management are not eligible for collective bargaining.
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: 24-4: Describe the legal issues involved for nurses.
Question 25
Type: MCSA
The National Labor Relations Board (NLRB) has certified a union to be the bargaining agent for a hospital. A
nurse working in the hospital has a grievance and says to the nurse manager, “Wait until the union gets involved.”
Which response by the manager is appropriate?
1. “NLRB certification does not mean a union will develop.”
2. “A union will not get involved in this situation.”
3. “The NLRB is not concerned with your grievance.”
4. “The grievance will be resolved with or without the NLRB.”
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 26
Type: MCMA
Sullivan, Effective Leadership and Management, 8/e Test Bank
One of the areas of supervision defined by the National Labor Relations Board (NLRB) is “independent
judgment.” Which nurses fall into this category?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. A nurse who routinely reviews lab work and makes a clinical judgment of when to notify the physician
2. A nurse who works twice a month as charge nurse on an acute care unit
3. A nurse who makes team assignments as part of the charge nurse role
4. A nurse whose job includes choosing which assistants to place with which clients
5. A nurse who applies assessment findings when altering the plan of care for a client
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “There just are not many union options for nurses.”
2. “None of the unions available for nurses were developed specifically for nurses.”
3. “The determination of who is eligible to join a union is complicated.”
4. “In some institutions, nurses have formed their own unions.”
5. “No nursing unions have the backing of national organizations like the AFL/CIO.”
4. “The future of collective bargaining in nursing will begin to stabilize along with the health care environment.”
Rationale 2: The nurse manager may not be included in the collective bargaining agreement but certainly would
have an interest in the process.
Rationale 3: The NLRB has addressed many issues that directly impact collective bargaining and nursing.
Rationale 4: Whether or not collective bargaining is used depends on the state in which the nurse works.
Rationale 5: The fee schedule is set by the union, and the value of unions differs.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 24-5: Discuss the future of nursing unions.
Question 30
Type: MCSA
The nurse works in a federal hospital that is beginning the collective bargaining process with nurses. The nurse is
disappointed to discover that which concern cannot be addressed in negotiations?
1. Work hours
2. Job responsibilities
3. Wages
4. Conditions of client care
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Learning Outcome: 24-1: Discuss the laws that govern collective bargaining.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.