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NUR4590 FINAL EXAM STUDY GUIDE | COMPREHENSIVE PRACTICE QUESTIONS & VERIFIED ANSWERS | 2026–2027

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Prepare with confidence for your NUR4590 Final Exam using this comprehensive study guide designed to strengthen your understanding of key professional nursing concepts. This resource includes well-structured practice questions and verified answers covering leadership, evidence-based practice, quality improvement, patient safety, collaboration, healthcare ethics, legal responsibilities, and professional standards. An excellent review tool for reinforcing essential course material and building confidence for the 2026–2027 final examination.

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NUR 4590 FINAL EXAM


*Being answerable to oneself and others for one's own choices, decisions, and actions as
measuredagainst 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 changeattitudes 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
behaviorsby 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. Theextent 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.

,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 careand dissatisfaction with a co-worker's performance. Incidents also
result from conflicts or aggressionarising 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 herunit. 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 apercentage 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 tototal nursing staff, is called - ANSWER-skill mix



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



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

, 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 predominantor root causes may be found more readily.



*The risk manager wants to illustrate the causes that have been leading to an increase
in patientmisidentification. 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 withmultiple 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 andcommunication of data, information, knowledge, and wisdom in
nursing practice

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