Types of Social Power
QSEN Competencies
Standards of Practice
100

A staff nurse provides care based on intuition and always seems to be in control of her personal and professional life—serving on the board of the state nurses association, serving as the nursing unit's representative on the ethics committee, and coaching her daughter's softball team. Many of the staff observe how she manages time and provides care. This nurse's power comes from which type of power?

What is Referent Power

100

Asking for help from a co-worker or superior is an example of what Quality and Safety in the Education of Nurses (QSEN) competency?

What is Teamwork and Collaboration

100

A critical thinking method used by nurses to provide nursing care that is individualized and holistic.

What is the Nursing Process

200

A nurse working in a medical unit finds that diabetic clients have a knowledge deficit regarding use of glucose-monitoring devices. The nurse requests that a colleague who works in the outpatient diabetic counseling department provide health teaching to the clients. Which type of power does the nurse's colleague hold?

What is Informational Power

200

Communicating patient values, preferences and expressed needs to other members of the health care team is an example of what Quality and Safety in the Education of Nurses (QSEN) competency?

What is Patient-Centered Care

200

The nurse who reviews the patient's current laboratory values prior to administering prescribed medications is completing which step of the nursing process?

What is Assessment

300

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 which type of social power?

What is Coercive Power

300

A nurse is caring for an older-adult couple in a community-based assisted living facility. During the family assessment he notes that the couple has many expired medications and multiple medications for their respective chronic illnesses. They note that they go to two different health care providers. The nurse begins to work with the couple to determine what they know about their medications and helps them decide on one care provider rather than two. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency?

What is Safety

300

A patient had hip surgery 16 hours ago. During the previous shift the patient had 40 mL of drainage in the surgical drainage collection device for an 8 hour period. The nurse refers to the written plan of care, noting that the health care provider is to be notified when drainage in the device exceeds 100 mL for the day. On entering the room, the nurse looks at the device and carefully notes the amount of drainage currently in it. This is an example of:

What is Evaluation

400

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?

What is Reward Power

400

Using tools such as algorithm flow charts and cause-effect analyses to make processes of care more explicit is an example of what Quality and Safety in the Education of Nurses (QSEN) competency?

What is Quality Improvement

400

The nurse informs the physical therapy department that the client is too weak to use a walker and needs to be transported by wheelchair. Which step of the nursing process is the nurse engaged in at this time?

What is Implementation

500

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?

What is Expert Power

500

The nurse is caring for a patient who has been admitted to the hospital with terminal leukemia. The patient has expressed a preference for nonpharmacological pain control. The nurse refers to articles and systematic reviews to learn the best possible nonpharmacological methods to treat cancer pain. Which two QSEN competencies is the nurse’s actions demonstrating?

What is Patient-Centered Care and Evidence-Based Practice

500

What are the 5 components that should be included when determining outcome goals for a client?

Specific

Measurable

Achievable

Relevant / Realistic

Time-Bound

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