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NUR 4590 Final Exam / NUR4590 Final Exam Review
(Latest 2022/2023) Rasmussen


*Being answerable to oneself and others for one's own choices, decisions, and actions as measured
against a standard is:*

a. Accountability.

b. Authority.

c. Supervision

d. Delegation - ANSWER-a. Accountability.



Persuasion: - ANSWER-is a human communication activity designed to influence another to change
attitudes or alter behaviors by the use of techniques such as argument, reasoning, or pleading.



*A human communication activity designed to influence another to change attitudes or alter behaviors
by the use of techniques such as argument, reasoning, or pleading is known as:*

a. Advisement.

b. Consultation.

c. Persuasion.

d. Suggestion - ANSWER-c. Persuasion.



Specialization: - ANSWER-The division (or differentiation) of work by occupation or by function. The
extent to which work is divided and assigned to positions and divisions



*The division of work by occupation or function is a form of:*

a. Specialization.

b. Interdependence.

c. Uncertainty.

d. Technology. - ANSWER-a. Specialization



Horizontal Violence: - ANSWER-A major source of violence against nurses is bullying from other nurses,
also referred to as lateral or horizontal violence. There is much speculation as to why this occurs.

, NUR 4590 Final Exam / NUR4590 Final Exam Review
(Latest 2022/2023) Rasmussen

Analysis of data from nurses in hospitals found that incidents are often sparked by unprofessional
behavior resulting from disagreement over responsibilities for work tasks or methods of patient care
and dissatisfaction with a co-worker's performance. Incidents also result from conflicts or aggression
arising from failure to follow protocol, patient assignments, limited resources, and high workload.



*Jenna, a registered nurse (RN), has been accused of gossiping and bullying a new graduate RN on her
unit. This type of workplace violence is called _____ violence.*

a. Horizontal

b. Co-worker

c. Threatening

d. Nurse-to-nurse - ANSWER-a. Horizontal



Skill Mix: - ANSWER-is the proportion of direct-care RNs to total direct-care nursing staff, expressed as a
percentage of RNs to total nursing staff.



*The provision of quality nursing care to clients, wherever delivered, depends on the:*

a. Appropriate nursing diagnoses.

b. Current wage scale.

c. Number of nurse leaders.

d. Right skill mix. - ANSWER-d. Right skill mix.



*The proportion of direct-care RNs to total direct-care nursing staff, expressed as a percentage of RNs to
total nursing staff, is called - ANSWER-skill mix



Resistance: - ANSWER-Resistance to change should be expected as integral to the process of change. It
may be rooted in anxiety or fear.



*_____ is an expected part of change and is often related to fear and anxiety.*

a. Depression

, NUR 4590 Final Exam / NUR4590 Final Exam Review
(Latest 2022/2023) Rasmussen

b. Resistance

c. Acceptance

d. Denial - ANSWER-b. Resistance



Fishbone chart: - ANSWER-The fishbone diagram resembles diagramming sentences. The effect is
illustrated in a box at the end of a midline (or head of the fish). The causes are generally four or five
categories of elements that might contribute to the effect (e.g., machines, methods, people, materials,
and measurements) and the specific activities. Under each of these category headings, individual items
that might lead to the effect are listed. By diagramming all of the possible contributors, the predominant
or root causes may be found more readily.



*The risk manager wants to illustrate the causes that have been leading to an increase in patient
misidentification. The most appropriate tool to use is a:*

a. Pareto chart.

b. Control chart.

c. Fishbone diagram.

d. Detailed flowchart. - ANSWER-c. Fishbone diagram.



Nursing informatics: - ANSWER-Nursing informatics is a "specialty that integrates nursing science with
multiple information and analytical sciences to identify, define, manage and communicate data,
information, knowledge, and wisdom in nursing practice



*Nursing informatics includes the:*

a. Coding and billing of hospital and physician services.

b. Management and communication of data, information, knowledge, and wisdom in nursing practice

c. Organization and selection of quality medical information.

d. Support and troubleshooting of computer software issues. - ANSWER-b. Management and
communication of data, information, knowledge, and wisdom in nursing practice



Practice Based Evidence: - ANSWER-Collecting and extracting data that describe the processes and
outcomes of nursing care electronically has provided evidence for the design of care protocols and

, NUR 4590 Final Exam / NUR4590 Final Exam Review
(Latest 2022/2023) Rasmussen

delivery models (Horn & Gassaway, 2010). The formal process of using these patient data for providing
this evidence is termed practice-based evidence



*The formal process of using patient data for providing evidence for the design of care protocols is
termed:*

a. evidence-based practice.

b. practice-based evidence.

c. data analysis.

d. effectiveness research - ANSWER-b. practice-based evidence.



Delegation: - ANSWER-the process for a nurse to direct another person to perform nursing tasks and
activities



*The process for a nurse to direct another person to perform nursing tasks and activities is:*

a. Authorization.

b. Delegation.

c. Empowerment.

d. Supervision - ANSWER-b. Delegation.



Staffing Pattern: - ANSWER-the staffing management plan provides the structured processes to identify
patient needs and then to deliver the staff resources as efficiently and effectively as possible. An
effective plan first focuses on stabilizing the unit core staffing. A staffing pattern, or core coverage, is
determined through a forecasted workload and a recommended care standard



*A forecasted workload and a recommended care standard determine the:

a. Staffing pattern.

b. Skill mix of the unit.

c. Nurse-to-patient ratios.

d. Staffing management plan. - ANSWER-a. Staffing pattern.

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