Certified Nurse Manager and Leader (CNML) Practice Test

Which of the following elements is NOT part of shared decision-making?

1. Equity

2. Ownership

3. Competition

4. Accountability

The correct answer is: Competition

Shared decision-making is a collaborative process in which patients and healthcare providers make decisions together based on clinical evidence, patient values, and preferences. This approach emphasizes communication, mutual respect, and partnership, which fosters a more personalized and effective healthcare experience. In the context of shared decision-making, competition does not align with its fundamental principles. Shared decision-making is centered around collaboration and partnership, where the focus is on mutual benefit and understanding rather than rivalry or opposition. Introducing competition into this process could lead to conflicts of interest, reduced trust, and hinder open dialogue between patients and providers. The absence of competition allows for a more supportive environment where informed choices can be made freely without the pressure of competing agendas. On the other hand, equity, ownership, and accountability are integral to shared decision-making. Equity ensures that all parties have an equal opportunity to participate in the decision-making process. Ownership allows patients to take control of their health by actively engaging in decisions about their care. Accountability reinforces the commitment of both providers and patients to follow through on the decisions made together.