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
2,3,4
Rationale 1: Routine clinical judgment in care of clients is not included in "independent judgment."
Rationale 2: If the nurse is regularly scheduled as charge nurse, the nurse is considered to be using independent judgment to match staff skills to client needs.
Rationale 3: If the nurse is matching staff skills to client needs, independent judgment is being used.
Rationale 4: If the nurse is matching employee skills with client needs, independent judgment is being used.
Rationale 5: Using assessment findings to alter the plan of care is clinical judgment, not independent judgment in the context of collective bargaining.
Global Rationale:
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