A grievance has been filed against a hospital whose nursing staff has just established a union. What is the nurse executive's first step?
1. Call the union representative for a meeting to discuss the grievance.
2. Call managers together to discuss the grievance.
3. Notify staff nurses that the grievance has been received.
4. Review the agreement for information about grievances.
4
Rationale 1: This may be a wise idea, but it is not the first step.
Rationale 2: This may be a wise idea, but it is not the first step.
Rationale 3: This is not the first step.
Rationale 4: The nurse executive's first step should be to review the agreement with the union. This agreement will describe the steps and progression of a grievance.
Global Rationale:
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It is more common for children with genetic disorders to live longer. What impact does this have on health care delivery for the nurse providing care for these children?
1. Nurses must be familiar with increasing numbers of genetic disorders and the care these children require. 2. Nurses should not spend much time at the bedside, as these children with eventually die of these disorders. 3. Health care delivery is becoming more complex, despite these children requiring less care as they age. 4. Health care delivery will become more and more expensive until children with genetic disorders will have to do without.
A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. What should the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?
a. It can cause medication given at later stages to be ineffective. b. It will have no complications for the mother or infant. c. It may result in respiratory depression to the newborn. d. It will speed up labor and increase pain.
A young female client is experiencing manifestations of a UTI. Which question should the nurse ask to provide information that might help to prevent future UTI infections?
1. "Are you pregnant?" 2. "What kind of bath soap do you use?" 3. "How long have you been married?" 4. "Do you urinate after having sexual intercourse?"
A client admitted for treatment of trauma sustained in a fall while intoxicated believes bugs are
crawling on the bed. The client is anxious, agitated, and diaphoretic. A nursing diagnosis of high priority that should be developed is a. ineffective health maintenance. b. ineffective coping. c. ineffective denial. d. risk for injury.