NUR 4590 Final Exam
1. 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
- a. accountability.
2. Which staff member should be assigned to a dying client who is experiencing symptoms
of emotional distress?
a. UAP who can be spared to sit with the client
b. LPN/LVN who has grown attached to the family
c. RN who has experience as a hospice nurse
d. Newly graduated RN
- c. RN who has experience as a hospice nurse
3. The charge nurse is making assignments on a surgical unit. Which client should be
assigned to the least experienced nurse?
a. Client who had a vaginal hysterectomy and still has an indwelling catheter
b. Client who had an open cholecystectomy and has gray drainage in the T-tube
drainage tube and bag
c. Client who had a hip replacement and stated that something popped while walking
d. Client who had a Whipple procedure and is reporting being thirsty all the time
- a. Client who had a vaginal hysterectomy and still has an indwelling catheter
,4. 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?
a. Right task
b. Right circumstance
c. Right person
d. Right direction/communication
e. Right supervision/evaluation
- d. Right direction/communication
5. NVC communication processes are grounded in: (Select all that apply.)
a. confrontation
b. empathy
c. compassion
d. honesty
e. assertiveness
- b. empathy
c. compassion
d. honesty
6. A communication model that focuses on compassion, expression of emotion, and
providing validation via support is the:
a. validation, emotion, reassurance, activity (VERA) framework.
b. situation, background, assessment, and recommendation (SBAR) Communication
Theory.
, c. nonviolent communication (NVC) model.
d. Human Relationship Model
- a. validation, emotion, reassurance, activity (VERA) framework.
7. 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
- c. persuasion.
8. Which of the following is true about negotiation?
a. It commonly results in a win-lose situation.
b. It is aimed at solving problems, conflicts, or disputes.
c. It is used only in contract and labor union disputes.
d. It is the exchanging of favors or trading activity.
- b. It is aimed at solving problems, conflicts, or disputes.
9. 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:
, a. interpersonal communication.
b. clarity.
c. image.
d. intention.
- a. interpersonal communication.
10. The transformational leader engages staff by:
a. punishing errors.
b. sharing vision and decision making
c. taking a top-down approach to leadership.
d. making unilateral decisions for the team.
- b. sharing vision and decision making
11. Over lunch in the cafeteria, student nurses are sharing educational information about
the patients for whom they are caring. This is a(n):
a. breach of beneficence.
b. example of maleficence.
c. potential assault and battery charge.
d. violation of the Health Insurance Portability and Accountability Act (HIPAA).
- d. violation of the Health Insurance Portability and Accountability Act (HIPAA).
12. A communication system developed originally to address communication patterns in
critical situations is:
a. VERA framework.
b. NVC model.
1. 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
- a. accountability.
2. Which staff member should be assigned to a dying client who is experiencing symptoms
of emotional distress?
a. UAP who can be spared to sit with the client
b. LPN/LVN who has grown attached to the family
c. RN who has experience as a hospice nurse
d. Newly graduated RN
- c. RN who has experience as a hospice nurse
3. The charge nurse is making assignments on a surgical unit. Which client should be
assigned to the least experienced nurse?
a. Client who had a vaginal hysterectomy and still has an indwelling catheter
b. Client who had an open cholecystectomy and has gray drainage in the T-tube
drainage tube and bag
c. Client who had a hip replacement and stated that something popped while walking
d. Client who had a Whipple procedure and is reporting being thirsty all the time
- a. Client who had a vaginal hysterectomy and still has an indwelling catheter
,4. 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?
a. Right task
b. Right circumstance
c. Right person
d. Right direction/communication
e. Right supervision/evaluation
- d. Right direction/communication
5. NVC communication processes are grounded in: (Select all that apply.)
a. confrontation
b. empathy
c. compassion
d. honesty
e. assertiveness
- b. empathy
c. compassion
d. honesty
6. A communication model that focuses on compassion, expression of emotion, and
providing validation via support is the:
a. validation, emotion, reassurance, activity (VERA) framework.
b. situation, background, assessment, and recommendation (SBAR) Communication
Theory.
, c. nonviolent communication (NVC) model.
d. Human Relationship Model
- a. validation, emotion, reassurance, activity (VERA) framework.
7. 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
- c. persuasion.
8. Which of the following is true about negotiation?
a. It commonly results in a win-lose situation.
b. It is aimed at solving problems, conflicts, or disputes.
c. It is used only in contract and labor union disputes.
d. It is the exchanging of favors or trading activity.
- b. It is aimed at solving problems, conflicts, or disputes.
9. 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:
, a. interpersonal communication.
b. clarity.
c. image.
d. intention.
- a. interpersonal communication.
10. The transformational leader engages staff by:
a. punishing errors.
b. sharing vision and decision making
c. taking a top-down approach to leadership.
d. making unilateral decisions for the team.
- b. sharing vision and decision making
11. Over lunch in the cafeteria, student nurses are sharing educational information about
the patients for whom they are caring. This is a(n):
a. breach of beneficence.
b. example of maleficence.
c. potential assault and battery charge.
d. violation of the Health Insurance Portability and Accountability Act (HIPAA).
- d. violation of the Health Insurance Portability and Accountability Act (HIPAA).
12. A communication system developed originally to address communication patterns in
critical situations is:
a. VERA framework.
b. NVC model.
