Clinical Decision Making
Final Exams Review (Qns & Ans)
2025
1. Which of the following models best describes the integration
of patient values, clinical expertise, and relevant research in
clinical decision-making?
A) Evidence-Based Practice Model
B) Biomedical Model
C) Holistic Model
D) Paternalistic Model
Correct ANS: A)
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, Rationale : The Evidence-Based Practice Model integrates the
best clinical evidence with clinical expertise, patient preferences,
and values, aiming to deliver high-quality care.
2. In advanced clinical decision-making, which cognitive
process is primarily used when a clinician uses pattern recognition
to diagnose a patient condition?
A) Intuitive Judgment
B) Analytical Reasoning
C) Empirical Validation
D) Diagnostic Hypothesis Testing
Correct ANS: A)
Rationale : Intuitive Judgment involves recognizing patterns
from previous clinical experiences, which can be a fast and
effective decision-making strategy in familiar situations.
3. Which of the following tools is commonly used to quantify a
patient's level of consciousness in clinical decision-making?
A) Braden Scale
B) Glasgow Coma Scale
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, C) Apgar Score
D) RICE Method
Correct ANS: B)
Rationale : The Glasgow Coma Scale (GCS) is a clinical tool
used to assess a patient's level of consciousness based on eye,
verbal, and motor responses.
4. In the context of shared decision-making, what is the primary
role of the Nurse Practitioner?
A) To dictate the most appropriate medical interventions
B) To provide patients with support to understand clinical
evidence
C) To minimize patient involvement
D) To deliver pre-decided treatment plans
Correct ANS: B)
Rationale : In shared decision-making, the role of the Nurse
Practitioner is to guide patients in understanding the medical
evidence, aligning clinical options with the patient’s values and
preferences.
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, 5. When evaluating research evidence for clinical decision-
making, which type of study provides the highest level of
evidence according to the evidence hierarchy?
A) Case Reports
B) Randomized Controlled Trials (RCTs)
C) Cohort Studies
D) Meta-analyses of Randomized Controlled Trials
Correct ANS: D)
Rationale : Meta-analyses of Randomized Controlled Trials
synthesize data from multiple studies, providing robust evidence
that is considered highly reliable for informing clinical decisions.
Fill-in-the-Blank Questions
6. ________ reasoning involves analytical and systematic
approaches to problem-solving in clinical decision-making.
Correct ANS: Deductive
Rationale : Deductive reasoning uses structured processes and
logical analysis to reach a conclusion, applying general principles
to specific scenarios.
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