CNL Test Bank 331 Questions with Verified Answers,100% CORRECT

CNL Test Bank 331 Questions with Verified Answers The CNL role includes: a. client and community advocacy. b. evidence-based practice. c. oversite of care delivery and outcomes. d. all of the above - CORRECT ANS ...

CNL Test Bank 331 Questions with Verified Answers The CNL role includes: a. client and community advocacy. b. evidence-based practice. c. oversite of care delivery and outcomes. d. all of the above - CORRECT ANSWER a. client and community advocacy. Which statement is true about practice settings for the CNL? a. The CNL role is designed for the acute-care hospital setting. b. CNLs practice in all healthcare settings. c. The design of the CNL curriculum is such that CNLs cannot move from one practice setting to another. d. The CNL's quality improvement and care coordination training is applicable only to acute-care settings. - CORRECT ANSWER b. CNLs practice in all healthcare settings. The clinical nurse leader role is the first new nursing role in a. the last 5 years b. the last decade. c. 25 years. d. over 40 years. - CORRECT ANSWER d. over 40 years. The first regular administration of the CNL Certification Examination occurred in a. 1993. b. 2002. c. 2007. d. 2012. - CORRECT ANSWER c. 2007. For the CNL, the measure of quality practice a. is client care outcomes. b. has not yet been articulated by the AACN. c. nursing satisfaction. d. healthcare team member approval. - CORRECT ANSWER a. is client care outcomes. A 2012 U.S. Department of Labor report projected that the number of employed nurses would change from 2.74 million in 2010 to ________ in 2020. a. 2.34 million b. 3 million c. 3.45 million d. over 8 million - CORRECT ANSWER c. 3.45 million In The Future of Nursing, the Institute of Nursing called for ________ of the nursing workforce to have at least a baccalaureate degree by 2020. a. 45% b. 60% c. 80% d. 95% - CORRECT ANSWER c. 80% The CNL graduate education program assumes that a. the graduate does not meet the criteria for advanced practice registered nursing scope of practice. b. the education program culminates in a baccalaureate degree. c. the graduate is not eligible to matriculate to a doctoral program. d. graduates require additional education before being eligible to sit for the CNL Certification Examination. - CORRECT ANSWER a. the graduate does not meet the criteria for advanced practice registered nursing scope of practice. How many models for graduate CNL education programs have emerged? a. 2 b. 5 c. 8 d. 15 - CORRECT ANSWER b. 5 In what settings are CNLs currently practicing? a. Outpatient clinics b. School health c. Acute-care hospitals d. All of the above - CORRECT ANSWER d. All of the above Nursing is discipline that a. is relationship-based. b. was evidence-based since its inception. c. is slightly outmoded. d. tends to shun problem solving. - CORRECT ANSWER a. is relationship-based. With changes in the Affordable Care Act, ________ Americans will have access to health services. a. fewer b. all c. more d. the same number of - CORRECT ANSWER c. more It could be said that nursing ________ the work of physicians. a. best complements b. goes against c. is unrelated to d. corrects - CORRECT ANSWER a. best complements Which of the following is a CNL role? a. Leader b. Advocate c. Educator d. All of the above - CORRECT ANSWER d. All of the above Accountability is a CNL a. core competency. b. role. c. professional value. d. both a and b, above - CORRECT ANSWER c. professional value. The CNL role is involved in organizational improvements that are a. relationship based. b. outcome based. c. evidence based. d. both b and c, above - CORRECT ANSWER d. both b and c, above In The Future of Nursing: Leading Change, Advancing Health, the Institute of Medicine a. specifically addresses the CNL role at 15 different points. b. is compatible with the CNL role. c. calls the CNL role "experimental." d. was written by CNLs. - CORRECT ANSWER b. is compatible with the CNL role. In terms of practice setting, the CNL works in a. acute settings only. b. all practice settings. c. public health only. d. settings distant from clinical practice. - CORRECT ANSWER b. all practice settings Core competencies of the CNL include a. communication. b. delegation. c. interpretation and analysis. d. all of the above - CORRECT ANSWER d. all of the above The IOM report indicates that the nursing workforce should be: a. more educated. b. receiving the same education as today. c. less educated, to produce graduates more quickly in order to fill the nursing shortage. d. completely educated at the doctoral level. - CORRECT ANSWER a. more educated. A partnership is between a. individuals only. b. groups only. c. cooperating parties with a common goal. d. legally recognized entities. - CORRECT ANSWER c. cooperating parties with a common goal. Which is a CNL professional value? a. Defiance