The ED staff members are concerned that working long hours without rest puts patient safety at risk. One staff member decides that she will risk her job and become a whistleblower. Whistleblowing is an appropriate recourse when management:
Hires nurses who are not a part of the union during a strike.
Disregards due process when disciplining a nurse.
Delays responding to repeated efforts to provide safe care.
Refuses to bargain in good faith with the elected bargaining agent.
The Correct Answer is C
Choice A reason: Hiring nurses who are not part of the union during a strike may be a strategic decision during labor disputes and does not necessarily constitute a situation warranting whistleblowing.
Choice B reason: Disregarding due process when disciplining a nurse can lead to unfair treatment and legal issues, making it a valid concern for whistleblowing to ensure justice and adherence to policies.
Choice C reason: Delaying responses to provide safe care compromises patient safety and could be a systemic issue that requires whistleblowing to bring attention to and rectify the situation.
Choice D reason: Refusing to bargain in good faith with the elected bargaining agent can disrupt labor relations and may be a serious concern, but it typically involves legal and union intervention before whistleblowing is considered.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Responsibility refers to the obligation to perform duties and tasks, but it does not imply the transfer of activities to another individual.
Choice B reason: Legal authority pertains to the power granted by law to perform certain actions, which is not specific to the delegation of tasks.
Choice C reason: Accountability is the obligation to report, explain, and be answerable for resulting consequences, not the act of transferring tasks.
Choice D reason: Supervision is the correct term as it involves overseeing the performance of tasks by another individual, ensuring that they are carried out correctly and safely.
Correct Answer is A
Explanation
Choice A reason: Utilizing individual expertise while sharing responsibility ensures that all team members are involved in problem-solving and that no single person is burdened with the outcome. This approach aligns with the principles of shared decision-making, which emphasize collaboration and collective accountability.
Choice B reason: Shared decision-making aims to reduce skepticism by involving staff in the decision-making process, thereby increasing buy-in and the likelihood of success. Widespread skepticism would suggest a failure in the decision-making process.
Choice C reason: In a shared decision-making model, accountability does not rest solely with the unit manager. Instead, it is distributed among all individuals involved in the decision-making process.
Choice D reason: The statement that no one has any accountability or responsibility for the changes is incorrect. Shared decision-making requires that all participants take responsibility for the decisions made and their outcomes.
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