Question 1

The graduate nurse, researching the concept of emancipatory nursing practice, is searching for a theory to support current nursing behavior of taking orders and following the medical model for care. Whose theory would support what the graduate nurse is seeking?

Accepted Answer

A)   Foucault
B)   Freire
C)   Rogers
D)   Hooks Correct B

Question 2

A healthcare organization is planning to apply for Magnet recognition. How will this status affect the nursing staff?

Accepted Answer

A)   Provide control over the practice environment
B)   Increase budgeting for the nursing department
C)   Equalize the nurse-physician relationship
D)   Identify issues of staff turnover Correct A

Question 3

The nurse manager is identifying strategies to balance the power between the physicians and nursing staff on a patient care area. What information would help the nurse manager select appropriate strategies to implement? Standard Text: Select all that apply.

Accepted Answer

A)   Provide research on how an empowered nursing workforce impacts morbidity and mortality.
B)   Create a plan to implement changes in the power balance on the care area.
C)   Meet with the medical director to discuss the issue.
D)   Identify opportunities for change on the unit.
E)   Read articles that support praxis. Correct A,B,D,E

Question 4

The nurse has decided to apply to graduate school. In what way will additional formal education support the nurse's future power?

Accepted Answer

A)   Work in a position of formal power
B)   Improve the health of oppressed people
C)   Learn the budgeting process
D)   Learn to complete a risk assessment Correct

Question 5

The staff nurse has identified a critical patient safety issue within a health care organization. Prior to reporting the issue the nurse completes a risk assessment. What would be a desirable outcome from this assessment?

Accepted Answer

A)   Disregard
B)   Loss of anonymity
C)   Walk away from a job
D)   Become a change agent Correct

Question 6

The nurse observes a physician provide a cursory examination of an older patient. Afterwards the physician is overheard saying that healthcare dollars are scarce yet they are being spent on people who are going to die anyway. The nurse identifies this physician's behavior as violating which concept of the Power Theory?

Accepted Answer

A)   Awareness
B)   Freedom
C)   Choice
D)   Action

Question 7

A patient is overheard telling a family member that the "nurses here are nice but they don't look like the ones on television." How does this statement impact the profession of nursing?

Accepted Answer

A)   Places it equally with physicians
B)   Relegates it to one of service
C)   Increases professionalism
D)   Recognizes expertise Correct

Question 8

The nurse manager is struggling with the issue of power within a healthcare organization. Which observations contribute to this manager's perception of power? Standard Text: Select all that apply.

Accepted Answer

A)   Nurse-to-patient ratio increasing over the last several months
B)   Increase in the number of patients developing nosocomial infections
C)   Staff willing to work on projects to improve the quality of patient care
D)   Limited numbers of nursing leaders in positions of authority within the organization
E)   Processes that support the needs of the physician over the needs of the patient or nurse Correct

Question 9

The nursing staff was asked through a survey to describe what activities would improve their feelings of empowerment. What choices would the nurses select to increase feelings of being empowered? Standard Text: Select all that apply.

Accepted Answer

A)   Increased tenure
B)   Approachable leader
C)   Available opportunities
D)   Work is valued by others
E)   Accepting duties as assigned Correct

Question 10

The staff nurse is researching professional nursing organizations that focus on social justice. What would be the purpose for the nurse to join this type of organization?

Accepted Answer

A)   Improve the quality of patient care
B)   Recognize ways to make changes
C)   Reduce the incidence of medical errors
D)   Support oppressed members of society Correct

Question 11

A Shared Governance committee is creating a philosophy for the Department of Nursing. Which statement would the committee members select as supporting a caring foundation for nursing?

Accepted Answer

A)   Belief in the goodness of human beings
B)   Focus on loving and nurturing self and others
C)   Focus on the whole person and wellness
D)   Belief in self-reflection and justice for all Correct

Question 12

The nurse identified a patient safety issue, however is hesitant to report this finding to management. What fears are causing the nurse to not report this finding? Standard Text: Select all that apply.

Accepted Answer

A)   Being stereotyped
B)   Being labeled as selfish
C)   Being of being supported
D)   Being sidelined for promotions
E)   Being told that the finding is not a problem Correct

Question 13

The nurse is reviewing a journal article that focuses on the concept of intersectionality. What will the nurse identify as the relevancy of this concept to patient safety and quality care?

Accepted Answer

A)   Strengthens the nurse-patient relationship
B)   Improves nurse-physician communication
C)   Identifies patient safety and quality issues
D)   Explains how all unjust systems are related Correct

Question 14

The nurse manager is planning to distribute the Power to Knowingly Participate in Change Tool to the staff during the next meeting. What purpose will this tool serve?

Accepted Answer

A)   Identifies the staff's commitment to quality patient care
B)   Recognizes which staff members are not aware of patient safety issues
C)   Measures the level of power a person experiences and perceives
D)   Describes the staff that is willing or not willing to change Correct

Question 15

The nurse is attending a seminar that addresses power in nursing. In what way will this information be beneficial to the practicing nurse? Standard Text: Select all that apply.

Accepted Answer

A)   Improve the quality of patient care
B)   Reinforce subordinate behavior
C)   Enhance safe patient care
D)   Support patient advocacy
E)   Promote healing Correct

Exam 4: Power, Empowerment, and Change in Nursing and Health Care