b. Altruism c. Rigidity d. Anonymity - CORRECT ANSWER b. Altruism One type of assessment analyzes the ________ between current and desired states. a. partnership b. guilty individuals responsible for the difference c. gap d. equivalency - CORRECT ANSWER c. gap Which of the following would signal an unmet need in the education arena? a. Increased population diversity b. A surplus of faculty members c. Ample space d. Adequate supply resources - CORRECT ANSWER a. Increased population diversity CNL roles include a. data interpreter. b. care coordinator. c. communicator. d. all of the above - CORRECT ANSWER d. all of the above Partnerships ________ interdependencies. a. reject b. represent the viable alternative to c. embrace d. avoid - CORRECT ANSWER c. embrace Gap analysis is a(n) a. form of partnership. b. type of needs assessment. c. an alternative to partnership. d. none of the above - CORRECT ANSWER b. type of needs assessment. In order for a partnership to move forward, ________ must be present. a. trust b. respect c. shared values d. all of the above - CORRECT ANSWER d. all of the above A core competency of the CNL is a. business acumen. b. altruism. c. integrity. d. microsystems and gap analyst - CORRECT ANSWER a. business acumen. The term "partnership" has origins in the: a. 6th century. b. 14th century. c. 19th century. d. 21st century. - CORRECT ANSWER . 14th century. The first element in the McKinsey 7-S framework is a. style. b. superiority. c. structure. d. simplicity. - CORRECT ANSWER c. structure. Measurable improvement with economic value is shown by a a. system readiness. b. business case. c. risk anticipation. d. strategic plan. - CORRECT ANSWER b. business case. A core competency of the CNL is: a. communication. b. analysis. c. information management. d. all of the above - CORRECT ANSWER d. all of the above Crucial to the success of the CNL role immersion are: a. operational control. b. creation of a scorecard. c. regularly scheduled meetings. d. all of the above - CORRECT ANSWER d. all of the above A role of the CNL is a. risk taker. b. ethicist. c. risk anticipator. d. do-it-yourself person (no delegation). - CORRECT ANSWER c. risk anticipator. Metrics must be ________ and produce the ________ gain. a. measurable, largest b. subjective, largest c. measurable, smallest d. hidden, unknown - CORRECT ANSWER a. measurable, largest The important thing about metrics is to a. choose them wisely. b. use as many as possible, to impress people. c. avoid them if possible, as they cloud the issue. d. none of the above - CORRECT ANSWER a. choose them wisely. The chief nurse executive must have ________ for how the CNL will be immersed in the care delivery model. a. some idea, even if vague, b. a gut feeling but no defined idea c. a clear vision d. no plan - CORRECT ANSWER c. a clear vision Professional values of the CNL include a. advocacy. b. ethics. c. accountability. d. all of the above - CORRECT ANSWER d. all of the above In the McKinsey 7-S framework, a soft element is a. supervision. b. skills. c. secrecy. d. systems. - CORRECT ANSWER b. skills. A purpose of the CNL Spread Plan was to a. integrate the CNL role into the patient care model. b. gradually phase out the CNL role. c. separate the CNL role from the patient care model. d. sever collaborative partnerships. - CORRECT ANSWER a. integrate the CNL role into the patient care model. A ________ identifies communication needs for both internal and external stakeholders. a. measurable outcome b. microsystem c. communication plan d. value - CORRECT ANSWER c. communication plan AIM stands for: a. Alternative Integral Management. b. Approach to Internal Methods. c. Academy for the Improvement of Microsystems. d. Academy for Important Matters. - CORRECT ANSWER c. Academy for the Improvement of Microsystems. The Office of Nursing Services (ONS) of ________ launched its CNL Spread Plan in 2010. a. Ford Motor Company b. the VHA c. the Affordable Care Act d. the Centers for Disease Control and Prevention - CORRECT ANSWER b. the VHA Roles of the CNL include: a. leadership. b. risk anticipation. c. evidence-based practice. d. all of the above - CORRECT ANSWER d. all of the above The importance of approaching CNL implementation by first developing a ________ cannot be overemphasized. a. vision of the CNL role imposed from authorities outside the organization b. statement excluding stakeholders from the planning phase c. shared vision and understanding of the CNL role d. none of the above - CORRECT ANSWER a. vision of the CNL role imposed from authorities outside the organization The CNL Spread Plan was designed to cover a ________ - year period. a. 1 b. 5 c. 10 d. 25 - CORRECT ANSWER b. 5 Stakeholders were ________ the CNL Spread Plan. a. an important part of b. not involved in c. deliberately avoided in creating d. eventually eliminated from - CORRECT ANSWER a. an important part of The