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Essentials of Nursing Leadership and Management 3rd Edition Kelly Tazbir Test Bank

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Essentials of Nursing Leadership and Management 3rd Edition Kelly Tazbir Test Bank

ISBN-13: 978-1133948551

ISBN-10: 1133948553

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Essentials of Nursing Leadership and Management 3rd Edition Kelly Tazbir Test Bank

ISBN-13: 978-1133948551

ISBN-10: 1133948553

 

 

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Free Nursing Test Questions:

 

Chapter 7: Power and Politics

 

MULTIPLE CHOICE

 

  1. According to consumer opinion polls, _____ consistently show up as rated “Number One” trusted professionals.
a. firemen c. physicians
b. policemen d. nurses

 

 

ANS:  D

Nurses consistently show up as rated “Number One” in consumer opinion polls about who are trusted professionals.

 

PTS:   1                    OBJ:   Cognitive Level: Remembering        TOP:   Politics

 

  1. As the largest professional health care group, nurses need to be politically involved with the consumer movement in health care to support the advancement of nursing service. The majority of nurses can do this by:
a. becoming members of their professional organization
b. becoming lobbyists for interested government agencies
c. supporting legislation for more government control
d. supporting physicians to direct health care policy

 

 

ANS:  A

Nurses can be politically involved by becoming members of and supporting their professional organization. Becoming a lobbyist is not for the majority. More government control is not supporting the advancement of nursing service. Supporting physicians to direct health care policy does not focus on the needs of nursing as a profession.

 

PTS:   1                    OBJ:   Cognitive Level: Applying               TOP:   Nurse as Political Activist

 

  1. Ultimately, health care will be defined and controlled by:
a. the American Medical Association
b. those wielding the most political influence
c. consumer activists groups, e.g., AARP
d. the National Institutes of Health

 

 

ANS:  B

Ultimately, health care will be defined and controlled by those wielding the most political influence. If nurses fail to exert political pressure on the health care policy makers, they will lose ground to others who are more politically active.

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Use of Power

 

  1. Power is described as:
a. the ability to achieve one’s goals c. authority and influence
b. personal and professional d. accountability and responsibility

 

 

ANS:  A

A number of different definitions have been developed for the word “power.” A commonly used definition is that power is the ability to create, get, and/or use resources to achieve one’s goals. Regardless of the type or level of power, it comes from the ability to influence others or affect others’ thinking or behavior.

 

PTS:   1                    OBJ:   Cognitive Level: Remembering        TOP:   Power

 

  1. Personal power is evident when:
a. a person perceives that he or she has personal power
b. an individual can influence others and events
c. a person has extensive buying power or wealth
d. an individual is in a powerful position, e.g., senator

 

 

ANS:  B

Power, regardless of level, comes from the ability to influence others and events. While having a personal perception that one is powerful, having great wealth and buying ability, or being in a “powerful” position may feel good, these do not necessarily mean that one has personal power.

 

PTS:   1                    OBJ:   Cognitive Level: Remembering        TOP:   Power

 

  1. Personal power is evident in a nurses’s:
a. decision making c. charisma
b. connections d. expertise

 

 

ANS:  A

The personal power of nurses is evident in the decisions they make. Nurses’ sense of power is greater when they can influence events through personal effort. Connection is ultimately about building personal and professional relationships; people who are strongly connected to others experience a degree of intimacy and a level of commitment that empowers them and others. Nurses who are trusted and respected by others and are most able to exert influence over others tend to be charismatic. The knowledge and skills nurses possess is referred to as expert power.

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Power

 

  1. _____ power is derived from personal and professional relationships that have the potential to enhance one’s resources.
a. Referent c. Coercive
b. Information d. Connection

 

 

ANS:  D

Connection power is derived from one’s personal and professional relationships that have the potential to enhance one’s resources and have the capacity for learning and information sharing. Coercive power tends to come from the ability to punish others in order to influence them to change their behavior. Information power is based on information that someone can provide to a group. Referent power is based on the trust and respect that people tend to feel for an individual, group, or organization with which they are associated.

