cation 10th edition Chapter 1
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1. The nurse is applying a de- A. Choose between different courses of action
cision making process to a Feedback: Decision making is a complex, cognitive process often
clinical challenge. When ap- defined as choosing a
plying this process the nurse particular course of action. Problem solving is part of decision
must? making and is a systematic
process that focuses on analyzing a difficult situation. It is not
A. Choose between different always realistic for the nurse
courses of action to solve each of the problems contributing to a larger challenge,
B. Analyze the root cause of a especially at the beginning
situation of the decision-making process. The nurse often lacks the time,
C. Prioritize the maximum information, or resources to
good for the maximum num- analyze the root causes of a situation. Many times, the nurse
ber of people makes a decision that benefits
D. Begin by solving the un- the largest number of people, but this is not always feasible or
derlying problem desirable
2. The nurse is applying the D. Identify the root cause of conflict
traditional problem-solving Feedback: The traditional problem-solving model attempts to
model when mediating in identify the root problem in
a conflict between two col- situations, a task that can require much time and energy. Effi-
leagues. When applying this ciency is desirable, but trying
model, the nurse should pri- to implement a solution as quickly as possible can result in a
oritize what task? hasty and incorrect solution.
Reflective thinking is always beneficial, but this is not a specific
A. Encouraging each nurse to component of the
reflect on his or her actions traditional problem-solving model. Outside input may or may not
B. Implementing a solution be necessary; this varies
as quickly as possible with each individual problem.
C. Eliciting input from other
nurses
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cation 10th edition Chapter 1
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D. Identify the root cause of
conflict
3. Which statement is true re- C. Decisions are greatly influenced by each person's value sys-
garding decision-making? tem.
Feedback: Values, life experience, individual preference, and in-
A. Past experience has little dividual ways of thinking
to do with quality of the deci- will influence a person's decision making. No matter how objec-
sion tive the criteria will be,
B. Personal belief can be ad- value judgments will always play a part in a person's decision
justed for when the scientific making, either consciously or
approach to problem-solving subconsciously. It is not possible for a nurse to fully "set aside"
is used personal beliefs when
C. Decisions are greatly influ- making a decision, even if the nurse applies the principles of
enced by each person's value self-reflection
system.
D. Scientific methods to pro-
vide identical decisions by
different individuals for the
same problem.
4. The nurse manager of a short C. Generate as many different alternatives as possible
staffed unit needs to make Feedback: The greater the number of alternatives that can be
a decision about a nurses generated by the decision
request for an unpaid leave maker, the better the final decision will be. Generating multiple
of absence. In order to in- alternatives may require
crease the chance of making involving more people in the decision-making process, but the
a good decision, the manag- process can easily become
er should: unwieldy if too many people are involved. The manager should
always consider the status
A. Involved as many people in quo as a possible option, but this is not always considered to be
the decision making process
, Leadership Roles and Management functions in Nursing theory and appli
cation 10th edition Chapter 1
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as possible the default option.
B. Prioritize the option that is Innovation is often a desirable characteristic, but it would be
most innovative inappropriate to choose an
C. Generate as many differ- option solely because it is innovative; many other values must be
ent alternatives as possible considered
D. Begin the decision mak-
ing process by presuming the
status quo to be the best op-
tion
5. An experience nurse manag- C. Intuition
er has been described as be- Feedback: Right-brained thinkers have traditionally been charac-
ing a " right brain thinker ". terized as being creative and
This managers decision mak- intuitive. Linear analysis is more closely aligned with left-brained
ing process likely prioritize thinking. Transparency
what characteristic? and efficiency are desirable qualities that are not particularly
aligned with either of these
A. Transparency two paradigms
B. Efficiency
C. Intuition
D. Linear analysis
6. The nurse manager is ap- C. The clients for whom the intervention would be relevant
plying an evidence-based ap- Feedback: The PICO (patient or population, intervention, com-
proach to a clinical ques- parison, and outcome) format
tion around client mobiliza- is used in evidence-based practice to guide the search for the
tion. When using PICO for- current best evidence to
mat to search for evidence, address a problem. Client and family preferences and cost are
the nurse should identify included in evidence-based
what? practice but are not explicit components of the PICO format.
Intuition is a component of
A. The preferences of clients