BSN 465 Exam 1 V3 | BSN 465 Decision-
making in Nursing | Q&A with Rationale
(BSN465 Exam 1) | Nightingale College
1. A nurse manager is utilizing the satisficing model of decision-making. Which action best
describes this approach?
A. Seeking the highest level of quality for the best possible outcome regardless of time.
B. Conducting an exhaustive search of all possible literature before making a change.
C. Ignoring all data and making a decision based solely on intuition.
D. Selecting an alternative that is ‘good enough’ to meet the minimum requirements.
Correct Answer: D
Rationale: The satisficing model is a decision-making strategy where the individual
chooses the first alternative that meets the minimum criteria. This is often necessary in
clinical environments where time is limited and a perfect solution is unattainable. In
contrast, the optimizing model seeks the single best solution but requires significantly
more resources and time.
2. According to Tanner’s Model of Clinical Judgment, which phase involves the nurse looking
for patterns or cues from the patient’s assessment?
A. Interpreting
B. Responding
,C. Noticing
D. Reflecting
Correct Answer: C
Rationale: Noticing is the first phase of Tanner’s model where the nurse observes the
situation and identifies clinical cues. This process is influenced by the nurse’s expectations,
theoretical knowledge, and prior experience with similar patients. Without effective
noticing, the nurse cannot accurately interpret or respond to the patient’s needs.
3. A nurse is faced with an ethical dilemma regarding a patient’s refusal of life-saving
treatment. Which ethical principle is most directly involved?
A. Autonomy
B. Beneficence
C. Justice
D. Non-maleficence
Correct Answer: A
Rationale: Autonomy refers to the right of the patient to make their own decisions about
their medical care. Even when a decision may seem harmful or counterintuitive to the
healthcare team, the patient’s self-determination must be respected if they are competent.
This principle often conflicts with beneficence, which is the duty to act in the patient’s best
interest.
, 4. In the decision-making process, what is the primary purpose of the ‘Evaluating’ step?
A. To identify the initial problem and gather data.
B. To select the best possible alternative among several choices.
C. To determine the effectiveness of the chosen solution and its impact.
D. To delegate tasks to appropriate team members for implementation.
Correct Answer: C
Rationale: Evaluation is the final step where the nurse assesses whether the outcomes
were met following the intervention. It provides critical feedback that determines if the
decision was successful or if the problem persists. This reflective practice is essential for
continuous quality improvement and professional growth.
5. Which leadership style is characterized by a leader who encourages group participation in
decision-making and values team input?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
Correct Answer: C
Rationale: Democratic leadership involves sharing the decision-making process with
followers and fostering a sense of ownership within the team. This style generally increases
making in Nursing | Q&A with Rationale
(BSN465 Exam 1) | Nightingale College
1. A nurse manager is utilizing the satisficing model of decision-making. Which action best
describes this approach?
A. Seeking the highest level of quality for the best possible outcome regardless of time.
B. Conducting an exhaustive search of all possible literature before making a change.
C. Ignoring all data and making a decision based solely on intuition.
D. Selecting an alternative that is ‘good enough’ to meet the minimum requirements.
Correct Answer: D
Rationale: The satisficing model is a decision-making strategy where the individual
chooses the first alternative that meets the minimum criteria. This is often necessary in
clinical environments where time is limited and a perfect solution is unattainable. In
contrast, the optimizing model seeks the single best solution but requires significantly
more resources and time.
2. According to Tanner’s Model of Clinical Judgment, which phase involves the nurse looking
for patterns or cues from the patient’s assessment?
A. Interpreting
B. Responding
,C. Noticing
D. Reflecting
Correct Answer: C
Rationale: Noticing is the first phase of Tanner’s model where the nurse observes the
situation and identifies clinical cues. This process is influenced by the nurse’s expectations,
theoretical knowledge, and prior experience with similar patients. Without effective
noticing, the nurse cannot accurately interpret or respond to the patient’s needs.
3. A nurse is faced with an ethical dilemma regarding a patient’s refusal of life-saving
treatment. Which ethical principle is most directly involved?
A. Autonomy
B. Beneficence
C. Justice
D. Non-maleficence
Correct Answer: A
Rationale: Autonomy refers to the right of the patient to make their own decisions about
their medical care. Even when a decision may seem harmful or counterintuitive to the
healthcare team, the patient’s self-determination must be respected if they are competent.
This principle often conflicts with beneficence, which is the duty to act in the patient’s best
interest.
, 4. In the decision-making process, what is the primary purpose of the ‘Evaluating’ step?
A. To identify the initial problem and gather data.
B. To select the best possible alternative among several choices.
C. To determine the effectiveness of the chosen solution and its impact.
D. To delegate tasks to appropriate team members for implementation.
Correct Answer: C
Rationale: Evaluation is the final step where the nurse assesses whether the outcomes
were met following the intervention. It provides critical feedback that determines if the
decision was successful or if the problem persists. This reflective practice is essential for
continuous quality improvement and professional growth.
5. Which leadership style is characterized by a leader who encourages group participation in
decision-making and values team input?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
Correct Answer: C
Rationale: Democratic leadership involves sharing the decision-making process with
followers and fostering a sense of ownership within the team. This style generally increases