 

PTS:   1                    OBJ:   Cognitive Level: Analyzing             TOP:   Sources of Power

 

  1. One way to wield influence as an expert nurse is to:
a. demonstrate nursing skills c. achieve position status
b. proclaim oneself an expert d. network with expert nurses

 

 

ANS:  A

There are two ways to wield the influence of an expert. One way is the consistent demonstration of nursing skills based on one’s knowledge, competence, and abilities in practice settings. The second way is to be introduced and promoted to a group as an expert, thus validating one’s expertise. The position a nurse holds in a group is called legitimate power. The extent to which nurses network and are connected with others having power is called connection power.

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Sources of Power

 

  1. A source of power that is derived from the knowledge and skills that nurses possess is referred to as:
a. legitimate power c. referent power
b. expert power d. reward/coercion power

 

 

ANS:  B

The knowledge and skills nurses possess is referred to as expert power. Other types of power include: legitimate, referent, reward, coercive, connection, and information power.

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Sources of Power

 

  1. Power derived from the position a nurse holds in a group is referred to as:
a. legitimate power c. referent power
b. expert power d. reward/coercion power

 

 

ANS:  A

Legitimate power is power derived from the position a nurse holds in a group, and it indicates the nurse’s degree of authority.

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Sources of Power

 

  1. The type of power demonstrated by nurses who influence others with the information they provide to the group is referred to as:
a. expert power c. information power
b. connection power d. legitimate power

 

 

ANS:  C

Power is based on the information that any person can provide to the group. The extent to which nurses are connected with others having power is called connection power. The knowledge and skills nurses possess is referred to as expert power. Legitimate power is power derived from the position a nurse holds in a group, and it indicates the degree of authority.

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Sources of Power

 

  1. Nurses are empowered by:
a. the media recognizing them as a powerful group
b. taking ownership of their problems in serving patients
c. their collective gender force
d. self-decision-making

 

 

ANS:  B

Nurses are empowered when they take responsibility (or ownership) of their problems in serving patients. Leddy, Pepper, and Hood (2002) noted that “when nurses blame others such as physicians, administrators, or politicians for the state of the health care delivery system, or constantly look to others for improvement of this system, they weaken their position and power base.”

 

PTS:   1                    OBJ:   Cognitive Level: Analyzing             TOP:   Use of Power

 

  1. Which of the following is not part of the whistle-blowing process?
a. file a qui tam lawsuit in secret with the court
b. do not let the hospital or agency know that you have filed a lawsuit
c. serve a copy of the complaint to the Department of Justice including a written disclosure of all information concerning the fraud
d. if the government decides to move forward with the lawsuit, all responsibility for litigating and paying for the suit will be on the government except for the individual’s (whistle-blower’s) initial court costs and personal defense

 

 

ANS:  D

Whistle-blowing is an act by which an individual provides information regarding a violation of a law, rule, or regulation, or a substantial and specific danger to public health or safety. Some of the steps in the whistle-blowing process include: file a qui tam lawsuit in secret with the court, do not let the hospital or agency know that you have filed a lawsuit, serve a copy of the complaint to the Department of Justice including a written disclosure of all information concerning the fraud. If the government decides to go forward with the lawsuit, the government will bear the responsibility for litigating the lawsuit and will pay for it (including the whistle-blower’s court costs and personal defense expenses).

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Whistle-Blowing

 

  1. Media can impact the public’s perception of nurses. Several strategies have been developed to help enhance and promote the image of the nursing profession. Which of the following is not one of these strategies?
a. writing opinion editorial pieces in local newspapers
b. encouraging television spots promoting the nursing image
c. writing letters to the editor promoting the image of nursing in local and state papers
d. being on the American Idol television show

 

 

ANS:  D

The public’s perception of nurses is directly influenced by the presentation of the nursing profession in the media. Several strategies that nurses can use to help promote the nursing image and profession include: writing opinion editorial pieces in local newspapers, encouraging television spots promoting the nursing image, and writing letters to the editor promoting the image of nursing in local and state papers, While being on the American Idol television show may be exciting and access a large audience, the activities inherent in the television show do not tend to promote the image of nurses as a profession.

 

PTS:   1                    OBJ:   Cognitive Level: Analyzing             TOP:   Power and the Media

 

  1. Control of health care resources is spread among a number of vested interests groups called:
a. politicians c. patients
b. clergy d. stakeholders

 

 

ANS:  D

Control of health care resources is spread among a number of vested groups called stakeholders. Everyone is a stakeholder at some level in health care, but some groups are more politically active than others. These stakeholder groups include insurance companies, professional nursing organizations and health care groups such as physicians and pharmacists.

