Test Bank Leading and Managing in Nursing 6th Edition Yoder-Wise |Chapters 06 - 10|
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Course
Leading and Managing in Nursing
Institution
Leading And Managing In Nursing
Chapter 06: Making Decisions and Solving Problems
Chapter 07: Healthcare Organizations
Chapter 08: Understanding and Designing Organizational Structures
Chapter 09: Cultural Diversity in Health Care
Chapter 10: Power, Politics, and Influence
Test Bank Leading and Managing in
Nursing 6th Edition Yoder-Wise
Chapters 06 - 10
Yoder-Wise: Leading and Managing in Nursing, 6th Edition
1. From the information supplied in this chapter, which statement best defines critical
thinking? Critical thinking is:
a. High-level cognitive process.
b. Process that helps to develop reflective criticism for the purpose of reaching a
conclusion.
c. High-level cognitive process that includes creativity, problem solving, and
decision making.
d. Discussion that guides the nursing process.
ANS: C
It is generally accepted by many authors and researchers that this statement best
defines critical thinking.
2. Decision making is described by the nursing educator as the process one uses to:
a. Solve a problem.
b. Choose between alternatives.
c. Reflect on a certain situation.
d. Generate ideas.
ANS: B
The hallmark of decision making is choosing among options. Generating options is
one phase of decision making, and solving a problem refers to problem solving, which
is problem centered. Decision making does not always begin with problems, but
rather is defined as a purposeful, goal-directed effort that uses a systematic process to
choose among options.
REF: Page 101 TOP: AONE competency: Leadership
3. Justin is a nurse manager in a rehabilitation unit in a small urban center. There is a high
turnover rate among rehab-assistants because of the heavy work assignments. Despite
his need for staff, Justin decides to review each application thoroughly and interview
, candidates carefully because he recognizes that it is important to hire staff who can best
provide highquality care and who will fit well with the team. Which of the following
decision-making models did Justin use in making his decision?
a. Subjective model
b. Objective model
c. Optimizing model
d. Satisficing model
ANS: C
Optimizing is a decision style in which the decision maker selects the option that is
best, based on an analysis of the pros and cons associated with each option. A better
decision is more likely when using this approach, although it takes longer to arrive at
a decision.
REF: Page 103 TOP: AONE competency: Business Skills
4. Justin is a nurse manager in a rehabilitation unit in a small urban center. There is a high
turnover rate among rehab-assistants because of the heavy work assignments. Despite
his need for staff, Justin decides to review each application thoroughly and interview
candidates carefully because he recognizes that it is important to hire staff who can best
provide highquality care and who will fit well with the team. Which of the following
decision-making solutions should Justin consider to have a more efficient department
a. Replace staff only with qualified applicants.
b. Determine what the problem or problems are before hiring new staff.
c. Consult with the human resources department and develop a plan for hiring new
staff.
d. Consider all the options listed.
ANS: D
Decision making involves a goal-oriented consideration of many options that are
objectively weighed according to their possible risks, consequences, and positive
outcomes. The options should be ranked in the order in which they are likely to result
in the desired goals or objectives. The solution selected should be the one that is most
feasible and satisfactory and has the fewest undesirable consequences. In this
instance, all of the options listed might be considered and weighed.
5. When confronted with the controversy and the apparent poor morale of the evening
staff, the unit manager decided the staff needed to take some time off. He scheduled
holidays for the staff without consulting them. A couple of the staff nurses approached
the manager and indicated that the problem was not scheduling, but rather the team
leader and her patient assignments. What was the unit manager’s first missed step in
problem solving?
a. Not using a problemsolving model
b. Not considering a number of alternatives
c. Poor evaluation of outcomes
d. Incorrect problem identification
, ANS: D
The unit manager did not begin with an accurate identification of the problem.
Problem solving needs to begin with “why?”
6. John Smith, one of three managers at BSG Labs, drafted a policy that would allow his
department to do more testing in his lab. This policy included the times for regular
collection as well as a new process for emergency laboratory testing. The policy and
procedures were never followed. The reason was that:
a. The policy was too lengthy and inundated readers with too much detail.
b. The policy made decisions for other departments in the company.
c. The staff did not believe that the new policy would be effective.
d. Testing should not be done in the lab.
ANS: B
Two primary criteria make for effective decisions. First, the decision must be of a
high quality; that is, it achieves the predefined goals, objectives, and outcomes.
Second, those who are responsible for its implementation must accept the decision.
Higher-quality decisions are more likely to result if groups are involved in the
decision-making and problem-solving process. Taking ownership of the process and
outcome provides a smoother transition in changes.
REF: Page 105 TOP: AONE competency: Leadership
7. High-quality decisions are most likely to be made in nursing situations when:
a. Team leaders make the crucial decisions.
b. Individuals are advised of the problems.
c. Group size is neither too small nor too large.
d. Members are passively involved.
ANS: C
Research has shown that group size is important. Too small a group means a limited
number of options generated. Too large a group can mean lack of structure or lack of
meaningful discussion.
REF: Page 105 TOP: AONE competency: Leadership
8. Knowing when to have the entire team participate in the decision-making process or
when to have only the team leader make the decisions depends on the situation and the
desired outcomes. The autocratic process is used in which of the following situations?
a. The task and the outcome are relatively simple and defined
b. It is unlikely that the group will reach a consensus.
c. A decision has to be discussed thoroughly.
d. A number of options need to be considered.
ANS: A
An autocratic style is appropriate when rapid decision making is required and in
situations where the task and the potential outcome are well-defined.
9. Jane, an experienced head nurse, is given the task of completing the summer vacation
schedule for the pediatric unit. She is fully aware of the hospital’s restrictions on time
off and the number of staff on vacation at any given time, as well as its issues regarding
seniority. She weighs the options of allowing staff choice, such as it takes more time
but gives employees options. However, if choice is allowed, this could cause
arguments. Which of the following is the best alternative?
a. Ask for requests for vacation time in advance, and post the times.
b. Post the completed vacation schedule.
c. Post a tentative schedule, and request feedback.
d. Post a blank schedule, and ask staff members to fill in their times by a given
date.
ANS: D
This is based on a decision-making model that allows experience and knowledge to
predict whether a decision will or will not work. The experience of the head nurse
suggests that it is important to involve staff in decisions that affect them the most.
REF: Page 101 | Page 102
TOP: AONE competency: Knowledge of the Health Care Environment
10. The agency in which you are a nursing leader makes a decision to reduce the number of
RN positions in favor of PN positions because agency data suggest that the clients in
the agency can receive appropriate care from PN staff. Furthermore, the agency is
facing a decline in funding and without restructuring, some clients might not receive
services at all. You provide this information on this decision to the staff and ask them
to advise you if they have any feedback, concerns, or alternative solutions. This
decision-making style is known as:
a. Paternalistic.
b. Shared.
c. Reasoned
d. Informative.
ANS: D
The informative model offers the staff the ability to make a decision after the
information has been shared and without the active involvement of the manager.
REF: Page 103 TOP: AONE competency: Leadership
11. A clinic nurse has observed another nurse deviating from agency policy in performing
wound care. The best approach for the clinic nurse to take is to:
a. Stay out of it.
b. Inform the nursing supervisor.
c. Fill out a notification form (incident report).
d. Assess the risk to the client and the agency before proceeding.
ANS: D
If the situation is subjective, non-routine, and unstructured or if outcomes are
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