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NUR 4590 EXAM 1: PROFESSIONAL IDENTITY OF THE NURSE LEADER | 2026–2027 | PRACTICE QUESTIONS & ANSWER GUIDE

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Prepare for NUR 4590 Exam 1: Professional Identity of the Nurse Leader with this comprehensive 2026–2027 study guide. Featuring practice questions with answer guides, this resource helps strengthen your understanding of leadership theories, professional identity, ethical decision-making, communication, quality improvement, and evidence-based nursing practice to support success on exams and course assessments.

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NUR 4590 Exam 1: Professional Identity of the Nurse
Leader– Rasmussen

Effective leadership is exemplified by values, confidence in employees, and a sense of
security in the face of uncertainty. This aspect of leadership is known as: correct answer Self-
awareness.

The areas where leadership and management overlap are explained by which of the
following statements? (SATA) correct answer Bring teams together

Direct activities

The Institute of Medicine (IOM) identified 5 areas of management practice for leaders to
attend to during turbulent times. Which of the following are included in those areas? correct
answer Maintaining and sustaining quality and safety in service delivery

Balancing reliability and efficiency in service delivery

Involving workers to manage and sustain change

Hersey and colleagues identified three skills needed for leading or influencing workers.
Identify three skills leaders must possess to influence people. correct answer Diagnosing

Directing

Communicating

Great leaders possess four essential skills. Identify two statements that describe those
skills. correct answer Great leaders possess popularity to establish followers to engage.

Great leaders possess a combination of hardiness and the ability to grasp
context, called "adaptive capacity."

The research of which team states that the leader needs to be flexible in behavior, able to
diagnose the leadership style appropriate to the situation, and able to apply the
appropriate style? correct answer hersey and Blanchard's model

,Managers who proceed with a change can best engage staf f and prevent resistance by
doing which of the following? correct answer Communicating accurate information to engage
staff and overcome
misunderstanding regarding the need for change

, Leaders are change agents and have a role in change that includes which of the
following? correct answer Providing reliable information and details to those who are to
implement the change and understand their view of expectations and plan adequate, timely
education on the changed.

Porter-O'Grady and Malloch (2015) emphasized four practices for current workplaces that
foster learning organizations. Examples of practices would include: correct answer Electronic
health records (EHRs), health information exchange (HIE) networks, and clinical decision
support.

Trends in 21-century health care in the US are described as revolutionary by Longenecker and
Longenecker (2014). Leaders will innovate and change toward preventive and wellness health
care services because of which of these trends? correct answer New laws and regulations from
the Affordable Care Act (ACA) to cut costs and improve indicators of quality and staffing
challenges

Change is inevitable in health care, just as it is in life. Which two statements are
true about change? correct answer Change is inevitable and is necessary for organizational
viability.

Individuals become aware of the need for change when needs are unmet.

Change behaviors displayed in a variety of ways. Identify the two correct statements correct
answer A. Resistance can be useful and should be listened to and analyzed.

D. Too much change is disruptive and can result in disorganization.

Change behaviors displayed in a variety of ways. Identify the two correct statements on
how leaders identify, support, and promote innovators. correct answer D. Seeks out
knowledgeable experts

E. Comfortable with uncertainty

The distinction between change and innovation is best described in which of the
following statements? correct answer B. Innovation refers to the process of bringing any new
or problem-solving idea into use, whereas change is a process for reducing variation within an
existing process with a problem.

C. Innovation is often linked with creativity and viewed as the use of a new idea to solve a
problem, whereas change means improving incrementally

D. Change is a disruption; innovation is systematic,

Rogers (2003) described five factors to determine successful planned change: relative

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