NUR 4590 FINAL EXAM RASMUSSEN 2024 -2025

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NUR 4590 FINAL EXAM RASMUSSEN 2024 -2025

PROFESSIONAL IDENTITY OF THE NURSE

LEADER WITH 100 REAL EXAM QUESTIONS

AND CORRECT ANSWERS / RASMUSSEN NUR

4590 FINAL EXAM LEADERSHIP

A nursing preceptor is giving feedback to a new nurse who currently is being oriented. Her preceptor suggests a better method of interacting with a family member by saying, "You might want to be cognizant of your non-verbal behaviors when talking with clients. Rather than continuing to chart when you are talking with an American family, stop charting, move closer to the family and client, look at them during the conversation, and take time to let them share their concerns."

This preceptor is giving advice about:

• interpersonal communication.
• clarity.
• image.
• intention. - ANSWER-a. interpersonal communication.

The transformational leader engages staff by:

• punishing errors.
• sharing vision and decision making
• taking a top-down approach to leadership.
• making unilateral decisions for the team. - ANSWER-b. sharing vision and

decision making

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pg. 2 Over lunch in the cafeteria, student nurses are sharing educational information

about the patients for whom they are caring. This is a(n):

• breach of beneficence.
• example of maleficence.
• potential assault and battery charge.
• violation of the Health Insurance Portability and Accountability Act (HIPAA). -

ANSWER-d. violation of the Health Insurance Portability and Accountability Act

(HIPAA).

Which staff member should be assigned to a dying client who is experiencing symptoms of emotional distress?

• UAP who can be spared to sit with the client
• LPN/LVN who has grown attached to the family
• RN who has experience as a hospice nurse
• Newly graduated RN - ANSWER-c. RN who has experience as a hospice nurse

The charge nurse is making assignments on a surgical unit. Which client should be assigned to the least experienced nurse?

• Client who had a vaginal hysterectomy and still has an indwelling catheter
• Client who had an open cholecystectomy and has gray drainage in the T-tube

drainage tube and bag

• Client who had a hip replacement and stated that something popped while

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• Client who had a Whipple procedure and is reporting being thirsty all the time -

ANSWER-a. Client who had a vaginal hysterectomy and still has an indwelling catheter

When determining that delegation of an element of patient care needs to occur, the nurse delegates with a clear, concise description of the task, including its objectives, limits, and expectations. The nurse allows the delegate to clarify without fear of repercussion. Which of the following five rights of delegation is being demonstrated?

• Right task
• Right circumstance
• Right person
• Right direction/communication
• Right supervision/evaluation - ANSWER-d. Right direction/communication

Who is ultimately accountable for the appropriateness and supervision of the delegated task?

• The nurse who delegated the task
• The UAP who accepted the task
• The nursing manager
• The hospital CEO - ANSWER-a. The nurse who delegated the task

When the licensed nurse makes a determination to delegate a task, which of the following occurs in the process? (Select all that apply.)

• The nurse assesses the situation and need for delegation. 3 / 4

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• A plan for specific task delegation is established.
• The needs of the nurse are considered.
• The nurse determines the available resources and patient safety.
• Accountability is transferred to the manager. - ANSWER-b. A plan for specific

task delegation is established.

• The needs of the nurse are considered.
• The nurse determines the available resources and patient safety.

Non-violent Communication (NVC) processes are grounded in: (Select all that

apply.)

• confrontation
• empathy
• compassion
• honesty
• assertiveness - ANSWER-b. empathy
• compassion
• honesty

A communication model that focuses on compassion, expression of emotion, and

providing validation via support is the:

• validation, emotion, reassurance, activity (VERA) framework.
• situation, background, assessment, and recommendation (SBAR)

Communication Theory.

• nonviolent communication (NVC) model.
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