SPECIALISTS EXAM
LEADERSHIP C157 LEADERSHIP EXAM 2
COVERING CHAPTERS 4-11 QUESTIONS AND
ANSWERS LATEST UPDATE 2025 GRADED A+
Email us at for all Academic assistance
[Mainly Nursing/Medical courses].
Chapter 04: Managerial Decision Making
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. What is the definition of the process of making choices that will provide maximum benefit?
a. Critical thinking
b. Problem solving
c. Decision making
d. Leading
ANS: C
Decision making is the process of making choices that will provide maximum benefits.
DIF: Cognitive Level: Remember
(Knowledge)TOP: Nursing Process:
Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
SPECIALISTS EXAM
, SPECIALISTS EXAM
2. A patient has arrived at the critical care unit with a head injury. On admission, the patient is
talking and is a little drowsy but oriented. Two hours later, the nurse discovers that the patient
istalking at a rapid pace and keeps repeating his words. When the nurse recognizes the change
anddeploys the rapid response team and physician, which skill is being demonstrated?
a. Leadership
b. Clinical judgment
c. Clinical decision making
d. Management
ANS: B
The competent nurse uses the information about head injury, change in mental status from
talking and drowsy but oriented to talking at a rapid pace, and the potential for the patient
to deteriorate to discern that the patient is experiencing cerebral edema or increased
intracranialpressure. The nurse is demonstrating clinical judgment, which is the
interpretation of the information of patient problems and needs.
DIF: Cognitive Level: Analyze
(Analysis)TOP: Nursing Process:
Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. Which of these concepts is key to refining clinical judgment capabilities?
a. Critical judgment
b. Reflection
c. Management experience
d. Nursing expertise
ANS: B
Reflection is key to refining the capabilities of clinical judgment. As a nurse gets more
SPECIALISTS EXAM
, SPECIALISTS EXAM
experience, the intuitive component of judgment follows. Nurses do not require
managementexperience or nursing expertise to refine clinical judgment.
DIF: Cognitive Level: Remember
(Knowledge)TOP: Nursing Process:
Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. A staff RN is leading a quality improvement team on the care of the total hip replacement
patient. The issue is an increased length of stay from 1 year ago. The nurse asks team
membersto reframe the problem statement from their perspective. Twenty different
problem statements were developed. The team is focusing on four of the problem
statements. This is an example ofwhich of the following techniques?
a. Decision making
b. Evaluating the consequences
c. Inclusive judgment
d. Problem processing
ANS: A
Decisions are made following the basic problem-solving process but also involve an
evaluationof the effectiveness of outcomes that result from the decision-making process
itself.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process:
PlanningMSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. How is decision making at the staff nurse level exemplified?
a. The staff nurse adapts to a challenging patient assignment.
b. The staff nurse refers issues to the performance improvement committee.
SPECIALISTS EXAM
, SPECIALISTS EXAM
c. The staff nurse accepts the status quo.
d. The staff nurse questions current practice and refers to unit leadership for change.
ANS: A
Decision making is the process of making choices from several courses of action in order to
solve problems. The process of selecting one course of action from alternatives forms the
basiccore of the definition of decision making. The staff nurse who adapts to a challenging
patient assignment is using decision making to affect the quality of patient care delivered.
DIF: Cognitive Level: Apply
(Application)TOP: Nursing Process:
Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. What is the final step in the clinical reasoning process?
a. The right cues
b. The right patient
c. The right reason
d. The right time
ANS: C
There are five steps for clinical reasoning, which involves five rights: the right cues or clinical
data, the right patient or setting priorities, the right time or capability of identifying high risk
patients, the right action or clinical decision that results from the clinical reasoning process, and
the right reason. The right reason incorporates legal and ethical considerations.
DIF: Cognitive Level: Remember
(Knowledge)TOP: Nursing Process:
Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
SPECIALISTS EXAM
LEADERSHIP C157 LEADERSHIP EXAM 2
COVERING CHAPTERS 4-11 QUESTIONS AND
ANSWERS LATEST UPDATE 2025 GRADED A+
Email us at for all Academic assistance
[Mainly Nursing/Medical courses].
Chapter 04: Managerial Decision Making
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. What is the definition of the process of making choices that will provide maximum benefit?
a. Critical thinking
b. Problem solving
c. Decision making
d. Leading
ANS: C
Decision making is the process of making choices that will provide maximum benefits.
DIF: Cognitive Level: Remember
(Knowledge)TOP: Nursing Process:
Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
SPECIALISTS EXAM
, SPECIALISTS EXAM
2. A patient has arrived at the critical care unit with a head injury. On admission, the patient is
talking and is a little drowsy but oriented. Two hours later, the nurse discovers that the patient
istalking at a rapid pace and keeps repeating his words. When the nurse recognizes the change
anddeploys the rapid response team and physician, which skill is being demonstrated?
a. Leadership
b. Clinical judgment
c. Clinical decision making
d. Management
ANS: B
The competent nurse uses the information about head injury, change in mental status from
talking and drowsy but oriented to talking at a rapid pace, and the potential for the patient
to deteriorate to discern that the patient is experiencing cerebral edema or increased
intracranialpressure. The nurse is demonstrating clinical judgment, which is the
interpretation of the information of patient problems and needs.
DIF: Cognitive Level: Analyze
(Analysis)TOP: Nursing Process:
Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. Which of these concepts is key to refining clinical judgment capabilities?
a. Critical judgment
b. Reflection
c. Management experience
d. Nursing expertise
ANS: B
Reflection is key to refining the capabilities of clinical judgment. As a nurse gets more
SPECIALISTS EXAM
, SPECIALISTS EXAM
experience, the intuitive component of judgment follows. Nurses do not require
managementexperience or nursing expertise to refine clinical judgment.
DIF: Cognitive Level: Remember
(Knowledge)TOP: Nursing Process:
Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. A staff RN is leading a quality improvement team on the care of the total hip replacement
patient. The issue is an increased length of stay from 1 year ago. The nurse asks team
membersto reframe the problem statement from their perspective. Twenty different
problem statements were developed. The team is focusing on four of the problem
statements. This is an example ofwhich of the following techniques?
a. Decision making
b. Evaluating the consequences
c. Inclusive judgment
d. Problem processing
ANS: A
Decisions are made following the basic problem-solving process but also involve an
evaluationof the effectiveness of outcomes that result from the decision-making process
itself.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process:
PlanningMSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. How is decision making at the staff nurse level exemplified?
a. The staff nurse adapts to a challenging patient assignment.
b. The staff nurse refers issues to the performance improvement committee.
SPECIALISTS EXAM
, SPECIALISTS EXAM
c. The staff nurse accepts the status quo.
d. The staff nurse questions current practice and refers to unit leadership for change.
ANS: A
Decision making is the process of making choices from several courses of action in order to
solve problems. The process of selecting one course of action from alternatives forms the
basiccore of the definition of decision making. The staff nurse who adapts to a challenging
patient assignment is using decision making to affect the quality of patient care delivered.
DIF: Cognitive Level: Apply
(Application)TOP: Nursing Process:
Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. What is the final step in the clinical reasoning process?
a. The right cues
b. The right patient
c. The right reason
d. The right time
ANS: C
There are five steps for clinical reasoning, which involves five rights: the right cues or clinical
data, the right patient or setting priorities, the right time or capability of identifying high risk
patients, the right action or clinical decision that results from the clinical reasoning process, and
the right reason. The right reason incorporates legal and ethical considerations.
DIF: Cognitive Level: Remember
(Knowledge)TOP: Nursing Process:
Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
SPECIALISTS EXAM
