Sullivan, Effective Leadership and Management, 8/e
Chapter 7
Question 1
Type: MCSA
Which statement reflects the most important use of power in nursing?
1. The nurse manager uses power when evaluating staff.
2. The nurse can use power to impact and improve client care.
3. The nurse uses power in relationships with unlicensed personnel.
4. The nurse manager can use power to assist newly licensed nurses.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 7-2: Describe how power is used.
Question 2
Type: MCSA
There is a shortage of nurses on weekends. The unit manager asks nurses to work every other weekend in return
for an additional 8 hours of paid vacation per month. Which type of power is this manager using?
1. Legitimate power
2. Expert power
3. Referent power
Sullivan, Effective Leadership and Management, 8/e Test Bank
4. Reward power
Rationale 4: Connection power is based on an individual’s formal and informal links to influential or prestigious
persons.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 7-1: Define power.
Question 4
Type: MCSA
One of the nurses often fails to attend educational offerings available to the staff. The nurse manager who implies
the nurse may receive a negative evaluation is using which type of power?
1. Coercive power
2. Information power
3. Referent power
4. Reward power
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 7-1: Define power.
Question 5
Type: MCMA
Sullivan, Effective Leadership and Management, 8/e Test Bank
Leaders and managers often exercise power differently. Select the powers most frequently used by leaders.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Reward power
2. Information power
3. Legitimate power
4. Expert power
5. Referent power
2. Reduce punishments for noncompliance after the majority of staff members have complied.
3. Wait at least 72 hours prior to responding to infractions so as to better control emotions during the meeting.
4. Investigate to get the facts of potential infractions before responding to them.
Rationale 3: Nurse preference is not a strong reason to abandon the change.
Rationale 4: When taking action within an organization, it is more powerful to be prepared with data. This
statement focuses on why there is a need for action to address a problem.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 7-4: Explain how to use shared visioning as a power tool.
Question 8
Type: MCSA
A staff nurse says, “I have so much to do. Why should I spend time being politically aware and active?” Which
response by the nurse manager would be most appropriate?
1. “Being politically active helps you influence events and the decisions of others.”
2. “You might want to run for political office someday.”
3. “It might help you increase your salary.”
4. “It will give you a better understanding of client rights.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 7-6: Describe how nurses can use politics to influence policies.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 9
Type: MCSA
The nurse is working on a committee charged with the responsibility for making policy decisions for the health
care organization. During the work, the nurse has developed a strong belief that the focus of the committee is
incorrect. Which statement by the nurse would be most appropriate?
1. “We are going about this all wrong.”
2. “We are a good team, but we need to look at this problem from a different viewpoint.”
3. “I have to intervene in our work. We are just wasting time.”
4. “This is going nowhere. I am resigning.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 7-6: Describe how nurses can use politics to influence policies.
Question 10
Type: MCSA
The nurse has established a reputation for advocating for clients through honesty and hard work. The nurse has
worked in the organization for 30 years and often volunteers in local and national political campaigns. This nurse
is using which attribute to increase political effectiveness?
1. Image
2. Age
Sullivan, Effective Leadership and Management, 8/e Test Bank
3. Beliefs
4. Political party
Rationale 1: The leader is not a passive participant in visioning.
Rationale 2: Top-down management is outdated and is not a part of shared visioning.
Rationale 3: Shared visioning requires that all those involved in the organization have a say in its future.
Rationale 4: Shared visioning is a strategy that encourages innovation.
Rationale 5: The leader encouraging shared visioning would not use coercive power.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 7-4: Explain how to use shared visioning as a power tool.
Question 12
Type: MCSA
The nurse educator has recruited nursing preceptors to work with senior nursing students. The educator is teaching
the preceptors about power and the education process. Which statement by a preceptor indicates learning has been
effective?
1. “I am only showing the student how to take care of patients, so I have no need for power.”
2. “I can use power to teach the student how to motivate, communicate, and achieve outcomes.”
3. “I do not want to give the student the idea that nurses are all about who has the most power.”
4. “I can use power to ensure that other disciplines know I am the one who really does the work.”
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 7-1: Define power.
Question 13
Type: MCMA
Which statement indicates that a nurse has the skills to be politically involved?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The nurse does not take credit for his or her own ideas but attributes them to others.
2. The nurse knows a lot about what is going on in the organization.
3. People often say that the nurse has a way of dealing with difficult people and situations.
4. Staff members seek out this nurse’s ideas on how unit problems should be solved.
5. The nurse has a “sixth sense” about when to present new ideas.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 7-6: Describe how nurses can use politics to influence policies.
Question 14
Sullivan, Effective Leadership and Management, 8/e Test Bank