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Questions and Answers
What is the MOST important way that nurses can utilize power in a healthcare setting?
What is the MOST important way that nurses can utilize power in a healthcare setting?
- To evaluate the performance of support staff.
- To enhance and positively influence patient care outcomes. (correct)
- To manage relationships with unlicensed assistive personnel.
- To assist newly licensed nurses in their orientation.
A nurse manager offers nurses additional vacation time in exchange for working every other weekend due to staffing shortages. Which type of power is the manager using in this scenario?
A nurse manager offers nurses additional vacation time in exchange for working every other weekend due to staffing shortages. Which type of power is the manager using in this scenario?
- Expert power
- Legitimate power
- Reward power (correct)
- Referent power
A local hospital is acquired by a larger corporation. To inform the staff, the nurse manager posts information about the new wage scale and benefits package. What type of power is the nurse manager using?
A local hospital is acquired by a larger corporation. To inform the staff, the nurse manager posts information about the new wage scale and benefits package. What type of power is the nurse manager using?
- Legitimate power
- Referent power
- Connection power
- Information power (correct)
A nurse manager implies that a nurse who does not attend available educational offerings will receive a negative performance evaluation. What type of power reflects this action?
A nurse manager implies that a nurse who does not attend available educational offerings will receive a negative performance evaluation. What type of power reflects this action?
Which powers are MOST often utilized by leaders, whether those leaders are formal or informal? Select all that apply.
Which powers are MOST often utilized by leaders, whether those leaders are formal or informal? Select all that apply.
If a nurse manager decides to use coercive power to address an issue, what strategy should the nurse manager employ FIRST?
If a nurse manager decides to use coercive power to address an issue, what strategy should the nurse manager employ FIRST?
After a new medication administration system is adopted, a staff nurse is selected to communicate the unit's disapproval to the evaluation committee. Which communication is MOST effective?
After a new medication administration system is adopted, a staff nurse is selected to communicate the unit's disapproval to the evaluation committee. Which communication is MOST effective?
A staff nurse asks, "Why should I spend time being politically aware and active?" Which response by the nurse manager is MOST appropriate?
A staff nurse asks, "Why should I spend time being politically aware and active?" Which response by the nurse manager is MOST appropriate?
A nurse on a policy-making committee believes that the committee's focus is incorrect. Which statement is MOST appropriate for the nurse to make?
A nurse on a policy-making committee believes that the committee's focus is incorrect. Which statement is MOST appropriate for the nurse to make?
A nurse has a reputation for advocating for clients through honesty and hard work. The nurse has worked at an organization for 30 years and often volunteers in local and national political campaigns. Which attribute is the nurse using to increase political effectiveness?
A nurse has a reputation for advocating for clients through honesty and hard work. The nurse has worked at an organization for 30 years and often volunteers in local and national political campaigns. Which attribute is the nurse using to increase political effectiveness?
A nurse leader wants to develop a culture of shared visioning for the healthcare organization. How should the nurse proceed with this plan? Select all that apply.
A nurse leader wants to develop a culture of shared visioning for the healthcare organization. How should the nurse proceed with this plan? Select all that apply.
A nurse educator is training preceptors. Which statement by a preceptor indicates effective learning about power and the education process?
A nurse educator is training preceptors. Which statement by a preceptor indicates effective learning about power and the education process?
Which statement indicates that a nurse has the skills to be politically involved? Select all that apply.
Which statement indicates that a nurse has the skills to be politically involved? Select all that apply.
What is the MOST effective way for the nursing profession to improve its overall image?
What is the MOST effective way for the nursing profession to improve its overall image?
Which strategy could be used by nurses to promote nursing's power image? Select all that apply.
Which strategy could be used by nurses to promote nursing's power image? Select all that apply.
Which actions diminish the image of power for nurses? Select all that apply.
Which actions diminish the image of power for nurses? Select all that apply.
A female nurse identifies that many of the power positions in her organization are held by male nurses. Which strategies should the nurse use to improve her image and increase her power? Select all that apply.
A female nurse identifies that many of the power positions in her organization are held by male nurses. Which strategies should the nurse use to improve her image and increase her power? Select all that apply.
The nurse manager realizes that power must be used to influence a change that is needed on the unit. What should this nurse remember when exerting this power?
The nurse manager realizes that power must be used to influence a change that is needed on the unit. What should this nurse remember when exerting this power?
Which strategy is BEST for the newly licensed nurse who wishes to develop power in the organization?
Which strategy is BEST for the newly licensed nurse who wishes to develop power in the organization?
How can a nurse BEST influence policies in an organization?
How can a nurse BEST influence policies in an organization?
Flashcards
Most Important Use of Power in Nursing
Most Important Use of Power in Nursing
Using power to affect the quality of client care.
Reward Power
Reward Power
Based on inducements a manager can offer.
Information Power
Information Power
Arises when the manager possess information that employees desire.
