Exam 15: Making Decisions and Solving Problems

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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:

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The risk manager wants to evaluate the reasons for an increased number of falls on the rehab unit.The risk manager devises a fishbone diagram.A fishbone diagram is a useful tool to:

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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?

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During a fire drill, several psychiatric patients become agitated.The nurse manager quickly assigns a staff member to each patient.This autocratic decision style is most appropriate for:

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Several nurses on an adolescent psychiatric unit complain that the teens are becoming unmanageable on the 0700-1900 shift.To resolve this problem, the nurse manager decides that the staff should have a brainstorming session.The goal of brainstorming is to:

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