Chapter 19: Collective Action

Chapter 19: Collective Action

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The staff members in a local emergency department are experiencing stress and burnout as the result of excessive overtime. The staff decides to unionize to negotiate for better working conditions. The increase in unionization within health care may be attributed to the:

ANS:   D

As technology replaces unskilled workers, fewer workers are available for trade-union organizing, which has led to declines in union memberships. Nurses represent a large pool of workers who may be available for union organizing in the face of the declining pool available elsewhere.

REF:    Pages 381, 382                        TOP:    AONE competency: Business Skills

2. The emergency department nurses’ decision to organize for the purpose of collective bargaining is being driven by a desire to:

ANS:   C

Historically, nurses were reluctant to unionize. However, concern with safety of care and quality of care, especially when tension is present in a work environment, makes unionization more desirable. US Supreme Court rulings have provided for RN-only units and protection to practice according to what the profession and licensure status require nurses to do.

REF:    Pages 381, 382                        TOP:    AONE competency: Business Skills

3. The emergency department staff decides to use a collective bargaining model for negotiation, rather than a traditional trade union model. A traditional trade union model is characterized by:

ANS:   A

Collective bargaining encompasses management support of labor’s initiative, a spirit of trust between labor and management, and resolution of problems, and replaces the adversarial approach that has been associated with traditional trade unions.

REF:    Page 384         TOP:    AONE competency: Business Skills

4. The chief nursing officer utilizes the hospital’s Workplace Advocacy to help the overwhelmed emergency department staff. Workplace Advocacy is designed to assist nurses by:

ANS:   B

Workplace advocacy encompasses a number of activities that enable nurses to control the practice of nursing and to address challenges that they face in the practice setting. These activities include career development, employment rights, employment opportunities, and the labor-management relationship. The aim of workplace advocacy is to proactively equip nurses to practice within a rapidly changing environment, rather than to negotiate contracts or provide representation in employment disputes.

REF:    Page 378         TOP:    AONE competency: Business Skills

5. A group of staff nurses and a nurse manager in an unrepresented facility have been unable to resolve a conflict regarding a change in protocol. Their agreeing to have a nurse from another unit assist them in their group process is an example of:

ANS:   B

Facilitation involves helping others to have a productive discussion, and this situation would likely involve assisting the group to clarify its objectives and present individual viewpoints, with the aim that the group would be able to resolve the dispute itself. Negotiation is considered the process of influencing others with the aim of producing a settlement or agreement. Mediation involves focusing the parties so as to find a mutually acceptable solution. Arbitration refers to a binding dispute resolution process.

TOP:    AONE competency: Leadership