lOMoAR cPSD| 30089585
lOMoAR cPSD| 30089585
Test Bank for Leadership Roles and Management Functions in Nursing:
Theory and Application, 11th Edition Carol J. Huston 2024 chapter 1
Chapter 1, Decision Making, Problem Solving, Critical Thinking, and Clinical
Reasoning: Requisites for Successful Leadership and Management
1. A nurse is applying a decision-making process to a clinical
challenge. When applying thisprocess, the nurse must:
a. analyze the root causes of a situation.
b. begin by solving the underlying problem.
c. choose between different courses of action.
d. prioritize the maximum good for the maximum number
of people.
ANS: C
Feedback: Decision making is a complex, cognitive process
often defined as choosing a particular course of action.
Problem solving is part of decision making and is a
systematic process that focuses on analyzing a difficult
situation. It is not always realistic for the nurseto solve each
of the problems contributing to a larger challenge, especially
at the beginningof the decision-making process. The nurse
often lacks the time, information, or resources toanalyze the
root causes of a situation. Many times, the nurse makes a
decision that benefits the largest number of people, but this
is not always feasible or desirable.
PTS: 1 DIF: Moderate
REF: Page and Header: 3, Decision Making, Problem Solving, Critical Thinking, Clinical
Reasoning, and Elastic Thinking OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
LOC: Nursing Concepts: Clinical Decision Making, Leadership & Management
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply Multiple Choice
2. A nurse is applying the traditional problem-solving model when mediating a conflict
between two colleagues. When applying this model, the nurse should prioritize what task?
a. Identifying the root cause of the conflict
b. Implementing a solution as quickly as possible
c. Eliciting input from other nurses
d. Encouraging each nurse to reflect on their actions
ANS: A
Feedback: The traditional problem-solving model attempts to identify the root problem in
situations, a task that requires much time and energy. Efficiency is desirable, but trying to
implement a solution as quickly as possible can result in a hasty and incorrect solution.
Outside input may or may not be necessary; this varies with each individual problem.
Reflective thinking is always beneficial, but this is not a specific component of the
traditional problem-solving model.
PTS: 1 DIF: Moderate
, lOMoAR cPSD| 30089585
REF: Page and Header: 3, Decision Making, Problem Solving, Critical Thinking, Clinical
Reasoning, and Elastic Thinking OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
LOC: Nursing Concepts: Clinical Decision Making, Collaboration
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze NOT: Multiple Choice
3. Which statement is true regarding decision making?
a. Scientific methods provide identical decisions by different individuals for the same
problems.
b. Decisions are greatly influenced by each person’s value system.
c. Personal beliefs can be adjusted for when the scientific approach to problem
solving is used.
d. Past experience has little to do with the quality of the decision.
ANS: B
Feedback: Values, life experience, individual preference, and individual ways of thinking
will influence a person’s decision making. No matter how objective the criteria will be,
value judgments will always play a part in a person’s decision making, either consciously or
subconsciously. It is not possible for a nurse to fully “set aside” personal beliefs when
making a decision, even if the nurse applies the principles of self-reflection.
PTS: 1 DIF: Moderate
REF: Page and Header: 16, Choose and Act Decisively OBJ: 3
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
LOC: Nursing Concepts: Leadership & Management TOP: Chapter: 1
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
4. The nurse-manager of a short-staffed unit needs to make a decision about a nurse’s request
for an unpaid leave of absence. In order to increase the chance of making a good decision,
the manager should:
a. involve as many people in the process as possible.
b. begin the decision-making process by presuming the status quo to be the best
option.
c. generate as many different alternatives as possible.
d. prioritize the option that is most innovative.
ANS: C
Feedback: The greater the number of alternatives that can be generated by the decision
maker, the better the final decision will be. Generating multiple alternatives may require
involving more people in the decision-making process, but the process can easily become
unwieldy if too many people are involved. The manager should always consider the status
quo as a possible option, but this is not always considered to be the default option.
Innovation is often a desirable characteristic, but it would be inappropriate to choose an
option solely because it is innovative; many other values must be considered.
