lOMoAR cPSD| 47061011
Chapter 04: Managerial Decision Making
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. What is the definition of the process of making choices that will provide maximum benefit? a.
Critical thinking
b. Problem solving
c. Decision making
d. Leading
ANS: C
Decision making is the process of making choices that will provide maximum benefits.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient has arrived at the critical care unit with a head injury. On admission, the patient is
talking and is a little drowsy but oriented. Two hours later, the nurse discovers that the patient is
talking at a rapid pace and keeps repeating his words. When the nurse recognizes the change
and deploys the rapid response team and physician, which skill is being demonstrated? a.
Leadership
b. Clinical judgment
c. Clinical decision making
d. Management
ANS: B
The competent nurse uses the information about head injury, change in mental status from
talking and drowsy but oriented to talking at a rapid pace, and the potential for the patient to
deteriorate to discern that the patient is experiencing cerebral edema or increased intracranial
pressure. The nurse is demonstrating clinical judgment, which is the interpretation of the
information of patient problems and needs.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. Which of these concepts is key to refining clinical judgment capabilities?
a. Critical judgment
b. Reflection
c. Management experience
, lOMoAR cPSD| 47061011
d. Nursing expertise
ANS: B
Reflection is key to refining the capabilities of clinical judgment. As a nurse gets more
experience, the intuitive component of judgment follows. Nurses do not require management
experience or nursing expertise to refine clinical judgment.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. A staff RN is leading a quality improvement team on the care of the total hip replacement
patient. The issue is an increased length of stay from 1 year ago. The nurse asks team members
to reframe the problem statement from their perspective. Twenty different problem statements
were developed. The team is focusing on four of the problem statements. This is an example of
which of the following techniques? a. Decision making
b. Evaluating the consequences
c. Inclusive judgment
d. Problem processing
ANS: A
Decisions are made following the basic problem-solving process but also involve an
evaluation of the effectiveness of outcomes that result from the decision-making process
itself.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. How is decision making at the staff nurse level exemplified?
a. The staff nurse adapts to a challenging patient assignment.
b. The staff nurse refers issues to the performance improvement committee.
c. The staff nurse accepts the status quo.
d. The staff nurse questions current practice and refers to unit leadership for change.
ANS: A
Decision making is the process of making choices from several courses of action in order to
solve problems. The process of selecting one course of action from alternatives forms the
basic core of the definition of decision making. The staff nurse who adapts to a challenging
patient assignment is using decision making to affect the quality of patient care delivered.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
Chapter 04: Managerial Decision Making
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. What is the definition of the process of making choices that will provide maximum benefit? a.
Critical thinking
b. Problem solving
c. Decision making
d. Leading
ANS: C
Decision making is the process of making choices that will provide maximum benefits.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient has arrived at the critical care unit with a head injury. On admission, the patient is
talking and is a little drowsy but oriented. Two hours later, the nurse discovers that the patient is
talking at a rapid pace and keeps repeating his words. When the nurse recognizes the change
and deploys the rapid response team and physician, which skill is being demonstrated? a.
Leadership
b. Clinical judgment
c. Clinical decision making
d. Management
ANS: B
The competent nurse uses the information about head injury, change in mental status from
talking and drowsy but oriented to talking at a rapid pace, and the potential for the patient to
deteriorate to discern that the patient is experiencing cerebral edema or increased intracranial
pressure. The nurse is demonstrating clinical judgment, which is the interpretation of the
information of patient problems and needs.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. Which of these concepts is key to refining clinical judgment capabilities?
a. Critical judgment
b. Reflection
c. Management experience
, lOMoAR cPSD| 47061011
d. Nursing expertise
ANS: B
Reflection is key to refining the capabilities of clinical judgment. As a nurse gets more
experience, the intuitive component of judgment follows. Nurses do not require management
experience or nursing expertise to refine clinical judgment.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. A staff RN is leading a quality improvement team on the care of the total hip replacement
patient. The issue is an increased length of stay from 1 year ago. The nurse asks team members
to reframe the problem statement from their perspective. Twenty different problem statements
were developed. The team is focusing on four of the problem statements. This is an example of
which of the following techniques? a. Decision making
b. Evaluating the consequences
c. Inclusive judgment
d. Problem processing
ANS: A
Decisions are made following the basic problem-solving process but also involve an
evaluation of the effectiveness of outcomes that result from the decision-making process
itself.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. How is decision making at the staff nurse level exemplified?
a. The staff nurse adapts to a challenging patient assignment.
b. The staff nurse refers issues to the performance improvement committee.
c. The staff nurse accepts the status quo.
d. The staff nurse questions current practice and refers to unit leadership for change.
ANS: A
Decision making is the process of making choices from several courses of action in order to
solve problems. The process of selecting one course of action from alternatives forms the
basic core of the definition of decision making. The staff nurse who adapts to a challenging
patient assignment is using decision making to affect the quality of patient care delivered.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
