NUR 190 Final Exam Questions With Complete Solutions
1. In a busy rehabilitation unit, the team manager decided that
the best way to reward the staff was to give them a monetary
bonus rather than time off. The staff was very concerned about
the decision and went to the administration with a number of
complaints. Critical thinking is a process that entails a number
of steps. What steps did the manager omit? She should have
(select all that apply):
a. Identified what assumptions were underpinning the issues.
b. Considered why it was important to make this change or the
context for the change.
c. Considered how this change might affect staff relationships.
d. Attained a majority consensus of all staff. Correct Answers
ANS:
A. Identified what assumptions were underpinning the issues.
B. Considered why it was important to make this change or the
context for the change.
C. Considered how this change might affect staff relationships.
Taking a majority consensus is not a step in the critical thinking
process. Points A, B, and C are "what," "why," and "how"
questions that are part of effective critical thinking processes.
REF: Page 101 | Page 102 TOP: AONE competency: Leadership
1. The risk manager informs the nurse manager of an orthopedic
unit that her unit has had an increase in incident reports about
patients falling during the 11-7 shift. The nurse manager knows
that the best way to resolve the problem is to:
a. Use creativity.
b. Obtain support from the 7-3 shift.
,c. Use institutional research.
d. Identify the problem. Correct Answers ANS: D. Identify the
problem.
Identification of a problem is the first step in problem solving
and occurs before any other step. The most common cause for
failure to resolve problems is the improper identification of the
problem/issue; therefore, problem recognition and identification
are considered the most vital steps.
REF: Page 109 | Page 110
TOP: AONE competency: Knowledge of the Health Care
Environment
10. An outpatient surgery manager is evaluating infusion pumps
for the operating room. The manager should:
a. Select the least expensive brand.
b. Use a decision-making tool to evaluate brands.
c. Ask the nursing staff which brand they prefer.
d. Select the vendor the institution usually buys from. Correct
Answers ANS: B. Use a decision-making tool to evaluate
brands.
Decision-making tools such as decision grids and SWOT
analyses are most appropriate when information is available and
options are known.
REF: Page 108 | Page 109
TOP: AONE competency: Knowledge of the Health Care
Environment
,11. Select the statement that best defines the difference between
problem solving and decision making:
a. Decision-making skills require critical thinking; problem-
solving skills do not.
b. Problem-solving skills require critical thinking; decision-
making skills do not.
c. Decision making is a goal-directed effort; problem solving is
focused on solving an immediate problem.
d. Problem solving is a goal-directed effort; decision making is
focused on solving an immediate problem. Correct Answers
ANS: C. Decision making is a goal-directed effort; problem
solving is focused on solving an immediate problem.
Problem solving is focused on solving immediate problems,
whereas decision making is a goal-directed process that is aimed
at selecting appropriate actions from among options. Not all
decisions begin with a problem.
REF: Page 101 TOP: AONE competency: Leadership
12. Sue, a nurse manager, has a staff nurse that has been absent a
great deal for the past three months. A whistleblower gives some
information to Sue indicating that the staff nurse will be
resigning and returning to school. Because of this, Sue decides
to do which of the following?
a. Immediately fire the staff nurse.
b. Speak to the whistleblower and elicit more information.
c. Speak to the staff nurse and ask her to resign.
d. Do nothing. Correct Answers ANS: D. Do nothing
, Doing nothing is often warranted because of lack of energy,
time, or resources to solve the real problem adequately, and
because the benefits are not seen as sufficiently compelling to
commit to an action.
13. The maintenance department wishes to have the nursing
lounge renovated, so the lounge will be more "user-friendly."
The department asks the nursing staff to make a wish list of
everything that they would like to see in the new lounge. This
process is an example of which part of the decision-making
process?
a. Assessment/Data collection
b. Planning
c. Data interpretation
d. Generating hypotheses Correct Answers ANS: A.
Assessment/Data collection
In this particular model (a model similar to the nursing model),
data collection is the first step toward identifying important
alternatives or determining if there is a problem or problems.
14. A good nursing decision maker is one who:
a. Uses various models to guide the process based on the
circumstances of the situation.
b. Adopts one model and uses it to guide all decision making.
c. Decides not to use any models because they are all useless.
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