PTS: 1 DIF: Moderate
REF: Page and Header: 14, Generate Numerous Alternatives OBJ: 4
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
LOC: Nursing Concepts: Clinical Decision Making, Leadership & Management
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
lOMoAR cPSD| 30089585
Test Bank for Leadership Roles and Management Functions in Nursing:
Theory and Application, 11th Edition Carol J. Huston 2024 chapter 1
Chapter 1, Decision Making, Problem Solving, Critical Thinking, and Clinical
Reasoning: Requisites for Successful Leadership and Management
1. A nurse is applying a decision-making process to a clinical
challenge. When applying thisprocess, the nurse must:
a. analyze the root causes of a situation.
b. begin by solving the underlying problem.
c. choose between different courses of action.
d. prioritize the maximum good for the maximum number
of people.
ANS: C
Feedback: Decision making is a complex, cognitive process
often defined as choosing a particular course of action.
Problem solving is part of decision making and is a
systematic process that focuses on analyzing a difficult
situation. It is not always realistic for the nurseto solve each
of the problems contributing to a larger challenge, especially
at the beginningof the decision-making process. The nurse
often lacks the time, information, or resources toanalyze the
root causes of a situation. Many times, the nurse makes a
decision that benefits the largest number of people, but this
is not always feasible or desirable.
PTS: 1 DIF: Moderate
REF: Page and Header: 3, Decision Making, Problem Solving, Critical Thinking, Clinical
Reasoning, and Elastic Thinking OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
LOC: Nursing Concepts: Clinical Decision Making, Leadership & Management
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply Multiple Choice
2. A nurse is applying the traditional problem-solving model when mediating a conflict
between two colleagues. When applying this model, the nurse should prioritize what task?
a. Identifying the root cause of the conflict
b. Implementing a solution as quickly as possible
c. Eliciting input from other nurses
d. Encouraging each nurse to reflect on their actions
ANS: A
Feedback: The traditional problem-solving model attempts to identify the root problem in
situations, a task that requires much time and energy. Efficiency is desirable, but trying to
implement a solution as quickly as possible can result in a hasty and incorrect solution.
Outside input may or may not be necessary; this varies with each individual problem.
Reflective thinking is always beneficial, but this is not a specific component of the
traditional problem-solving model.
PTS: 1 DIF: Moderate
, lOMoAR cPSD| 30089585
REF: Page and Header: 3, Decision Making, Problem Solving, Critical Thinking, Clinical
Reasoning, and Elastic Thinking OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
LOC: Nursing Concepts: Clinical Decision Making, Collaboration
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze NOT: Multiple Choice
3. Which statement is true regarding decision making?
a. Scientific methods provide identical decisions by different individuals for the same
problems.
b. Decisions are greatly influenced by each person’s value system.
c. Personal beliefs can be adjusted for when the scientific approach to problem
solving is used.
d. Past experience has little to do with the quality of the decision.
ANS: B
Feedback: Values, life experience, individual preference, and individual ways of thinking
will influence a person’s decision making. No matter how objective the criteria will be,
value judgments will always play a part in a person’s decision making, either consciously or
subconsciously. It is not possible for a nurse to fully “set aside” personal beliefs when
making a decision, even if the nurse applies the principles of self-reflection.
PTS: 1 DIF: Moderate
REF: Page and Header: 16, Choose and Act Decisively OBJ: 3
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
LOC: Nursing Concepts: Leadership & Management TOP: Chapter: 1
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
4. The nurse-manager of a short-staffed unit needs to make a decision about a nurse’s request
for an unpaid leave of absence. In order to increase the chance of making a good decision,
the manager should:
a. involve as many people in the process as possible.
b. begin the decision-making process by presuming the status quo to be the best
option.
c. generate as many different alternatives as possible.
d. prioritize the option that is most innovative.
ANS: C
Feedback: The greater the number of alternatives that can be generated by the decision
maker, the better the final decision will be. Generating multiple alternatives may require
involving more people in the decision-making process, but the process can easily become
unwieldy if too many people are involved. The manager should always consider the status
quo as a possible option, but this is not always considered to be the default option.
Innovation is often a desirable characteristic, but it would be inappropriate to choose an
option solely because it is innovative; many other values must be considered.
PTS: 1 DIF: Moderate
REF: Page and Header: 14, Generate Numerous Alternatives OBJ: 4
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
LOC: Nursing Concepts: Clinical Decision Making, Leadership & Management
TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
