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Rationale 1: Exposure to new ideas and a fresh environment outside the facility increases creativity.
Rationale 2: Freedom is necessary to support the creative process.
Rationale 3: Filling in a spreadsheet is a bureaucratic, regimented strategy that will not foster creativity.
Rationale 4: Making creativity an assignment is a sure way to stifle it.
Rationale 5: Being receptive to new ideas encourages creativity.
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: 8-2: Describe ways to foster creativity.
Question 24
Type: MCMA
Part of the facility’s performance evaluation is based on the nurse’s strength in the three types of decisions.
During a nurse manager’s performance evaluation the supervisor says, “You are very good at adaptive decisions,
but you need to be more precise in routine decisions. When the situation calls for really innovative decisions, you
do not seem sure of yourself.” How should the manager interpret this information?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “I am not following the policies and rules well.”
2. “I should review the procedure manual.”
3. “I’m good at using my previous experiences to guide my decisions.”
4. “I am strongest in making decisions when the problems are very unusual or unclear.”
5. “I make good decisions when the situation is novel.”
Rationale 3: Adaptive decisions are often modifications of well-known problems or solutions.
Rationale 4: Solving unusual or unclear problems requires innovative decision making.
Rationale 5: Novel situations require innovative decision-making abilities.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 8-3: Develop a plan to improve your decision-making and problem-solving skills.
Question 25
Type: MCSA
At the beginning of a brainstorming session, the manager lists the rules to be followed. Which rule should be
included and enforced?
1. Do not suggest any solution that is prohibitively expensive.
2. Suggest only ideas that the group has not already tried.
3. Do not critique any ideas presented.
4. Limit the session to the first 15 ideas.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Learning Outcome: 8-4: Compare and contrast individual and group decision-making processes in various
situations.
Question 26
Type: MCMA
A disagreement has arisen between two staff nurses. Both have discussed the situation with the manager. The
manager feels that that problem is likely self-solving. How should the manager approach this situation?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Allow some time to pass to see if the situation resolves.
2. Support both nurses as they work through this issue.
3. Provide any resources the nurses may need to help solve the problem.
4. Intervene if the problem begins to impact client care.
5. Ignore the situation.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 8-4: Compare and contrast individual and group decision-making processes in various
situations.
Question 27
Sullivan, Effective Leadership and Management, 8/e Test Bank
Type: MCMA
Which statements by a nurse in the emergency department are examples of groupthink?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “We’ve already talked about this enough. We need to present a united front on this issue.”
2. “The medical unit nurses won’t like this decision because it is too much work.”
3. “Let’s all vote yes on this so we can get back to work.”
4. “We need to consider the workload of the intensive care unit nurses.”
5. “Does anyone else have any ideas to discuss?”
2. An underlying assumption
3. An alternative perspective
4. An inquiring attitude
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 8-4: Compare and contrast individual and group decision-making processes in various
situations.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
