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3. “Can you help me understand your perspective a little better?”
4. “I don’t think that your concern is necessarily pertinent to this issue.”
5. “I don’t think I can make that decision until I have more information.”
Correct Answer: 1,3,5
Rationale 1: Curiosity and a willingness to examine underlying assumptions are characteristic of a critical
thinker.
Rationale 2: A critical thinker is not in a hurry to make a decision but waits until all the facts are known and can
be considered.
Rationale 3: The critical thinker considers the possible alternative perspectives.
Rationale 4: The critical thinker does not discount the concerns of others who have knowledge of the issue.
Rationale 5: The critical thinker collects and analyzes the facts before considering any decision.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 8-1: Discuss how to use the critical-thinking process.
Question 14
Type: MCSA
A nurse working in a rehabilitation center notices clients frequently asking for something to drink. Which
response indicates the use of creativity in finding a solution to this problem?
1. Calling local beverage distributors to inquire about service pricing
2. Asking all employees to write down their ideas about a solution
3. Determining what type of drinks most clients might want
4. Encouraging clients to bring a drink from home
Rationale 2: Asking others to think about different options opens up the possibilities beyond one individual’s
ideas. This is part of the preparation stage of creativity.
Rationale 3: Finding out the drink preferences of the clients is part of the standard information gathering stage of
providing drinks and does not reflect creativity.
Rationale 4: Simply encouraging clients to bring a drink from home is not a creative approach to solving this
problem.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 8-6: Foster innovation in your work and that of others.
Question 15
Type: MCSA
A newly licensed nurse working on a unit committee challenges every detail of a proposal the committee is
developing. How should other committee members interpret this behavior?
1. This nurse is too inexperienced to realize the behavior is inappropriate.
2. This nurse is learning to be creative.
3. This nurse believes that new nurses are more knowledgeable than those who have worked several years.
4. This nurse misunderstands the work of the committee.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Learning Outcome: 8-1: Discuss how to use the critical-thinking process.
Question 16
Type: MCSA
The nurse has determined that in order to provide the highest quality care it is important to become more creative.
What is the most effective way for the nurse to increase creativity?
1. Watch others implement creative solutions.
2. Work with a group to implement a creative solution.
3. Evaluate the effectiveness of creative solutions.
4. Practice the steps of the process as often as possible.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 8-2: Discuss ways to foster creativity.
Question 17
Type: MCSA
Which statement indicates understanding of how a nurse could improve personal decision-making skills?
1. “We should gather a group together to make important unit decisions to ensure fairness.”
2. “I should practice making decisions by developing potential solutions and then choosing one.”
Sullivan, Effective Leadership and Management, 8/e Test Bank
3. “We can make a decision and then ask for input from others to make sure it was the right choice.”
4. “I know I will never be able to improve my decision-making skills because I am not a strong person.”
Rationale 3: Objective probability is the likelihood that an event will or will not occur, based on facts and reliable
information.
Rationale 4: Even though option A is more cost-effective, the manager believes option B to be in the best interest
of the unit. Subjective probability is the likelihood that an event will or will not occur based on personal judgment
and beliefs.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 8-4: Compare and contrast individual and collective decision-making and problem-solving
skills.
Question 19
Type: MCSA
Which situation requires an adaptive decision?
1. The nurse manager discovers that two clients require the use of a new piece of equipment and that the one the
hospital has is the only one in the state.
2. The nurse has made a medication error on an experimental medication.
3. The nursing student makes an error when changing a client dressing.
4. The nurse manager scheduled too many nurses for the client census on the night shift, and all of the nurses
scheduled have already been asked to take a low-census unpaid day off this month.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 8-4: Compare and contrast individual and collective decision-making processes in various
situations.
Question 20
Type: MCMA
Which statement describes the primary difference between group and individual decision making, besides the
number of individuals involved?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. A decision made by a group is often better than a decision made by one person.
2. A decision made by an individual results in greater commitment.
3. Groups can provide more input into the process.
4. A decision made by a group can create a greater obligation to achieve results.
5. Routine decisions are more often made by individuals.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Learning Outcome: 8-4: Compare and contrast individual and collective decision-making processes in various
situations.
Question 21
Type: MCSA
Which action by the nurse manager is a demonstration of satisficing?
1. The nurse manager works with the staffing schedule until all requested days off are honored.
2. The nurse manager reposts a job opening because no applicants were a good fit for the current unit staff.
3. The nurse manager agrees with a proposed budget that does not provide badly needed new client beds.
4. The nurse manager insists on firing a nurse who is chronically late to work.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 8-5: Recognize stumbling blocks to making decisions and solving problems.
Question 22
Type: MCSA
A serious disagreement has arisen between two staff nurses. The unit manager elects not to make a decision
regarding the disagreement until more evidence is collected. Which part of the nursing process does this
manager’s critical thinking reflect?
1. Assessment
2. Diagnosis
Sullivan, Effective Leadership and Management, 8/e Test Bank
3. Planning
4. Evaluation
