which of the following scenarios would be an example of shared governance on a nursing unit

ATI RN

Leadership ATI Proctored

1. Which of the following scenarios would be an example of shared governance on a nursing unit?

A. Staff nurses delegate activities to CNAs.
B. Procedure manuals are written by a committee of nurse managers.
C. Staff nurses and CNAs make their own schedules.
D. A unit manager seeks advice from her supervisor.

Correct answer: C

Rationale: The correct answer is C. Shared governance in a nursing unit involves staff nurses and CNAs having autonomy and decision-making power in aspects like scheduling, which is reflected in them making their own schedules. This scenario aligns with the philosophy of shared governance where nursing practice is best determined by nurses. Choices A, B, and D do not exemplify shared governance as they involve hierarchical delegation, managerial decision-making, and seeking advice from superiors rather than autonomous decision-making by frontline staff.

2. Employees are eligible to take a leave of absence if they have worked for the employer for at least: (EXCEPT)

A. At least 1,250 hours during the previous 12 months.
B. At least 12 months.
C. At least six months.
D. At a work site with 50 employees within a 75-mile radius.

Correct answer: C

Rationale: Employees are eligible to take a leave of absence if they have worked for the employer for at least 12 months, have worked at least 1,250 hours during the previous 12 months, and are at a work site with 50 or more employees, or at a site where 50 workers are employed within 75 miles of the work site. The statement 'At least six months' is incorrect as the requirement is for 12 months of work to be eligible for a leave of absence.

3. One of the most important driving forces behind health care policy changes is which of the following?

A. New technology
B. Outsourcing of services
C. Emerging role of nurse practitioners
D. Ability to pay for health care

Correct answer: D

Rationale: The correct answer is D, 'Ability to pay for health care.' One of the primary factors influencing health care policy changes is the financial aspect, as the ability to afford healthcare services affects access, quality, and equity. While new technology, outsourcing of services, and the emerging role of nurse practitioners may also impact health care policies, the fundamental driver often revolves around individuals' and societies' financial capacity to pay for healthcare.

4. Which of the following best describes the ethical concept of values?

A. Values are an individual’s feelings about situations.
B. Values are learned through family systems.
C. Values are organized ways of thinking about the meaning of life.
D. Values determine the rightness or wrongness of behavior.

Correct answer: A

Rationale: Values are how individuals feel about ideas, situations, and concepts.

5. What is the main purpose of the NCLEX examination?

A. Ensure that individuals have passed nursing classes.
B. Provide assurance that nursing schools are part of the service agency.
C. Enable potential students to determine the best nursing schools.
D. Ensure the safety of the public.

Correct answer: D

Rationale: The main purpose of the NCLEX examination is to ensure the safety of the public by determining if candidates have the knowledge and skills necessary to provide safe and effective nursing care. Choice A is incorrect as the exam evaluates if individuals are ready to begin nursing practice, not just passed classes. Choice B is incorrect as the exam is not related to the affiliation of nursing schools with service agencies. Choice C is incorrect as the exam is not designed to help potential students choose the best nursing schools, but rather to assess individual readiness for nursing practice to protect public safety.