Nursing Elites

1. Which of the following is likely to facilitate union activity?

• A. Managers communicating effectively with employees
• B. Managers listening to concerns of employees
• C. Belief that low wages cause job dissatisfaction
• D. Belief that supervisors are not understanding of unionizing

Correct answer: C

Rationale: The correct answer is C because according to a study by Bilchik (2000), organizations are more likely to unionize if there is a belief that low wages cause job dissatisfaction. Choices A and B focus on effective communication and listening, which may actually prevent union activity by addressing employee concerns directly. Choice D, the belief that supervisors are not understanding of unionizing, may lead to dissatisfaction but doesn't directly facilitate union activity as the belief that low wages cause job dissatisfaction does.

2. When trying to facilitate change in the staff, it is necessary to build trust and recognize the need for change. This type of action is known as which of the following, according to Lewin's Force-Field Model?

• A. Moving the system to a new level
• B. Unfreezing the system
• C. Refreezing the system
• D. Institutionalization

Correct answer: B

Rationale: The correct answer is 'Unfreezing the system.' In Lewin's Force-Field Model, unfreezing is the stage where the existing equilibrium is disrupted to motivate participants and prepare them for change. Building trust and recognizing the need for change are essential components of this stage. Choice A, 'Moving the system to a new level,' does not specifically address the initial stage of disruption. Choice C, 'Refreezing the system,' comes after change has been implemented, not before. Choice D, 'Institutionalization,' refers to the stage where the change becomes the new norm, which is different from unfreezing.

3. Recent polls have placed nursing as one of the most trusted professions because of which of the following?

• A. Nurses engage in lifelong learning.
• B. Nurses abide by a dress code.
• C. Nurses have the skills needed to care for diverse populations.
• D. Nurses must pass the NCLEX in order to obtain a license to practice.

Correct answer: C

Rationale: Recent polls have identified nursing as one of the most trusted professions due to nurses possessing the necessary skills to provide care for diverse populations. This includes understanding and addressing the unique needs of individuals from various backgrounds and cultures. Choice A is incorrect because while nurses do engage in lifelong learning, this is not the primary reason for their trustworthiness. Choice B is also incorrect as abiding by a dress code does not directly contribute to the trust placed in nurses. Choice D is incorrect because passing the NCLEX exam is a regulatory requirement for obtaining a license and does not solely determine the trustworthiness of nurses in the eyes of the public.

4. Which of the following is one of the positive benefits of conflict within an organization?

• A. Conflict leads to compromise on values and beliefs.
• B. Conflict leads to intergroup competition.
• C. Conflict helps people recognize differences and motivates people towards improved performance.
• D. Conflict always leads to a win-win resolution.

Correct answer: C

Rationale: The correct answer is C. Conflict within an organization can help people recognize legitimate differences and motivate them towards improved performance. This recognition of differences can lead to constructive discussions and solutions. Choice A is incorrect because conflict does not necessarily always lead to compromising values and beliefs. Choice B is incorrect as conflict should not be about fostering intergroup competition but rather about addressing and resolving issues. Choice D is incorrect as conflicts do not always result in a win-win resolution; sometimes, compromises or trade-offs are necessary for resolution.

5. What is the main purpose of a healthcare proxy?

• A. To manage financial affairs
• B. To make medical decisions on behalf of the patient
• C. To provide legal representation
• D. To oversee patient discharge planning

Correct answer: B

Rationale: The main purpose of a healthcare proxy is to make medical decisions on behalf of the patient when they are unable to do so. Choice A is incorrect as managing financial affairs is typically handled by a power of attorney for finances. Choice C is incorrect as a healthcare proxy is not meant to provide legal representation. Choice D is incorrect as overseeing patient discharge planning is a responsibility of healthcare providers, not a healthcare proxy.

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