NUR 4590 / NUR4590 Exam 1: Professional Identity of the
Nurse Leader | ACTUAL EXAM | Questions & Verified
Answers | Latest Update – Rasmussen University
1.
Which statement best exemplifies the professional identity of a nurse leader in an
acute-care setting?
A. “I am accountable for maintaining my own clinical competence only.”
B. “I influence patient outcomes through advocacy, evidence-based decision-making,
and interprofessional collaboration.”
C. “My primary role is to execute tasks delegated by physicians.”
D. “I avoid policy discussions because they are outside my scope.”
Correct Answer: B
Rationale: Professional identity of the nurse leader encompasses advocacy,
accountability, systems thinking, and collaborative leadership that improves outcomes.
Option A limits accountability to self; nurse leaders are accountable for team and
system outcomes. Option C reflects an outdated task-oriented paradigm. Option D
ignores policy as a legitimate leadership domain.
2.
Transformational leadership is most closely associated with which nurse-leader
behavior?
A. Using contingent rewards to enforce compliance
,B. Inspiring a shared vision and encouraging innovation among staff
C. Correcting errors through disciplinary action
D. Maintaining the status quo to ensure predictability
Correct Answer: B
Rationale: Transformational leaders inspire and empower followers to exceed
expectations and embrace change. Contingent rewards (A) typify transactional
leadership. Disciplinary correction (C) and maintaining status quo (D) are not
transformational strategies.
3.
A nurse manager implements a zero-tolerance policy for workplace violence. Which
ethical principle is primarily upheld?
A. Fidelity
B. Non-maleficence
C. Veracity
D. Autonomy
Correct Answer: B
Rationale: Non-maleficence requires preventing harm; a violence-free environment
protects staff and patients. Fidelity (A) refers to keeping promises, veracity (C) to
truth-telling, and autonomy (D) to respecting self-determination—none as directly related
to preventing harm.
4.
,Which legal doctrine most exposes a nurse leader to personal liability when floating an
inadequately oriented nurse to a high-acuity unit?
A. Respondeat superior
B. Res ipsa loquitur
C. Personal accountability exceeding organizational immunity
D. Good Samaritan immunity
Correct Answer: C
Rationale: Leaders can be individually named when their decision directly breaches the
standard of care and causes harm. Respondeat superior (A) typically shields individuals
when the organization is liable. Res ipsa (B) applies when negligence is obvious.
Good-Samaritan laws (D) protect off-duty acts.
5.
Systems thinking requires the nurse leader to:
A. Focus exclusively on bedside processes
B. Examine patterns, interdependencies, and feedback loops across the organization
C. Delegate all quality-improvement tasks to staff nurses
D. Rely on intuition rather than data
Correct Answer: B
Rationale: Systems thinking views events as products of interactions within a whole
system. Narrow bedside focus (A), total delegation (C), or intuition without data (D)
contradict systems principles.
, 6.
During interprofessional rounds, a nurse leader ensures respiratory therapy, pharmacy,
and dietary inputs are solicited. Which Quality and Safety Education for Nurses (QSEN)
competency is demonstrated?
A. Patient-centered care
B. Teamwork and collaboration
C. Evidence-based practice
D. Informatics
Correct Answer: B
Rationale: QSEN teamwork and collaboration competency stresses interprofessional
communication and shared decision-making. While patient-centeredness is always
present, the explicit act of soliciting multiple disciplines maps to teamwork.
7.
Which leadership style is most effective for a newly merged unit experiencing low
morale and high turnover?
A. Laissez-faire
B. Servant leadership
C. Autocratic
D. Passive-avoidant
Correct Answer: B
Nurse Leader | ACTUAL EXAM | Questions & Verified
Answers | Latest Update – Rasmussen University
1.
Which statement best exemplifies the professional identity of a nurse leader in an
acute-care setting?
A. “I am accountable for maintaining my own clinical competence only.”
B. “I influence patient outcomes through advocacy, evidence-based decision-making,
and interprofessional collaboration.”
C. “My primary role is to execute tasks delegated by physicians.”
D. “I avoid policy discussions because they are outside my scope.”
Correct Answer: B
Rationale: Professional identity of the nurse leader encompasses advocacy,
accountability, systems thinking, and collaborative leadership that improves outcomes.
Option A limits accountability to self; nurse leaders are accountable for team and
system outcomes. Option C reflects an outdated task-oriented paradigm. Option D
ignores policy as a legitimate leadership domain.
2.
Transformational leadership is most closely associated with which nurse-leader
behavior?
A. Using contingent rewards to enforce compliance
,B. Inspiring a shared vision and encouraging innovation among staff
C. Correcting errors through disciplinary action
D. Maintaining the status quo to ensure predictability
Correct Answer: B
Rationale: Transformational leaders inspire and empower followers to exceed
expectations and embrace change. Contingent rewards (A) typify transactional
leadership. Disciplinary correction (C) and maintaining status quo (D) are not
transformational strategies.
3.
A nurse manager implements a zero-tolerance policy for workplace violence. Which
ethical principle is primarily upheld?
A. Fidelity
B. Non-maleficence
C. Veracity
D. Autonomy
Correct Answer: B
Rationale: Non-maleficence requires preventing harm; a violence-free environment
protects staff and patients. Fidelity (A) refers to keeping promises, veracity (C) to
truth-telling, and autonomy (D) to respecting self-determination—none as directly related
to preventing harm.
4.
,Which legal doctrine most exposes a nurse leader to personal liability when floating an
inadequately oriented nurse to a high-acuity unit?
A. Respondeat superior
B. Res ipsa loquitur
C. Personal accountability exceeding organizational immunity
D. Good Samaritan immunity
Correct Answer: C
Rationale: Leaders can be individually named when their decision directly breaches the
standard of care and causes harm. Respondeat superior (A) typically shields individuals
when the organization is liable. Res ipsa (B) applies when negligence is obvious.
Good-Samaritan laws (D) protect off-duty acts.
5.
Systems thinking requires the nurse leader to:
A. Focus exclusively on bedside processes
B. Examine patterns, interdependencies, and feedback loops across the organization
C. Delegate all quality-improvement tasks to staff nurses
D. Rely on intuition rather than data
Correct Answer: B
Rationale: Systems thinking views events as products of interactions within a whole
system. Narrow bedside focus (A), total delegation (C), or intuition without data (D)
contradict systems principles.
, 6.
During interprofessional rounds, a nurse leader ensures respiratory therapy, pharmacy,
and dietary inputs are solicited. Which Quality and Safety Education for Nurses (QSEN)
competency is demonstrated?
A. Patient-centered care
B. Teamwork and collaboration
C. Evidence-based practice
D. Informatics
Correct Answer: B
Rationale: QSEN teamwork and collaboration competency stresses interprofessional
communication and shared decision-making. While patient-centeredness is always
present, the explicit act of soliciting multiple disciplines maps to teamwork.
7.
Which leadership style is most effective for a newly merged unit experiencing low
morale and high turnover?
A. Laissez-faire
B. Servant leadership
C. Autocratic
D. Passive-avoidant
Correct Answer: B
