The nursing staff at a hospital is upset regarding nurse–client ratios. One of the nurses says, "Our contract is not being honored. I think we need to tear it up and strike, starting tomorrow
" Which response by the union representative is most appropriate? 1. "We can't strike until we have given administration 10 days' notice of our desire to change the contract."
2. "The FMCS (Federal Mediation and Conciliation Service) has to have 30 days' notice of our intent to strike."
3. "I have to let the medical chief of staff know we are going to strike at least 30 days before it happens."
4. "I have to meet with the Board of Directors and tell them 24 hours in advance."
2
Rationale 1: Notice to change the contract must be given 90 days in advance.
Rationale 2: The FMCS is notified if agreement has not occurred within 30 days of the notification to terminate the contract.
Rationale 3: The notification of intent to strike goes to the management, not the chief of staff. The notice is 10 days.
Rationale 4: Notice of intent to strike is given farther in advance than 24 hours and must be in writing.
Global Rationale:
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The nurse is reviewing the immunization record for a client who just learned she is pregnant. Which vaccine is not safe to give during pregnancy?
A) Pertussis B) Annual influenza C) Rubella D) Tetanus
The client is visually impaired and the nurse delegates client ambulation to the nursing assistant. Which instruction for the client does the nurse provide to the nursing assistant? (Select all that apply.)
1. Hold the nursing assistant's arm. 2. Walk directly behind the client. 3. Speak directly in front of the client. 4. Hold the client's nondominant hand. 5. Stand on the client's nondominant side. 6. Rest hands on nursing assistant's shoulders.
Rather than being 100%, concordance rates for schizophrenia in monozygotic twins are only 50%. Which of the following statements best explains this phenomenon?
A) Genetic predisposition to disease is frequently overstated. B) One twin is inherently more vulnerable in every case. C) Environmental experiences affect gene expression. D) The genetic pathway responsible for vulnerability is unrelated to being a twin.