Certified Nurse Manager and Leader (CNML) Practice Test

Which method is primarily used to identify the causes of a problem in a Fishbone Diagram?

1. Brainstorming potential solutions

2. Asking “why” multiple times

3. Listing all possible outcomes

4. Analyzing the situation step-by-step

The correct answer is: Asking “why” multiple times

The Fishbone Diagram, also known as the Ishikawa or Cause-and-Effect Diagram, is a visual tool designed to identify the root causes of a problem. Using the technique of asking “why” multiple times is fundamental in this method. This approach delves deeper into the issue by prompting a systematic exploration of the causes. When the team starts with the main problem and continually asks “why”, they can trace the problem’s origins back to underlying causes, which might not be immediately apparent. This iterative questioning helps to peel back layers of symptoms and surface causes that might be easy to identify at first glance but are not the true drivers of the issue. It fosters a culture of inquiry and thorough analysis, which is essential for effective problem-solving. Thus, the approach of repeatedly questioning the reasons behind a problem is integral to developing a comprehensive understanding of the factors that contribute to it, allowing for targeted interventions and solutions.