A unit manager watches a new RN graduate interacting with a patient. When the
RN comes out of the room, the unit manager says, "I don't know what they taught
you in your nursing program, but if I see you do that again, I will write you up."
This example demonstrates:
a. Coercive use of power.
b. Appropriate application of control.
c. Use of informatory power.
d. Use of power to provide coaching. - ANSWER-ANS: A
Influence is the process of using power. Influence can involve the punitive power
of coercion, as is used in this example.
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:
a. Nurses freely chose to defer to physicians and administrators with more
education.
b. Women lacked legal, social, and political power because of legal and cultural
barriers.
c. The first nursing licensure laws prohibited nurses from making most decisions.
d. Nurses astutely recognized the risks of grabbing too much power too soon. -
ANSWER-ANS: B
Nursing mirrored the lack of legal, social, and political power that was prevalent
in the early decades of the profession.
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?
a. Expert, coercive, and referent
b. Reward, connection, and information
c. Referent, expert, and information
d. Reward, referent, and information - ANSWER-ANS: C
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.
Amy has worked in the dialysis unit on staff for about 12 years. She is frequently
consulted by other nursing staff regarding protocols and policies on the unit.
What type of power is Amy using?
a. Position power
b. Expert power
c. Personal power
d. Competency power - ANSWER-ANS: B
According to the types of power outlined in the text, Amy is most likely
evidencing expert power in that she is being consulted regarding areas of
knowledge and competency on the unit and is at the same level, potentially, in the
hierarchy as her colleagues.
Susan, an RN in the ED, would like to pursue leadership roles in her career. She
is frustrated that others in her working environment seem to pay little attention to
her creative ideas or place her in informal leadership positions. As her colleague,
you want to provide her with helpful feedback. Which of the following statements
will provide feedback as to how she might communicate power and demonstrate
that she is capable of handling other leadership responsibilities?
a. "I find your soft voice and manners very reassuring and calming to patients."
b. "Try using a wider vocabulary and big words so that people will think that you
are knowledgeable."
c. "At times, you tend to slump and avoid eye contact when you are talking with
colleagues and families."
d. "Don't worry about what others think of you. If you feel like saying something,
say it, even if it hurts other people's feelings." - ANSWER-ANS: C
A powerful image comes from thinking of oneself as powerful and effective, and
this is communicated through posture, maintaining eye contact, treating others
with courtesy and respect, and using a firm, confident voice with vocabulary that
is appropriate (which does not necessarily involve using big-sounding words).
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