1. Nurse A has been employed full-time with the organization for 3 years, and is
preparing for the placement of a foster child in the home.
2. Nurse B has been employed full-time with the organization for 10½ months,
and is due to give birth to a baby this week.
3. Nurse C has been employed full-time with the organization for 6 years. Nurse
C’s mother fractured her hip during a fall 1 week ago, and will be moving in
with Nurse C’s family after release from the hospital.
4. Nurse D has been employed full-time with the organization for 2 months, and
was in a motor vehicle accident this morning and suffered severe injuries.
Nurse D is currently in the Intensive Care Unit as a client.
5. Nurse E has been employed full-time with the organization for 21 years, and
wants to take the 4 months off of work to go to Europe.
11. With each interaction with the nurse during the shift, the client tells the nurse a
“dirty” joke and makes sexual comments about the nurse’s appearance. Which of the
following is the best response by the nurse to this client?
1. “If you say that again, I will slap you.”
2. “I am withholding your evening meal because of your behavior.”
3. “Fine. I will report your behavior to my nursing manager.”
4. “I find it inappropriate for you to say those kinds of things.”
12. The nurse has been verbally and physically attacked by a physician in the Emergency
Department. The nurse is meeting with the nurse manager. Which of the following
responses by the nurse indicate that more education is necessary regarding how to react
during these types of situations? Select all that apply.
1. “I should not have continued to discuss the issue with the physician.”
2. “I was wrong to have stood up for myself during the discussion with the
physician.”
3. “I should’ve stated that I didn’t like the physician’s behavior.”
4. “I did the right thing when I got you involved with the situation.”
5. “I should not have told the physician to call me by name and not ‘Idiot’.”
Learning Objective 5
Analyze the elements of collective bargaining.
13. Some of the nurses in the organization are preparing to unionize due to longstanding
issues related to mandatory overtime policies enforced by the health care organization.
Which of the following statements by a nurse supervisor is an example of an unfair labor
practice?
1. “It’s up to you as nurses to decide for yourselves whether you want to join a
union.”
2. “The rights of those who refrain from joining the union are as important as the
rights of those of you who do join.”
3. “It doesn’t matter to me how you decide to organize yourselves.”
4. “I’m sorry that the time I’ve chosen for your mandatory staff meeting is at the
same time as your union meeting.”
14. The health care organization is a “magnet” facility. Which of the following
statements by the new nurse indicates that further teaching is necessary regarding
implementation of policies and procedures characteristic of magnet facilities?
1. “I’ve been using the scripting that was provided about how to use the call
lights to ensure the clients feel safer.”
2. “I really like using these new and safer intravenous catheters.”
3. “I’m perfectly happy with my associate’s degree in nursing. I see no need to
go back to school for my bachelor’s.”
4. “Our rates of ventilator–associated pneumonia are decreasing.”
15. Some of the nurses at the health care facility have organized a strike due to perceived
unfair labor practices. Which of the following statements reflect typical feelings about
strikes by the nurses who have chosen not to participate in the strike? Select all that
apply.
1. “I bet our client fall rates will go up again.”
2. “They’re going to enforce mandatory overtime.”
3. “At least we have guidelines for nurse–to–client ratios. They won’t give us
more clients than we can handle.”
4. “It won’t take long to hire and train the new crop of nurses.”
5. “I don’t know how we’re going to get all of the required client care completed
during the strike.”
16. The nurse has decided to join a strike with other nurses who feel that the health care
organization for which they work is using unfair labor practices. The nurse discusses the
strike with several other nurses. Which of the following comments by the nurse indicates
that the nurse requires more education about the implications of participating in the
strike?
1. “If I go back to work here after this, I might have harder client assignments.”
2. “I might lose my seniority if I participate in the strike.”
3. “At least they won’t fire me for participating in the strike.”
4. “I might lose my place on the clinical ladder.”