Coercive Power
Coercive Power
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Powers Frequently Used by Leaders
Powers Frequently Used by Leaders
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Important strategy for coercive power
Important strategy for coercive power
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Effective Communication of Disapproval
Effective Communication of Disapproval
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Why Be Politically Aware and Active?
Why Be Politically Aware and Active?
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Appropriate Communication in Committees
Appropriate Communication in Committees
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Attribute to Increase Political Effectiveness:
Attribute to Increase Political Effectiveness:
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Shared Visioning
Shared Visioning
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Nurses Must Use Power to...
Nurses Must Use Power to...
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Signs a Nurse is Politically Involved
Signs a Nurse is Politically Involved
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Improve the Power of Nursing's Image
Improve the Power of Nursing's Image
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Strategy to Promote Nursing's Power Image
Strategy to Promote Nursing's Power Image
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Actions that Diminish the Image of Power for Nurses
Actions that Diminish the Image of Power for Nurses
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Increase power
Increase power
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Remember to Increase Leadership
Remember to Increase Leadership
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Strategy to Develop Power
Strategy to Develop Power
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How to Influence Policies in an Organization
How to Influence Policies in an Organization
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Study Notes
Effective Leadership & Management in Nursing, 9e (Sullivan) Chapter 8 Understanding Power and Politics
- The most important use of power in nursing is to impact and improve client care.
- Reward power is being utilized when a unit manager offers nurses additional 8 hours of paid vacation per month in return for working every other weekend due to a shortage of nurses on weekends.
- Information power is exemplified when a nurse manager encourages staff to attend a unit meeting to discuss a new wage scale and benefits package by hanging a poster about it.
- Using coercive power involves implying a negative evaluation for a nurse who fails to attend available educational offerings for staff.
- Leaders most frequently use information, expert and referent powers.
- When using coercive power, a nurse manager should investigate to get the facts of potential infractions before responding to them.
- In a shared visioning initiative, the most effective method to communicate a unit's disapproval of a new medication administration system is to state that medication errors have increased 40% since the new system began, thus indicating there is a problem.
- Being politically active helps nurses influence events and the decisions of others.
- When working on a committee responsible for making policy decisions for an organization, the most appropriate statement to make if the nurse believes the committee has an incorrect focus is that "We are a good team, but we need to look at this problem from a different viewpoint."
- Advocating for clients through honesty and hard work, working for 30 years in the organization, and volunteering in political campaigns utilizes image to increase political effectiveness.
- In developing a culture of shared visioning, leaders should survey employees regarding what is important to them for the organization's future and encourage innovative ideas.
- Effective learning in a preceptor is indicated by understanding you can use power to teach students how to motivate, communicate, and achieve outcomes.
- Skills indicating that a nurse is politically involved includes knowing what is going on in the organization, dealing with difficult people, offering ideas on how to solve problems, and having a sense of when to present new ideas.
- Improving the power of nursing's image involves dressing, speaking, and acting in a professional manner.
- Strategies to promote nursing's power image includes maintaining expertise by attending continuing education events, encouraging all disciplines to work toward organizational goals, attending local events with influential people, and asking questions about reasons behind processes and policies.
- Actions that diminish the image of power includes addressing colleagues in endearing terms, using power plays to achieve goals, aggressively advocating for clients and accepting orders without question.
- Strategies a female nurse to improve her image and increase her power in an organization with many power positions held by men involves identifying what she really wants, prioritizing her needs in order of importance, identifying her current resources, and determining who stands in the way of what she wants.
- When using power to influence a change, it is essential to undertake all power interactions in a polite manner.
- A newly licensed nurse can develop power in the organization by developing a "can do" attitude and reputation.
- Nurses can best influence policies in an organization by following the nursing process.
- Politics can be used to change policies, for example research can be obtained to provide reasons why routine nursing visits are not as effective at night as during the day.
- Undermining political power would involve when the nurse executive/manager does more talking than listening in meetings.
- The following actions would help a nurse work with public officials to influence policies: addressing only one issue in each correspondence and making an appointment before visiting an elected official.
- Statements that reveal a nurse has real power includes "I have such respect for her and the work she does," "It is an honor to work with her," and "She had an opportunity to go to another hospital, but she chose to stay here and help us through accreditation."
- Many nurses view power as oppressive.
- When a nursing leader believes a member of a multidisciplinary committee makes a statement that is in error, the leader should asks for what evidence supports that statement as accurate.
- Shared visioning is a strategic change committee that makes a change easier.
- When writing to Senator Bill Smith, the nurse should address him as "Dear Senator" in the letter.
- Abilities nurses should improve to increase personal power in the organization include technical competence and knowledge, ability to access data, relationships with influential people, and remaining friendly and likable.
- An event that would likely improve a nurse's position power within an organization is if the nurse is promoted to nurse manager.
- When a manager achieves staff buy-in to establish goals and share accomplishments for the unit to be known as the primary wound care unit for the organization, the power tool is called shared visioning.
- To determine potential changes to the policy and procedure for central line (flushes) maintenance, the manager should consider current policy and procedures and current research.
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