Leadership Ch. 14

Which statement by a colleague indicates an understanding of nursing unionization?

"Collective bargaining focuses on regulating work conditions."

Which statement by a nurse needs clarification when discussing the benefits of unionizing?

"I do not want to lose my job for forming a union."

Which statement by a nurse indicates an understanding of the framework of shared governance in a healthcare organization?

"Increases nursing's accountability for decisions that affect practice"

Which statement by a nurse indicates an understanding of the principle of Magnet® recognition?

"Is an endorsement for excellence in nursing"

Which statement by a nurse correctly identifies a right supported by the American Nurses Association (ANA) Bill of Rights for Nurses?

"Nurses should be fairly compensated."

Which direct effect of workplace violence has a negative effect on the organization? Select all that apply.

Cost of legal liabilities The need for expensive security measures Loss of company image causing a reduction in the number of patients

Which factor does the manager identify as being an origin of workplace violence? Select all that apply.

Culture Economics Organizations

Which element on a unit is associated with the conceptual model of Quadruple Aim? Select all that apply.

Reducing costs Population health Patient experience Care team well-being

Which keyword does the nurse recognize reflects organizational justice in an organization's mission and values? Select all that apply.

Respect Advocacy Compassion

Which concept describes activities and strategies undertaken to address the challenges faced by nurses in their practice settings?

Workplace advocacy.

Which strategy does the management team use when collaborating on a plan to decrease workplace violence?

Actively promote the development of socialization processes.

Which resource does the manager review to discuss the responsibility and accountability of the nursing staff to advocate for patients and families?

American Nurses Association Code of Ethics

Which example describes an aspect of workplace violence?

An organizational problem

Shared governance is a dynamic process that leads to staff empowerment. Healthcare organizations that practice shared governance must support nurse leaders in this process by providing continuous education. Which educational program topics support nursing leadership in healthcare organizations that practice shared governance? Select all that apply.

Conducting effective meetings Implementing successful problem-solving skills Enhancing communication skills and techniques Improving processes for reporting and data management

Which reason would the nurse manager give for underreported workplace violence?

Assumption it is part of the job

Which characteristic is the nurse demonstrating when he or she obtains a social work consult for a patient?

Autonomy

Which potential consequence of workplace incivility would the nurse manager include in a discussion with staff? Select all that apply.

Burnout Depression Increased substance abuse

When preparing to implement shared governance on the unit, which principle will help the nurse manager increase the effectiveness of the process?

Conflict resolution

Which finding would the administrator acknowledge promotes workplace advocacy within a healthcare organization? Select all that apply.

Control of practice Career development Employee assistance Employment opportunities

Which components are the interdependent links identified by the American Association of Critical Care Nurses (AACN) between the quality of the work environment and the effect on nursing? Select all that apply.

Clinical excellence Optimal patient outcomes Healthy work environment

Which measure would the nursing team take to discuss the improvement of working conditions on the unit with management?

Collective action

Which principle would the nurses focus on to improve the process of transferring patients to other units?

Collective action

Which initial strategy would nurses use to approach the management team with a request for alternative working hours?

Collective bargaining

Which outcome would the nurse identify as a direct cost of workplace incivility?

Disability

Which concept is reflected in a nurse's statement that he or she feels safe speaking up if something is wrong on the unit?

Empowerment

Which concept occurs when the nurse manager observes staff preparing to vote on a new method of scheduling?

Empowerment

Which action by the nurse manager will be most effective for decreasing workplace violence with a nurse who has intentionally sabotaged a colleague?

Enforcing a zero-tolerance policy

Which statements reflect the historic main purposes of collective participation for nurses? Select all that apply.

Establishing standards of care Allocating resources effectively and efficiently Promoting the practice of professional nurses Fostering satisfaction and support in the practice environment

Which intervention would the nurse manager implement to improve workplace engagement of nursing staff?

Establishing trust

Which concept guides the knowledge content of work required for nursing practice?

Evidence-based practice

Which benefits does the nurse manager include in a discussion with staff regarding the healthcare organization's plan to pursue Magnet® recognition? Select all that apply.

Evidence-based practices Improved patient outcomes Transformational leadership Demonstration of exemplary nursing practice

Which intervention would the management team use as an effective measure for decreasing workplace violence?

