Chapter 7 Effective Leadership and Management in Nursing 8th Edition

Chapter 7  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

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.
Correct Answer: 2
Rationale 1: Using power to evaluate staff is not its most important use.
Rationale 2: The most important use of power is to impact the quality of client care.
Rationale 3: The nurse can use power in relationships with unlicensed personnel, but this is not the most important use of power.
Rationale 4: Using power to assist newly licensed nurses is not the most important way it is used.
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: 7-2: 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
4. Reward power
Correct Answer: 4
Rationale 1: Legitimate power is the authority to make a request of staff.
Rationale 2: Expert power is based on a manager having unique skills or knowledge.
Rationale 3: Referent power is based on the employees’ respect for a manager. They comply with requests out of respect for the manager.
Rationale 4: Reward power is based on the inducements a manager can offer a staff. In this case the manager can offer increased benefits.
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 3
Type: MCSA
The local hospital has recently been acquired by a larger hospital corporation. The nurse manager encourages staff to attend the next unit meeting by hanging a poster announcing that the new wage scale and benefits package will be discussed. This is an example of which type of power?
1. Referent power
2. Information power
3. Legitimate power
4. Connection power
Correct Answer: 2
Rationale 1: Referent power is based on admiration and respect for an individual.
Rationale 2: The nurse manager possesses information that employees desire. The only means of getting the information is through the manager, so the manager has information power.
Rationale 3: Legitimate power stems from the manager’s right to make a request based on the authority associated with the job.
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
Correct Answer: 1
Rationale 1: Coercive power is based on penalties a manager might impose on an employee. A negative evaluation is a penalty.
Rationale 2: Information power is based on information a manager has and employees want.
Rationale 3: Referent power is based on the respect the followers have for the manager.
Rationale 4: Reward power is based on the inducements a manager can give to the employees.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 7-1: Define power.