BSN 465 Exam 2 V3 | BSN 465 Decision-
making in Nursing | Q&A with Rationale
(BSN465 Exam 2) | Nightingale College
1. A nurse manager is utilizing a decision-making model that focuses on finding a ‘good
enough’ solution rather than the ideal one. Which concept is the manager applying?
A. Optimizing
B. Satisficing
C. Critical thinking
D. Brainstorming
Correct Answer: B
Rationale: Satisficing is a decision-making strategy that aims for a satisfactory or adequate
result rather than the optimal solution. In clinical environments, this is often necessary
when time is limited or resources are constrained. This approach allows the nurse to make
a safe decision quickly even if every alternative has not been fully explored.
2. According to Tanner’s Model of Clinical Judgment, which phase involves the nurse noticing
and collecting data from the environment?
A. Noticing
B. Responding
C. Interpreting
,D. Reflecting
Correct Answer: A
Rationale: Noticing is the initial phase of Tanner’s model where the nurse observes the
clinical situation and identifies patterns. It is influenced by the nurse’s expectations,
knowledge, and relationship with the patient. Without effective noticing, the nurse cannot
accurately interpret the patient’s condition to provide appropriate care.
3. When a nurse chooses the first solution that comes to mind without evaluating other
options, which cognitive trap is being demonstrated?
A. Anchoring
B. Overconfidence bias
C. Confirmation bias
D. Premature closure
Correct Answer: D
Rationale: Premature closure occurs when a clinician stops the diagnostic process before
all possibilities are considered. This can lead to medical errors because the primary cause
of a patient’s issue might be overlooked. To avoid this, nurses should practice critical
thinking and remain open to alternative explanations during the clinical reasoning process.
4. A nurse leader uses a decision-making tool that visualizes possible outcomes, risks, and
benefits of different choices. What is this tool called?
A. Pareto chart
, B. SWOT analysis
C. Fishbone diagram
D. Decision tree
Correct Answer: D
Rationale: A decision tree is a graphical representation of the decision-making process
that maps out various paths and their consequences. It helps the nurse leader evaluate the
probability of success for each choice relative to the risks involved. This structured
approach is particularly useful for complex management decisions where multiple
variables interact.
5. Which ethical principle is prioritized when a nurse allows a patient to make their own
healthcare decisions after being fully informed?
A. Autonomy
B. Justice
C. Beneficence
D. Nonmaleficence
Correct Answer: A
Rationale: Autonomy refers to the right of patients to make their own choices about their
medical care. This principle requires nurses to respect the individual’s self-determination
making in Nursing | Q&A with Rationale
(BSN465 Exam 2) | Nightingale College
1. A nurse manager is utilizing a decision-making model that focuses on finding a ‘good
enough’ solution rather than the ideal one. Which concept is the manager applying?
A. Optimizing
B. Satisficing
C. Critical thinking
D. Brainstorming
Correct Answer: B
Rationale: Satisficing is a decision-making strategy that aims for a satisfactory or adequate
result rather than the optimal solution. In clinical environments, this is often necessary
when time is limited or resources are constrained. This approach allows the nurse to make
a safe decision quickly even if every alternative has not been fully explored.
2. According to Tanner’s Model of Clinical Judgment, which phase involves the nurse noticing
and collecting data from the environment?
A. Noticing
B. Responding
C. Interpreting
,D. Reflecting
Correct Answer: A
Rationale: Noticing is the initial phase of Tanner’s model where the nurse observes the
clinical situation and identifies patterns. It is influenced by the nurse’s expectations,
knowledge, and relationship with the patient. Without effective noticing, the nurse cannot
accurately interpret the patient’s condition to provide appropriate care.
3. When a nurse chooses the first solution that comes to mind without evaluating other
options, which cognitive trap is being demonstrated?
A. Anchoring
B. Overconfidence bias
C. Confirmation bias
D. Premature closure
Correct Answer: D
Rationale: Premature closure occurs when a clinician stops the diagnostic process before
all possibilities are considered. This can lead to medical errors because the primary cause
of a patient’s issue might be overlooked. To avoid this, nurses should practice critical
thinking and remain open to alternative explanations during the clinical reasoning process.
4. A nurse leader uses a decision-making tool that visualizes possible outcomes, risks, and
benefits of different choices. What is this tool called?
A. Pareto chart
, B. SWOT analysis
C. Fishbone diagram
D. Decision tree
Correct Answer: D
Rationale: A decision tree is a graphical representation of the decision-making process
that maps out various paths and their consequences. It helps the nurse leader evaluate the
probability of success for each choice relative to the risks involved. This structured
approach is particularly useful for complex management decisions where multiple
variables interact.
5. Which ethical principle is prioritized when a nurse allows a patient to make their own
healthcare decisions after being fully informed?
A. Autonomy
B. Justice
C. Beneficence
D. Nonmaleficence
Correct Answer: A
Rationale: Autonomy refers to the right of patients to make their own choices about their
medical care. This principle requires nurses to respect the individual’s self-determination
