Nursing Management – Exam 1 – Study Guide & Practice Questions
clinical decision/clinical judgement, diagnostic reasoning decisions, organizational decisions,
ethical decisions, administration decisions, satisficing "good enough" decisions - correct answer
✔✔What are the 6 types of nursing decisions
judgement-based nurse, clinical interaction and goal setting (ex. holding a medication) - correct
answer ✔✔clinical decision/clinical judgement
assess, analyze, gather data, and evaluate (ex. looking at blood work) - correct answer
✔✔diagnostic reasoning decisions
solving systems problems to attain agency goals (ex. electronic health records) - correct answer
✔✔organizational decisions
examines conflicts among ethical principles, resource decisions and values (ex. end of life
decisions) - correct answer ✔✔ethical decisions
utilizes human, financial, and material resources (ex.downsizing/layoffs) - correct answer
✔✔administration decisions
minimal decisions- satisfy basic requirement "it's good enough" (usually shows a lack of
training) - correct answer ✔✔satisficing "good enough" decisions
internal factors (importance, like making decisions or do not like making them), external factors
(laws, regulations), values (foundation for an ethical stance) - correct answer ✔✔What factors
influence decision making
1.Identify the problem
,2,Establish criteria
3.Weigh the criteria
4.Search for clear, specific alternative solutions or actions
5.Test the alternatives and options
6.Select an option
7.Evaluate the solution-and troubleshoot problems - correct answer ✔✔What are the steps of
the decision making process
1. anchoring trap 2. status quo trap 3. sunk cost trap 4. confirming evidence trap 5. framing trap
6. estimating and forecasting trap - correct answer ✔✔What are the 6 thinking traps that
influence decision making
first information given gets a disproportionate weight (trends, old numbers) - correct answer
✔✔Anchoring trap
greater weight to alternatives that maintain the status quo - correct answer ✔✔Status quo trap
new decisions are made to justify past decisions - correct answer ✔✔Sunk cost trap
seek information that support existing point of view avoiding contradictory evidence - correct
answer ✔✔Confirming evidence trap
framing the problem influences the choices - correct answer ✔✔Framing trap
make estimates/forecasts and avoids contradictory information - correct answer ✔✔Estimating
and forecasting trap
, 1.Task force 2. Quality circles 3. Brainstorming 4. Nominal group techniques 5. Delphi method -
correct answer ✔✔What are the 5 approaches of group decisions a
give a group of experts the job of researching and generating solutions to a problem - correct
answer ✔✔Task force
group members who do the work meet to generate solutions to problems and maintain quality -
correct answer ✔✔Quality circles
generates a lot of creative options- no killer phrases allowed "it'll never work" - correct answer
✔✔Brainstorming
(no dominance issures) dont talk to each other but write down ideas to solve a problem, each
(erson presents an idea; no one discusses it until all ideas are expressed- next step is discussion
(time consuming)- last step group assigns a priority rank to their choice option - correct answer
✔✔Nominal group techniques
(no dominance issues) questionaire, not face-to-face- systematic gathering of opinions,
judgements from experts- opinions continue to go back to experts for refining- results are
tabulated and analyzed - correct answer ✔✔Delphi method
increased information, cooperation, ownership, and can head off opposition, more options can
be generated, face-to-face, cohesive - correct answer ✔✔Advantages of group decision making
takes more time, need more resources, influenced by others, increased conflict, quiet people
don't participate
unequal power, groupthink, premature concurrence, mind guards - correct answer
✔✔Disadvantages of group decision making
dominating people can prevail - correct answer ✔✔unequal power
clinical decision/clinical judgement, diagnostic reasoning decisions, organizational decisions,
ethical decisions, administration decisions, satisficing "good enough" decisions - correct answer
✔✔What are the 6 types of nursing decisions
judgement-based nurse, clinical interaction and goal setting (ex. holding a medication) - correct
answer ✔✔clinical decision/clinical judgement
assess, analyze, gather data, and evaluate (ex. looking at blood work) - correct answer
✔✔diagnostic reasoning decisions
solving systems problems to attain agency goals (ex. electronic health records) - correct answer
✔✔organizational decisions
examines conflicts among ethical principles, resource decisions and values (ex. end of life
decisions) - correct answer ✔✔ethical decisions
utilizes human, financial, and material resources (ex.downsizing/layoffs) - correct answer
✔✔administration decisions
minimal decisions- satisfy basic requirement "it's good enough" (usually shows a lack of
training) - correct answer ✔✔satisficing "good enough" decisions
internal factors (importance, like making decisions or do not like making them), external factors
(laws, regulations), values (foundation for an ethical stance) - correct answer ✔✔What factors
influence decision making
1.Identify the problem
,2,Establish criteria
3.Weigh the criteria
4.Search for clear, specific alternative solutions or actions
5.Test the alternatives and options
6.Select an option
7.Evaluate the solution-and troubleshoot problems - correct answer ✔✔What are the steps of
the decision making process
1. anchoring trap 2. status quo trap 3. sunk cost trap 4. confirming evidence trap 5. framing trap
6. estimating and forecasting trap - correct answer ✔✔What are the 6 thinking traps that
influence decision making
first information given gets a disproportionate weight (trends, old numbers) - correct answer
✔✔Anchoring trap
greater weight to alternatives that maintain the status quo - correct answer ✔✔Status quo trap
new decisions are made to justify past decisions - correct answer ✔✔Sunk cost trap
seek information that support existing point of view avoiding contradictory evidence - correct
answer ✔✔Confirming evidence trap
framing the problem influences the choices - correct answer ✔✔Framing trap
make estimates/forecasts and avoids contradictory information - correct answer ✔✔Estimating
and forecasting trap
, 1.Task force 2. Quality circles 3. Brainstorming 4. Nominal group techniques 5. Delphi method -
correct answer ✔✔What are the 5 approaches of group decisions a
give a group of experts the job of researching and generating solutions to a problem - correct
answer ✔✔Task force
group members who do the work meet to generate solutions to problems and maintain quality -
correct answer ✔✔Quality circles
generates a lot of creative options- no killer phrases allowed "it'll never work" - correct answer
✔✔Brainstorming
(no dominance issures) dont talk to each other but write down ideas to solve a problem, each
(erson presents an idea; no one discusses it until all ideas are expressed- next step is discussion
(time consuming)- last step group assigns a priority rank to their choice option - correct answer
✔✔Nominal group techniques
(no dominance issues) questionaire, not face-to-face- systematic gathering of opinions,
judgements from experts- opinions continue to go back to experts for refining- results are
tabulated and analyzed - correct answer ✔✔Delphi method
increased information, cooperation, ownership, and can head off opposition, more options can
be generated, face-to-face, cohesive - correct answer ✔✔Advantages of group decision making
takes more time, need more resources, influenced by others, increased conflict, quiet people
don't participate
unequal power, groupthink, premature concurrence, mind guards - correct answer
✔✔Disadvantages of group decision making
dominating people can prevail - correct answer ✔✔unequal power
