CNML STANDARD EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔Revenue - ✔✔Gross = $ charged
Net = $ collected
✔✔OE for Budgets - ✔✔Operating Expenses: salaries, supplies, rent, non-productive
time, etc.
✔✔Margin - ✔✔Difference between expenses and how much money is collected
Margins down = less gross or net income
Margins up = more gross or net income
✔✔Workload Per Day - ✔✔Total workload hours / 365 days / 24 hours
✔✔Costs in a Budget - ✔✔Fixed, variable & non-recurring (like installing new piece of
equipment or 100th anniversary party for the hospital)
✔✔Replacement Factor - ✔✔Adding up the benefit time because nurses don't actually
work 2080 hours per year; add this to the total FTE's
✔✔HCAHPS - ✔✔Hospital Consumer Assessment of Healthcare Providers and
Systems: national survey asking patients how their stay was
✔✔National Labor Relations Act (NLRA) - ✔✔(AKA: Wagner Act) Passed to end the
depression; prevented employers from cutting wages; lots of power to
unions/employees; 1974 amendments created union needs to give notice before
striking, no strikes during notice time, written notice to employers about new contract
need, mediation needs, board of inquiry to settle disputes, and allowed employees to
bow out of joining; created unfair labor practices against employers from stopping
unions or discriminating against union employees
, Rights of unions/workers
✔✔Labor Management Relations Act - ✔✔(AKA: Taft-Hartley Act) Listed union
restrictions to even out rights between employees and employers from the
NLRA/Wagner Act; placed restrictions on labor organizations like forcing employees to
join or refusing to bargain; created code of contact for unions
Rights of management
✔✔Civil Rights Act of 1964 - ✔✔Prohibits discrimination against race, religion, sex,
creed, color, gender, national origin
✔✔Recognition Phase of Negotiations - ✔✔Need 30% of nurses to sign individualized
authorization cards before labor union can rep them
✔✔Decertification - ✔✔Employees elect to stop using the union; also need 30% of the
vote before even going to the NLRB to start the process
✔✔Hill-Burton Act - ✔✔Funding given to healthcare facilities so these facilities must
treat any patient through ED, participate in CMS, post things in language of 10% of
population, etc.
✔✔Fair Labor Act - ✔✔Federal law that establishes minimum wage, overtime pay
eligibility, and child labor standards
✔✔Shared Governance - ✔✔Accountability-based governance system where staff
nurses have a voice with manager/leader oversight; collaboration and democratic
decision-making
✔✔EEOC (Equal Employment Opportunity Commission) - ✔✔Government agency that
enforced Civil Rights Act
✔✔Age Discrimination in Employment Act (ADEA) - ✔✔Prevents discrimination for staff
who are older than 40
✔✔Landrum-Griffin Act 1959 - ✔✔Rights of union members in their unions; unions need
by-laws, financials, and bill of rights; Secretary of Labor is watchdog of union contract
✔✔National Labor Relations Board - ✔✔Independent board enforcing NLRC; conducts
unionizing elections; investigate union/employer complaints; 5 members elected by
President/Senate so politics determines how pro or anti union board is
✔✔Conciliation and Mediation - ✔✔3rd party attempt to keep unions/management
talking
QUESTIONS SET A+
✔✔Revenue - ✔✔Gross = $ charged
Net = $ collected
✔✔OE for Budgets - ✔✔Operating Expenses: salaries, supplies, rent, non-productive
time, etc.
✔✔Margin - ✔✔Difference between expenses and how much money is collected
Margins down = less gross or net income
Margins up = more gross or net income
✔✔Workload Per Day - ✔✔Total workload hours / 365 days / 24 hours
✔✔Costs in a Budget - ✔✔Fixed, variable & non-recurring (like installing new piece of
equipment or 100th anniversary party for the hospital)
✔✔Replacement Factor - ✔✔Adding up the benefit time because nurses don't actually
work 2080 hours per year; add this to the total FTE's
✔✔HCAHPS - ✔✔Hospital Consumer Assessment of Healthcare Providers and
Systems: national survey asking patients how their stay was
✔✔National Labor Relations Act (NLRA) - ✔✔(AKA: Wagner Act) Passed to end the
depression; prevented employers from cutting wages; lots of power to
unions/employees; 1974 amendments created union needs to give notice before
striking, no strikes during notice time, written notice to employers about new contract
need, mediation needs, board of inquiry to settle disputes, and allowed employees to
bow out of joining; created unfair labor practices against employers from stopping
unions or discriminating against union employees
, Rights of unions/workers
✔✔Labor Management Relations Act - ✔✔(AKA: Taft-Hartley Act) Listed union
restrictions to even out rights between employees and employers from the
NLRA/Wagner Act; placed restrictions on labor organizations like forcing employees to
join or refusing to bargain; created code of contact for unions
Rights of management
✔✔Civil Rights Act of 1964 - ✔✔Prohibits discrimination against race, religion, sex,
creed, color, gender, national origin
✔✔Recognition Phase of Negotiations - ✔✔Need 30% of nurses to sign individualized
authorization cards before labor union can rep them
✔✔Decertification - ✔✔Employees elect to stop using the union; also need 30% of the
vote before even going to the NLRB to start the process
✔✔Hill-Burton Act - ✔✔Funding given to healthcare facilities so these facilities must
treat any patient through ED, participate in CMS, post things in language of 10% of
population, etc.
✔✔Fair Labor Act - ✔✔Federal law that establishes minimum wage, overtime pay
eligibility, and child labor standards
✔✔Shared Governance - ✔✔Accountability-based governance system where staff
nurses have a voice with manager/leader oversight; collaboration and democratic
decision-making
✔✔EEOC (Equal Employment Opportunity Commission) - ✔✔Government agency that
enforced Civil Rights Act
✔✔Age Discrimination in Employment Act (ADEA) - ✔✔Prevents discrimination for staff
who are older than 40
✔✔Landrum-Griffin Act 1959 - ✔✔Rights of union members in their unions; unions need
by-laws, financials, and bill of rights; Secretary of Labor is watchdog of union contract
✔✔National Labor Relations Board - ✔✔Independent board enforcing NLRC; conducts
unionizing elections; investigate union/employer complaints; 5 members elected by
President/Senate so politics determines how pro or anti union board is
✔✔Conciliation and Mediation - ✔✔3rd party attempt to keep unions/management
talking
