cation 10th edition Chapter 1
1. A. Choose between different courses of action
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
nurse
to solve each of the problems contributing to a larger challenge, especially at the
beginning
of the decision-making process. The nurse often lacks the time, information, or
resources to
analyze 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: The nurse is
applying a decision making process to a clinical challenge. When applying this process the
nurse must?
A. Choose between different courses of action
B. Analyze the root cause of a situation
C. Prioritize the maximum good for the maximum number of people
D. Begin by solving the underlying problem
2. D. Identify the root cause of conflict
Feedback: The traditional problem-solving model attempts to identify the root
problem in
situations, a task that can require much time and energy. Efficiency is desir- able, but
trying
to implement a solution as quickly as possible can result in a hasty and incorrect
solution.
Reflective thinking is always beneficial, but this is not a specific component of the
traditional problem-solving model. Outside input may or may not be neces- sary; this
varies
with each individual problem.: The nurse is applying the traditional problem-solv- ing
model when mediating in a conflict between two colleagues. When applying this model, the
nurse should prioritize what task?
A. Encouraging each nurse to reflect on his or her actions
B. Implementing a solution as quickly as possible
, Leadership Roles and Management functions in Nursing theory and ap
cation 10th edition Chapter 1
C. Eliciting input from other nurses
D. Identify the root cause of conflict
3. C. Decisions are greatly influenced by each person's value system. 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: -
Which statement is true regarding decision-making?
A. Past experience has little to do with quality of the decision
B. Personal belief can be adjusted for when the scientific approach to problem-solv- ing is
used
C. Decisions are greatly influenced by each person's value system.
D. Scientific methods to provide identical decisions by different individuals for the same
problem.
4. C. Generate as many different alternatives as possible
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 consid- er 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-
: The nurse manager of a short staffed unit needs to make a decision about a nurses request
for an unpaid leave of absence. In order to increase the chance of making a good decision,
the manager should:
A. Involved as many people in the decision making process as possible