Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

All of the following are characteristics of decisional control EXCEPT:

1. It is multilateral.

2. It is hierarchical.

3. It is user-driven.

4. It is value-centric.

The correct answer is: It is hierarchical.

Decisional control is primarily about how decisions are made within a given context, emphasizing involvement and input from various stakeholders. The key attributes of decisional control include being multilateral, which involves input and collaboration from various parties rather than a single authority. It is user-driven, meaning that those who are affected by the decisions have an active role in the decision-making process. Additionally, it is value-centric, focusing on the values and principles that guide decision-making, ensuring alignment with the beliefs and needs of those involved. In contrast, a hierarchical approach suggests a top-down structure where decisions are made by those at the upper levels of an organization without necessarily involving input from others. This characteristic contradicts the essence of decisional control, which thrives on inclusivity and collaboration among stakeholders, making hierarchical structure an outlier in the context of decisional control.