v v Test Bank - Leadership Roles and Management Functions in Nursing-Theor…
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Test Bank - Leadership Roles and Management Functions in Nursing-Theory and Application, 11th Edition (Huston, 2024)
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Chapter 1, Decision Making, Problem Solving, Critical Thinking, and Clinical
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Reasoning: Requisites for Successful Leadership and Management
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1. A nurse is applying a decision-making process to a clinical challenge. When applying this
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vprocess, the nurse must: v v v
a. analyze the root causes of a situation. v v v v v v
b. begin by solving the underlying problem. v v v v v
c. choose between different courses of action. v v v v v
d. prioritize the maximum good for the maximum number of people. v v v v v v v v v
ANS: C v
Feedback: Decision making is a complex, cognitive process often defined as choosing a
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vparticular course of action. Problem solving is part of decision making and is a systematic
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vprocess that focuses on analyzing a difficult situation. It is not always realistic for the nurse
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vto solve each of the problems contributing to a larger challenge, especially at the beginning
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vof the decision-making process. The nurse often lacks the time, information, or resources to
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vanalyze the root causes of a situation. Many times, the nurse makes a decision that benefits
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vthe largest number of people, but this is not always feasible or desirable.
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PTS: 1 DIF: v Moderate v v v
REF: Page and Header: 3, Decision Making, Problem Solving, Critical Thinking, Clinical
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vReasoning, and Elastic Thinking OBJ: 1 v v v v
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
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vLOC: Nursing Concepts: Clinical Decision Making, Leadership & Management
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vTOP: Chapter: 1 KEY: Integrated Process: Nursing Process
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BLM: Cognitive Level: Apply v NOT: Multiple Choice v v v v
2. A nurse is applying the traditional problem-solving model when mediating a conflict
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vbetween two colleagues. When applying this model, the nurse should prioritize what task?
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a. Identifying the root cause of the conflict v v v v v v
b. Implementing a solution as quickly as possible v v v v v v
c. Eliciting input from other nurses v v v v
d. Encouraging each nurse to reflect on their actions v v v v v v v
ANS: A v
Feedback: The traditional problem-solving model attempts to identify the root problem in
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vsituations, a task that requires much time and energy. Efficiency is desirable, but trying to
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vimplement a solution as quickly as possible can result in a hasty and incorrect solution.
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vOutside input may or may not be necessary; this varies with each individual problem.
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Reflective thinking is always beneficial, but this is not a specific component of the
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vtraditional problem-solving model. v v
PTS: 1 DIF: v Moderate v v v
REF: Page and Header: 3, Decision Making, Problem Solving, Critical Thinking, Clinical
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vReasoning, and Elastic Thinking OBJ: 1 v v v v
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
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vLOC: Nursing Concepts: Clinical Decision Making, Collaboration
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TOP: Chapter: 1 KEY: Integrated Process: Nursing Process
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BLM: Cognitive Level: Analyze v NOT: Multiple Choice v v v v
Test Bank - Leadership Roles and Management Functions in Nursing-Theory and Application, 11th Edition (Huston, 2024)
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Download All Chapters Here:
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3. Which statement is true regarding decision making?
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a. Scientific methods provide identical decisions by different individuals for the same v v v v v v v v v v
problems. v
b. Decisions are greatly influenced by each person’s value system. v v v v v v v v
c. Personal beliefs can be adjusted for when the scientific approach to problem v v v v v v v v v v v
solving is used. v v v
d. Past experience has little to do with the quality of the decision.
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ANS: B v
Feedback: Values, life experience, individual preference, and individual ways of thinking
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vwill influence a person’s decision making No matter how objective the criteria will be
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v v Test Bank - Leadership Roles and Management Functions in Nursing-Theor…
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Test Bank - Leadership Roles and Management Functions in Nursing-Theory and Application, 11th Edition (Huston, 2024)
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Download All Chapters Here:
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https://www.stuvia.com/doc/3314916/
3. Which statement is true regarding decision making?
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a. Scientific methods provide identical decisions by different individuals for the same v v v v v v v v v v
problems. v
b. Decisions are greatly influenced by each person’s value system. v v v v v v v v
c. Personal beliefs can be adjusted for when the scientific approach to problem v v v v v v v v v v v
solving is used. v v v
d. Past experience has little to do with the quality of the decision.
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ANS: B v
Feedback: Values, life experience, individual preference, and individual ways of thinking
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vwill influence a person’s decision making. No matter how objective the criteria will be,
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v value judgments will always play a part in a person’s decision making, either consciously or
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vsubconsciously. It is not possible for a nurse to fully “set aside” personal beliefs when v v v v v v v v v v v v v v
vmaking a decision, even if the nurse applies the principles of self-reflection.
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PTS: v v 1 DIF: Moderate v v
REF: v Page and Header: 16, Choose and Act Decisively
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vNAT: vClient Needs: Safe and Effective Care Environment: Management of
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Care
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LOC: v Nursing Concepts: Leadership & Management TOP: v v v v v Chapter: 1 v
KEY: v Integrated Process: Nursing Process v v v
BLM: v Cognitive Level: Understand NOT: Multiple Choice v v v v
4. The nurse-manager of a short-staffed unit needs to make a decision about a nurse’s request
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vfor an unpaid leave of absence. In order to increase the chance of making a good decision,
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vthe manager should:
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a. involve as many people in the decision-making process as possible.
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b. begin the decision-making process by presuming the status quo to be the best
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option.
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c. generate as many different alternatives as possible. v v v v v v
d. prioritize the option that is most innovative. v v v v v v
ANS: C v
Feedback: The greater the number of alternatives that can be generated by the decision
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vmaker, the better the final decision will be. Generating multiple alternatives may require
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vinvolving more people in the decision-making process, but the process can easily become
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vunwieldy if too many people are involved. The manager should always consider the status
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vquo as a possible option, but this is not always considered to be the default option.
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Innovation is often a desirable characteristic, but it would be inappropriate to choose an
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voption solely because it is innovative; many other values must be considered.
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PTS: 1 v DIF: Moderate
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REF: Page and Header: 14, Generate Numerous Alternatives
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v NAT: Client Needs: Safe and Effective Care Environment: Management of
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Care LOC: Nursing Concepts: Clinical Decision Making, Leadership &
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Management TOP: Chapter: 1
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vIntegrated Process: Nursing Process v v v
BLM: Cognitive Level: Apply v NOT: Multiple Choice v v v v
5. An experienced nurse-manager has been described as being a “right-brained thinker.”
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vWhich is an example of this manager’s decision-making process?
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Test Bank - Leadership Roles and Management Functions in Nursing-Theory and Application, 11th Edition (Huston, 2024)
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Download All Chapters Here:
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a. Uses data sets to generate solutions v v v v v
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b. Uses thinking that is outside the normal standards to find a solution
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c. Has the ability to ask all those involved in the decision making
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d. Focuses on the intended process to reach a solution or goal v v v v v v v v v v
ANS: B v
Feedback: Right-brained thinkers have traditionally been characterized as creative and
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vintuitive, and thinking outside of normal standards to find a solution. Linear analysis, such
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vas the ability to generate solutions based on data sets, is more closely aligned with
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left-brained thinking. Transparency, such as getting all those involved, and efficiency,
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v v Test Bank - Leadership Roles and Management Functions in Nursing-Theor…
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v which focuses on the process to reach a goal, are desirable qualities that are not particularly
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v aligned with either of these two paradigms
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