Question 1

Lucy,head nurse on the surgical unit,works with her staff to find ways in which they can work together with other disciplines to provide more effective care for patients on the unit.Lucy likely knows her power is:

Accepted Answer

Those like Lucy,who share power,tend to be the strong collaborators and see power as an unlimited quantity when shared.

Question 2

A manager relies on his director (immediate supervisor)for advice about enrolling in graduate school to prepare for a career as a nurse executive.The director may exercise what kinds of power in the relationship with the manager in this advisory situation?

Accepted Answer

Because the director is in a leadership role,he comes with knowledge or expertise that is required to assume a leadership role,and he has information that he is willing to share,which gives him the power of information.The employee sees him as credible and seeks his advice,which gives him referent power.

Question 3

The institution where you are a nurse manager has resisted the adoption of a new document management software,citing cost as a concern.You meet with other nurse managers who are in favor of the software and prepare a proposal to take to the senior executive with the goal of persuading the executive to adopt the software.This is an example of:

Accepted Answer

The formation of temporary groups to achieve particular goals involves the development of coalitions.

Question 4

A nurse manager recognizes the need to expand her professional network as she begins a job search for a middle-management position.Which of the following actions is least likely to expand her job-searching network?

Accepted Answer

Networking is the result of identifying,valuing,and maintaining relationships with a system of individuals who are sources of information,advice,and support.In this situation,the chief nurse executive and the nurse may not have a close or valued relationship given the length of time since last communication,and so this may not be the best person to provide support or advice.

Question 5

Which of the following interactions is MOST consistent with the idea of networking?

Accepted Answer

Successful networking involves sharing similar ideas and maintaining relationships within a system of individuals who serve as sources of information,advice,and support.

Question 6

Your colleague,Mary,a recent graduate announces one day that she intends to leave nursing in 3 to 4 months to pursue a position in marketing.While at your agency,she plans to give patients excellent care and to learn as much as she can,because "Who knows? Nursing is a great job with a great pay and I may return someday." Mary's statements most accurately exemplify which orientation to the concept of nursing? Nursing as a(n):

Accepted Answer

Concern with nursing as potentially one in a series of possibly well-paid jobs reflects a view of nursing as an occupation.

Question 7

During orientation of new nurse managers,the chief nursing officer stresses strategies that help nurse managers to achieve a powerful image.Which groups of behaviors best contribute to a powerful image for the nurse manager?

Accepted Answer

A powerful and positive approach is communicated through confident behaviors such as greeting others,smiling,and showing respect for the opinions of others through listening.

Question 8

Literature on oppression in nursing has:

Accepted Answer

Matheson and Bobay's review of literature (2007)indicates that oppression is present in nursing but is not clearly linked to external factors.

Question 9

During a unit meeting,you notice that Vivian listens attentively when Mary is speaking and offers support and advice when Mary presents ideas to the group.You are surprised because Vivian has often confided that she does not like Mary.Vivian's behavior is best described as:

Accepted Answer

Collegial behavior requires respect,not friendship.

Question 10

Two nurses approach their manager about a conflict regarding the next month's schedule.The nurses are talking loudly and at the same time.The manager most effectively uses communication skills to resolve the conflict by:

Accepted Answer

Negotiation involves the presentation of an opening position with each party then moving on until they achieve a mutually agreeable result,or until one or both move away from a failed negotiation.Negotiation occurs when one party has something that the other party values,such as a desired schedule.

Question 11

One day,at coffee,your co-worker suggests that you and she sit with unit members of the hospital research committee.She suggests that this would be an excellent way to get to know people who share her interest in research.Her actions are an example of:

Accepted Answer

Meeting individuals outside the normal workgroup to share ideas and gain support and encouragement is an example of networking.

Question 12

The workgroup on NU 23 is marked by apathy to the ward's patients,high absenteeism,open conflict among team members,and high turnover of personnel,including managers.The underlying behavior in this situation may be characterized as:

Accepted Answer

Emotions such as anger and apathy result from a workplace in which powerlessness is exhibited.

Question 13

A nurse is participating in a baccalaureate course.For the class,she has to attend the legislative session regarding the new role of medication assistants.Nurses should be involved in shaping public policy primarily because:

Accepted Answer

Participation in the legislative process concerning health care through membership in professional organizations and through personal contact with public officials is critical,as these processes affect the lives of patients and the advancement of the profession.

Question 14

A nurse manager must implement a 2% budget cut on the nursing unit.Which approach should the manager use to most effectively empower the staff of the unit?

Accepted Answer

Empowerment involves valuing the ideas and opinions of others and involving them in the decision-making process.It means releasing authority and allowing others accountability as well.

Question 15

A nurse belongs to several professional organizations,serving on a state-level committee of one group and on two task forces at work.The nurse is committed to a range of health issues.This nurse exemplifies which level of political activism in nursing?

Accepted Answer

The nurse recognizes that influence occurs at many levels,and that public policy and politics shape what we do as nurses-from nursing practice acts that allow licensure to policies that drive reimbursement.

Question 16

A nurse manager is experiencing poor staff morale on her unit.While participating in a baccalaureate course,the nurse manager had learned that one of the reasons nurses lack power today is probably because of the past.In the early decades of the profession,nurses lacked power because:

Accepted Answer

Nursing mirrored the lack of legal,social,and political power that was prevalent in the early decades of the profession.

Question 17

Nurses who engage in in-fighting,seek physician support against nursing colleagues,and avoid membership in nursing organizations:

Accepted Answer

Lack of understanding about the appropriate exercise of power affects internal and external relationships.

Question 18

Which of the following accurately represents the concept of political activism?

Accepted Answer

In this situation,Sondra is engaged in professional activism at the state level and therefore,exemplifies the highest level of political activism.Roberta exhibits activism at the level of political sophistication,which involves holding office,for example,at the local or state level.

Question 19

Politics is usually:

Accepted Answer

Politics involves social interaction among organizations and as such,politics occurs in all social organizations.

Question 20

A staff nurse asks the nurse manager for a few days off for personal reasons.The nurse manager turns in the request to the human resources office with a note indicating that the staff nurse has demonstrated excellent working skills and is a valued employee.The nurse manager has used the influence of her position to help this staff member.Influence is the process of:

Accepted Answer

Influence involves the use of power to effect certain outcomes,in this situation,to arrange days off for a valued employee.

Quiz 10: Power, Politics, and Influence