BSN 465 Exam 4 V2 | BSN 465 Decision-
making in Nursing | Q&A with Rationale
(BSN465 Exam 4) | Nightingale College
1. A nurse manager is faced with a decision regarding a new staffing model but chooses the
first solution that meets the minimum requirements rather than exploring all possible
options. Which decision-making strategy is this manager utilizing?
A. Satisficing
B. Optimizing
C. Critical thinking
D. Reflective judgment
Correct Answer: A
Rationale: Satisficing is a decision-making strategy where the individual chooses an
alternative that is good enough rather than the ideal one. This approach is often used when
time is limited or when the cost of finding the perfect solution outweighs the benefits. In
nursing management, this can allow for rapid problem-solving while meeting essential
safety standards.
,2. During a staff meeting, the unit manager encourages the team to share their vision for the
unit and empowers them to lead small-scale change projects. This represents which
leadership style?
A. Transformational leadership
B. Autocratic leadership
C. Transactional leadership
D. Laissez-faire leadership
Correct Answer: A
Rationale: Transformational leadership focuses on inspiring and motivating followers to
achieve extraordinary outcomes by building shared vision and trust. This style encourages
professional growth and innovation among nursing staff. It is highly effective in complex
healthcare environments where adaptability is required.
3. A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which
action must the nurse perform first according to the Five Rights of Delegation?
A. Assess the patient’s stability and complexity of care
B. Provide clear instructions on how to perform the task
C. Determine if the UAP has the appropriate training certificate
D. Evaluate the outcome of the delegated task
Correct Answer: A
, Rationale: The Right Task and Right Circumstance require the nurse to first assess the
patient’s condition to ensure the task is safe to delegate. Delegation is only appropriate for
stable patients with predictable outcomes. Failing to assess the patient before delegating
can lead to adverse events and professional liability.
4. An ethical dilemma arises when a patient refuses a life-saving blood transfusion due to
religious beliefs. The nurse supports the patient’s decision despite personal disagreement.
Which ethical principle is the nurse upholding?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Correct Answer: D
Rationale: Autonomy refers to the patient’s right to self-determination and making their
own healthcare decisions. The nurse’s role is to respect the competent patient’s choice
even if it conflicts with clinical recommendations. This principle is foundational to patient-
centered care and informed consent.
5. A hospital committee is reviewing a ‘near-miss’ medication error. They use a systematic
process to identify the underlying system failures rather than blaming an individual. This
process is called:
A. Performance Appraisal
making in Nursing | Q&A with Rationale
(BSN465 Exam 4) | Nightingale College
1. A nurse manager is faced with a decision regarding a new staffing model but chooses the
first solution that meets the minimum requirements rather than exploring all possible
options. Which decision-making strategy is this manager utilizing?
A. Satisficing
B. Optimizing
C. Critical thinking
D. Reflective judgment
Correct Answer: A
Rationale: Satisficing is a decision-making strategy where the individual chooses an
alternative that is good enough rather than the ideal one. This approach is often used when
time is limited or when the cost of finding the perfect solution outweighs the benefits. In
nursing management, this can allow for rapid problem-solving while meeting essential
safety standards.
,2. During a staff meeting, the unit manager encourages the team to share their vision for the
unit and empowers them to lead small-scale change projects. This represents which
leadership style?
A. Transformational leadership
B. Autocratic leadership
C. Transactional leadership
D. Laissez-faire leadership
Correct Answer: A
Rationale: Transformational leadership focuses on inspiring and motivating followers to
achieve extraordinary outcomes by building shared vision and trust. This style encourages
professional growth and innovation among nursing staff. It is highly effective in complex
healthcare environments where adaptability is required.
3. A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which
action must the nurse perform first according to the Five Rights of Delegation?
A. Assess the patient’s stability and complexity of care
B. Provide clear instructions on how to perform the task
C. Determine if the UAP has the appropriate training certificate
D. Evaluate the outcome of the delegated task
Correct Answer: A
, Rationale: The Right Task and Right Circumstance require the nurse to first assess the
patient’s condition to ensure the task is safe to delegate. Delegation is only appropriate for
stable patients with predictable outcomes. Failing to assess the patient before delegating
can lead to adverse events and professional liability.
4. An ethical dilemma arises when a patient refuses a life-saving blood transfusion due to
religious beliefs. The nurse supports the patient’s decision despite personal disagreement.
Which ethical principle is the nurse upholding?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Correct Answer: D
Rationale: Autonomy refers to the patient’s right to self-determination and making their
own healthcare decisions. The nurse’s role is to respect the competent patient’s choice
even if it conflicts with clinical recommendations. This principle is foundational to patient-
centered care and informed consent.
5. A hospital committee is reviewing a ‘near-miss’ medication error. They use a systematic
process to identify the underlying system failures rather than blaming an individual. This
process is called:
A. Performance Appraisal