 

PTS:   1                    OBJ:   Cognitive Level: Remembering        TOP:   Politics

 

  1. One strategy for empowering nursing is to employ the media to create a more powerful image of nursing. This can be done by:
a. Having more nurses play leading roles
b. Writing more books about nursing history
c. Having TV spots promoting a positive nursing image
d. Showcasing the work of hospitals

 

 

ANS:  C

One strategy for empowering nursing is to employ the media to create a stronger, more powerful image of nursing. This can be accomplished by writing opinion editorial pieces and letters to the editor for the local newspaper. On a larger scale a series of television spots promoting a positive nursing image can be delivered, such as the Johnson & Johnson Corporation Campaign for Nursing’s Future.

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Power and the Media

 

  1. Nurses must be able to clearly articulate at least four dimensions of nursing to any audience or stakeholder. One of these four dimensions includes:
a. the educational level of the nurse
b. what nursing is
c. how the nursing shortage affects nursing
d. holistic care

 

 

ANS:  B

Nurses must be able to clearly articulate at least four dimensions of nursing to any audience or stakeholder: what nursing is; what distinctive services nurses provide to consumers; how nursing benefits consumers, including the improvement in nurse-sensitive outcomes; and what nursing services costs in relation to other health care services.

 

PTS:   1                    OBJ:   Cognitive Level: Applying               TOP:   Dimensions of Nursing

 

  1. Nurses attempt to unionize when they feel:
a. powerful c. respected
b. powerless d. important

 

 

ANS:  B

In general, nurses who are content in their workplace do not unionize. It is when nurses feel powerless that they initiate attempts to unionize. Nurses are also motivated to join unions when they feel the need to communicate concerns and complaints to management without fear of losing their jobs.

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Collective Bargaining

 

  1. The 1974 Taft-Hartley Amendments to the Waggoner Act guaranteed:
a. nurses do not have to strike
b. the continuation of adequate patient care
c. nurses can vote to strike
d. nurses can have a spokesman

 

 

ANS:  B

The decision to strike is made only if the majority of union members decide to do so. Provisions set forth in the 1974 Taft-Hartley Amendments to the Waggoner Act guarantee a continuation of adequate patient care by requiring the union provide contract expiration notice and advance strike notice, making medications mandatory, and giving the hospital or agency the option of establishing a board of inquiry prior to work stoppage.

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Striking and Unions

 

  1. Politics exist because:
a. resources are limited c. hospitals control resources
b. resources are abundant d. organizations control resources

 

 

ANS:  A

Politics exist because resources are limited and some people control more resources than others. Resources include people, money, facilities, technology, and rights to properties, services, and technologies. Individuals, groups, or organizations that have the ability to provide or control the distribution of desirable resources are politically empowered.

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Politics

 

  1. Power that comes from personal and professional relationships is known as:
a. reward power c. connection power
b. referent power d. information power

 

 

ANS:  C

Power that comes from professional and personal relationships that enhance one’s resources and the capacity for learning and information sharing is known as connection power. It involves developing good working relationships and mentoring with your boss and other powerful people. Reward power involves being able to reward or punish others. Information power is based on what information one can provide the group. Referent power is based on trust and respect that people feel to the organization.

 

PTS:   1                    OBJ:   Cognitive Level: Remembering        TOP:   Sources of Power

 

  1. The American Nurses Association (ANA) addresses all of the following except:
a. needle stick injuries c. rights of employees
b. violence in the workplace d. job seniority

 

 

ANS:  D

The ANA protects, defends, and educates nurses about their rights as employees under the law. The ANA also addresses the growing number of occupational hazards that threaten nurses, such as needle stick injuries, latex sensitivity, back injuries, and violence. The ANA is a leader in promoting improved work environments and the value of nurses as professionals, essential providers, and decision makers in all practice settings.

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Workplace Advocacy

 

  1. One way to demonstrate legitimate power is for the nurse to:
a. provide evidence-based care
b. join a professional nursing organization
c. display licenses and certifications
d. mentor new nurses

 

 

ANS:  C

Legitimate power is derived from an academic degree, licensure, certification, experience in the role, and the job title in the organization. This can be demonstrated by the nurse wearing or displaying the symbols of the professional standing, such as licensure and certifications.