Exemplify positive attitudes and behavior.

When discussing the Nurses' Bill of Rights, which does the nurse manager include about components that address workplace expectations and environment? Select all that apply.

Facilitating advocacy Supporting fair compensation Addressing employment conditions Meeting professional and legal standards

Which process must the nurse manger take to discipline a nursing staff employee who is a member of the union?

Follow due process.

Which examples of overt bullying does the nurse manager include in a discussion with staff? Select all that apply.

Having all decisions challenged Experiencing nonverbal intimidation Being accused of making errors made by someone else

Which concept reflects the common goals of unionized workers? Select all that apply.

Healthcare benefits Retirement benefits Improved working conditions Maintaining integrity of the trade

Which benefits does the nurse include when discussing the benefits of collective bargaining with colleagues? Select all that apply.

Improved patient care Increased patient satisfaction Improved relationships with management

Which activity is occurring when the nurse reports that a co-worker has repeatedly made rude remarks about him or her in front of others?

Incivility

Which effect would the nurse manager include in a discussion with healthcare administrators about the effects of nursing burnout on the organization? Select all that apply.

Increased costs Reduced health outcomes Decreased patient satisfaction

Which factor is associated with the stability of the rate of nurses involved in the union? Select all that apply.

Level of education Community support Financial commitment

Which components would be included in a discussion about the workplace advocacy framework? Select all that apply.

Mutuality Protection Facilitation Coordination

Which information does the nurse manager include when discussing the benefits of shared governance with nursing staff? Select all that apply.

Opportunity to get involved Improved patient outcomes Improved retention and job satisfaction Increased accountability for decision making

Which concept would the nurse be able to identify when reviewing the healthcare organizations' mission and values statement?

Organizational justice

Which resource would the nurse consult to find a healthcare organization's definition of workplace violence?

Organizational policy

Which infraction should the nurse manager focus on when counseling a nurse who yelled at a nursing assistant?

Overt bullying

Which phrase accurately describes interactional justice?

Perceived quality or extent to which people are treated with dignity and respect

Which negative effect does the nurse manager know is associated with individual bullying?

Physical illness

Which reason would the manager recognize contributes to nursing turnover?

Poor job fit

Which purposes will be included when reviewing the main purposes for collective action with colleagues? Select all that apply.

Promote professional nursing practice. Establish and maintain standards of care. Allocate resources effectively and efficiently. Create satisfaction and support in the practice environment.

Which factor would the nurse manager recognize is key for maintaining a high level of engagement of the nursing staff that allows them to speak up without fear of retaliation?

Psychological safety

Which strategy will be most effective in gaining support for the interventions created to address workplace violence?

Raise awareness about the negative effects of workplace violence.

Which outcome would the nurse recognize is an individual indication of bullying?

Reduced self-esteem

Which feature does the nursing staff know is usually addressed in collective bargaining agreements? Select all that apply.

Salary Training Working hours

Which consequence would an organization be prepared for if unionized staff failed to reach an agreement with healthcare management during the collective bargaining process? Select all that apply.

Strikes Lockout Decreased productivity

Which action needs to be taken by the nurse before a healthcare institution can achieve status from the American Nurses Credentialing Center's (ANCC) Pathway to Excellence Program?

Submitting evidence in a confidential survey

Which bullying behavior does the nurse manager recognize is occurring during a team meeting when a particular nurse shares an opinion and the comment is intentionally ignored by colleagues?

Subtle

Which form of bullying does the manager suspect is occurring if a specific charge nurse frequently assigns nurses tasks they are unprepared to perform?

Subtle

Which concept does the nurse manager understand is associated with better patient outcomes on a specific unit?

Successful engagement

Which situation supports the nurse manger's suspicion that subtle bullying is occurring on the unit?

The nurse overhears staff members gossiping about him or her.

Which characteristics describe a healthy work environment? Select all that apply.

True collaboration Appropriate staffing Skilled communication Effective decision making

Which concept does the manager include when preparing to adopt the American Association of Critical Care Nurses (AACN) standards for maintaining a healthy work environment? Select all that apply.

True collaboration Authentic leadership Meaningful recognition