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FUNCTIONS IN NURSING THEORY AND APPLICATION,
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11TH EDITION BY (HUSTON, 2024), VERIFIED CHAPTERS 1 –
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25.
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The nurse is applying a decision making process to a clinical challenge. When applying this
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process the nurse must?
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A. Choose between different courses of action
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B. Analyze the root cause of a situation
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C. Prioritize the maximum good for the maximum number of people
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D. Begin by solving the underlying problem - Answer A. Choose between different courses of
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action
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Feedback: Decision making is a complex, cognitive process often defined as choosing a
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particular course of action. Problem solving is part of decision making and is a systematic
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process that focuses on analyzing a difficult situation. It is not always realistic for the nurse
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to solve each of the problems contributing to a larger challenge, especially at the beginning
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of the decision-making process. The nurse often lacks the time, information, or resources to
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analyze the root causes of a situation. Many times, the nurse makes a decision that benefits
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the largest number of people, but this is not always feasible or desirable
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w The nurse is applying the traditional problem-solving model when mediating in a conflict
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w between two colleagues. When applying this model, the nurse should prioritize what task?
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A. Encouraging each nurse to reflect on his or her actions
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B. Implementing a solution as quickly as possible
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C. Eliciting input from other nurses
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D. Identify the root cause of conflict - Answer D. Identify the root cause of conflict
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,Feedback: The traditional problem-solving model attempts to identify the root problem in
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situations, a task that can require much time and energy. Efficiency is desirable, but trying
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to implement a solution as quickly as possible can result in a hasty and incorrect solution.
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Reflective thinking is always beneficial, but this is not a specific component of the
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traditional problem-solving model. Outside input may or may not be necessary; this varies
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with each individual problem.
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w Which statement is true regarding decision-making?
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A. Past experience has little to do with quality of the decision
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B. Personal belief can be adjusted for when the scientific approach to problem-solving is used
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C. Decisions are greatly influenced by each person's value system.
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D. Scientific methods to provide identical decisions by different individuals for the same
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problem. - Answer C. Decisions are greatly influenced by each person's value system.
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Feedback: Values, life experience, individual preference, and individual ways of thinking
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will influence a person's decision making. No matter how objective the criteria will be,
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value judgments will always play a part in a person's decision making, either consciously or
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subconsciously. It is not possible for a nurse to fully "set aside" personal beliefs whenw w w w w w w w w w w w w w
making a decision, even if the nurse applies the principles of self-reflection
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w The nurse manager of a short staffed unit needs to make a decision about a nurses request for
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w an unpaid leave of absence. In order to increase the chance of making a good decision, the
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w manager should: w
A. Involved as many people in the decision making process as possible
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B. Prioritize the option that is most innovative
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C. Generate as many different alternatives as possible
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, D. Begin the decision making process by presuming the status quo to be the best option -
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Answer C. Generate as many different alternatives as possible
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Feedback: The greater the number of alternatives that can be generated by the decision
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maker, the better the final decision will be. Generating multiple alternatives may require
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involving more people in the decision-making process, but the process can easily become
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unwieldy if too many people are involved. The manager should always consider the status
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quo 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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option solely because it is innovative; many other values must be considered
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w An experience nurse manager has been described as being a " right brain thinker ". This
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w managers decision making process likely prioritize what characteristic?
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A. Transparency
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B. Efficiency
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C. Intuition
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D. Linear analysis - Answer C. Intuition
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Feedback: Right-brained thinkers have traditionally been characterized as being creative and
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intuitive. Linear analysis is more closely aligned with left-brained thinking. Transparency
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and efficiency are desirable qualities that are not particularly aligned with either of these
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two paradigmsw
w The nurse manager is applying an evidence-based approach to a clinical question around client
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w mobilization. When using PICO format to search for evidence, the nurse should identify what?
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A. The preferences of clients and their families
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B. The role of intuition in the decision making process
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