 

PTS:   1                    OBJ:   Cognitive Level: Remembering        TOP:   Sources of Power

 

  1. All of the following would be political roles for the nurse except:
a. votes and writes members of Congress
b. participates in a professional nursing organization
c. runs for a political office
d. educates patients about their medications

 

 

ANS:  D

Educating patients about their medications is the role of the nurse educator, not a political role. All other answers are political roles for nurses and come under the role of the nurses as an individual, nurse as citizen, nurse as activist, and nurse as politician.

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Politics

 

  1. The primary benefit to the nurse having power is that the nurse can:
a. do more good c. gain more education
b. move up the clinical ladder d. obtain a management position

 

 

ANS:  A

Power is a good thing as stated by Gracian (1892, p.172): “The sole advantage of power is that you can do more good.” Nurses are more likely to see power as a positive thing and are more inclined to use this positive power to help others.

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Power

 

MULTIPLE RESPONSE

 

  1. Reward power and coercive power are commonly used to influence others. The effective use of rewards for staff nurses includes which of the following? Select all that apply.
a. increased salary for obtaining the next rung on the clinical ladder
b. formal recognition before one’s nursing peers at an awards ceremony
c. one additional paid day off for each year you are with the organization
d. increased workload for displaying excellence in patient care outcomes

 

 

ANS:  A, B, C

Meaningful rewards exist beyond monetary ones, such as formal recognition and personal recognition for loyalty and commitment to the organization, and more paid time off. Increased workload is not seen as a reward in most instances.

 

PTS:   1                    OBJ:   Cognitive Level: Applying               TOP:   Sources of Power

 

  1. Some of the benefits of collective bargaining groups include which of the following? Select all that apply.
a. the union contract guides standards
b. the union includes both employees and some low-level management staff
c. unions give a collective voice for employees
d. members are able to be part of the decision-making process

 

 

ANS:  A, C, D

Collective bargaining groups have a number of pros and cons related to them. Some of the pros associated with these types of groups include: the union contract guides standards, unions give a collective voice for employees, members are able to be part of the decision-making process, and employees are able to voice concerns to management without fear of job security.

 

PTS:   1                    OBJ:   Cognitive Level: Analyzing

TOP:   Collective Bargaining Agents

 

  1. Which of the following are some of the dimensions of nursing that nurses need to be able to articulate clearly in order to build power for nurses as a group? Select all that apply.
a. how to become a nurse
b. what nursing is
c. what distinctive services nurses provide to consumers
d. how nursing benefits consumers

 

 

ANS:  B, C, D

The four essential dimensions of nursing that can be used to advocate for nursing as a profession to stakeholders or to any audience are: 1) what nursing is; 2) what distinctive services nurses provide to consumers; 3) how nursing benefits consumers, including improvement in nurse-sensitive outcomes; and 4) what nursing services cost in relation to other health care services.

 

PTS:   1                    OBJ:   Cognitive Level: Understanding       TOP:   Dimensions of Nursing

 

  1. Which are some of the disadvantages of belonging to a collective bargaining group? Select all that apply.
a. there is reduced allowance for individuality
b. other union members may outvote your decisions
c. individual employees may not agree with the collective voice
d. the union contract guides standards

 

 

ANS:  A, B, C

Some of the disadvantages that are part of membership in a collective bargaining group, such as a union, that nurses should be aware of before joining are: there is reduced allowance for individuality; other union members may outvote your decisions; individual employees may not agree with the collective voice; unions may be perceived by some as not being professional; and there is less room for personal judgment. The statement that the union contract guides standards is considered a positive aspect of unionization/collective bargaining groups.

 

PTS:   1                    OBJ:   Cognitive Level: Analyzing

TOP:   Collective Bargaining Agents

 

  1. Some behaviors that nurses can perform concerning organizational power include which of the following? Select all that apply.
a. get involved beyond direct patient care
b. join a professional nursing organization
c. volunteer for committees
d. share appropriate knowledge with others who value it and will use it effectively

 

 

ANS:  A, C, D

Some ways that nurses can be involved at the organizational power level are: get involved beyond direct patient care, volunteer for committees, share appropriate knowledge with others who value it and will use it effectively, and be involved politically with health care at the local, state, and national levels. Joining a professional nursing organization is considered a professional power behavior.

 

PTS:   1                    OBJ:   Cognitive Level: Applying               TOP:   Power

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