HCM5310
Decision Making in the
Health Care System
Q & A w/ Rationales
2024
,1. A nurse manager is faced with a dilemma: she has to
decide whether to assign a new graduate nurse to a
complex patient who requires close monitoring and
frequent interventions, or to a stable patient who has a
routine care plan. The nurse manager knows that the new
graduate nurse needs to gain experience and confidence,
but also that the complex patient poses a higher risk of
adverse outcomes. What decision-making model should the
nurse manager use in this situation?
a) Rational model
b) Intuitive model
c) Evidence-based model
d) Ethical model
Answer: c) Evidence-based model. The evidence-based
model of decision-making involves using the best available
scientific evidence, clinical expertise, and patient
preferences to make decisions that optimize patient
outcomes. The nurse manager should use this model to
weigh the benefits and risks of each option, and to consider
the preferences and values of the new graduate nurse and
the complex patient.
2. A nurse educator is designing a curriculum for a course
on decision-making in health care. She wants to include
some examples of common decision-making biases that
can affect the quality and effectiveness of health care
decisions. Which of the following is NOT an example of a
decision-making bias?
a) Confirmation bias
, b) Hindsight bias
c) Availability bias
d) Anchoring bias
Answer: b) Hindsight bias. Hindsight bias is the tendency
to overestimate one's ability to predict or prevent an
outcome after it has occurred. It is not a decision-making
bias, but rather a judgment bias that can affect how one
evaluates past decisions.
3. A nurse practitioner is working in a primary care clinic
that serves a diverse population of patients. She notices that
some of her patients have different cultural beliefs and
values that influence their health care decisions. She wants
to respect their autonomy and preferences, but also to
provide them with the best possible care based on current
standards and guidelines. What decision-making strategy
should she use to achieve this goal?
a) Paternalistic strategy
b) Informed strategy
c) Shared strategy
d) Delegated strategy
Answer: c) Shared strategy. The shared strategy of
decision-making involves collaborating with the patient
and other health care providers to reach a mutually
acceptable decision that considers both the best available
evidence and the patient's preferences and values. This
strategy can enhance patient satisfaction, adherence, and
outcomes, as well as respect cultural diversity.
Decision Making in the
Health Care System
Q & A w/ Rationales
2024
,1. A nurse manager is faced with a dilemma: she has to
decide whether to assign a new graduate nurse to a
complex patient who requires close monitoring and
frequent interventions, or to a stable patient who has a
routine care plan. The nurse manager knows that the new
graduate nurse needs to gain experience and confidence,
but also that the complex patient poses a higher risk of
adverse outcomes. What decision-making model should the
nurse manager use in this situation?
a) Rational model
b) Intuitive model
c) Evidence-based model
d) Ethical model
Answer: c) Evidence-based model. The evidence-based
model of decision-making involves using the best available
scientific evidence, clinical expertise, and patient
preferences to make decisions that optimize patient
outcomes. The nurse manager should use this model to
weigh the benefits and risks of each option, and to consider
the preferences and values of the new graduate nurse and
the complex patient.
2. A nurse educator is designing a curriculum for a course
on decision-making in health care. She wants to include
some examples of common decision-making biases that
can affect the quality and effectiveness of health care
decisions. Which of the following is NOT an example of a
decision-making bias?
a) Confirmation bias
, b) Hindsight bias
c) Availability bias
d) Anchoring bias
Answer: b) Hindsight bias. Hindsight bias is the tendency
to overestimate one's ability to predict or prevent an
outcome after it has occurred. It is not a decision-making
bias, but rather a judgment bias that can affect how one
evaluates past decisions.
3. A nurse practitioner is working in a primary care clinic
that serves a diverse population of patients. She notices that
some of her patients have different cultural beliefs and
values that influence their health care decisions. She wants
to respect their autonomy and preferences, but also to
provide them with the best possible care based on current
standards and guidelines. What decision-making strategy
should she use to achieve this goal?
a) Paternalistic strategy
b) Informed strategy
c) Shared strategy
d) Delegated strategy
Answer: c) Shared strategy. The shared strategy of
decision-making involves collaborating with the patient
and other health care providers to reach a mutually
acceptable decision that considers both the best available
evidence and the patient's preferences and values. This
strategy can enhance patient satisfaction, adherence, and
outcomes, as well as respect cultural diversity.