professional values of a CNL include: a. collaboration. b. accountability. c. advocacy. d. all of the above - CORRECT ANSWER d. all of the above The CNL is a(n) ________ with a practice focus on the ________. a. interim consultant, macrosystem b. point-of-care generalist, microsystem c. interim consultant, microsystem d. point-of-care specialist, macrosystem - CORRECT ANSWER b. point-of-care generalist, microsystem ________ is often referred to as "lean thinking." a. Six sigma b. Communication c. Lean six sigma d. Organizational trust - CORRECT ANSWER c. Lean six sigma Therapeutic use of self is an example of a CNL: a. professional value. b. core competency. c. role. d. all of the above - CORRECT ANSWER b. core competency. Incorporating a "4-D" cycle, "AI" stands for a. appreciative inquiry. b. absolute integrity. c. artificial input. d. active inquiry. - CORRECT ANSWER a. appreciative inquiry. ________ occurs when two or more values, beliefs, and opinions are incongruous and reconciliation of differences has not occurred. a. Increased productivity b. Appreciative inquiry c. Conflict d. Higher morale - CORRECT ANSWER c. Conflict The interactive behaviors of individuals within the context of a group refers to ________. a. crucial conversations b. lean six sigma team c. group dynamics d. essential qualities - CORRECT ANSWER c. group dynamics ________ is built on predictable behavior associated with keeping promises and being accountable, even when expectations are not achieved. a. Altruism b. Trust c. Communication d. Appreciative inquiry - CORRECT ANSWER b. Trust CNL roles include a. clinician. b. member of a profession. c. outcome manager. d. all of the above - CORRECT ANSWER d. all of the above ________ is often associated with empathy, patience, kindness, and concern for others. a. Conflict b. Warmth c. Genuineness d. Maturity - CORRECT ANSWER b. Warmth High self-esteem, sense of self-worth, self-awareness, and confidence are the matrix of ________. a. assertiveness. b. miscommunication. c. bullying. d. personal agendas. - CORRECT ANSWER a. assertiveness. ________ involves acknowledging and understanding personal strengths, attributes, shortcomings, and vulnerabilities. a. Acceptance b. Empathy c. Resignation d. Self-awareness - CORRECT ANSWER d. Self-awareness Generally speaking, the nurse manager must demonstrate ________ competence. a. clinical b. administrative c. clinical nurse leader d. all-inclusive - CORRECT ANSWER b. administrative CNL roles include a. leadership. b. design and implementation. c. life-long learner d. all of the above - CORRECT ANSWER d. all of the above A major competency for nurse managers is: a. communication and relationship building. b. critical thinking. c. assessment. d. illness and disease management. - CORRECT ANSWER a. communication and relationship building. Member of a profession, or professionalism, is a competency of: a. the CNL. b. the nurse manager. c. both the CNL and the nurse manager. d. neither the CNL nor the nurse manager. - CORRECT ANSWER c. both the CNL and the nurse manager. A major competency for the CNL is: a. critical thinking. b. knowledge of the healthcare environment. c. business skills. d. all of the above - CORRECT ANSWER a. critical thinking. As a rule, the clinical nurse leader must demonstrate ________ competence. a. administrative b. clinical c. every nurse leader d. both b and c, above - CORRECT ANSWER b. clinical To be most effective, the CNL and the nurse manager should form a: a. somewhat uneasy partnership. b. team so that one can substitute for the other. c. creatively adversarial relationship. d. leadership dyad. - CORRECT ANSWER d. leadership dyad. Global healthcare is a . competency of the a. CNL. b. nurse manager. c. both the CNL and the nurse manager. d. neither the CNL nor the nurse manager. - CORRECT ANSWER a. CNL. A core competency of the CNL is risk: a. avoidance. b. elimination. c. anticipation. d. aversion. - CORRECT ANSWER c. anticipation. CNL and nurse manager roles ________ each other. a. conflict with b. complement c. work against d. are identical to - CORRECT ANSWER b. complement The CNL clinical immersion is a ________ hour concentrated practicum. a. 50-75 b. 100-200 c. 300-400 d. 500-750 - CORRECT ANSWER c. 300-400 The first step in selecting a project plan would be a. seeking feedback. b. determining buy-in. c. completing an organization overview. d. listening. - CORRECT ANSWER c. completing an organization overview. A preceptor is a(n) a. instructor. b. teacher. c. professor. d. any of the above - CORRECT ANSWER d. any of the above The ________ is the only place that success comes before work. a. real world b. dictionary c. business world d. healthcare profession - CORRECT ANSWER b. dictionary The final step of project plan selection would be a. listening. b. conducing thorough literature research. c. seeking feedback. d. determining buy-in. - CORRECT ANSWER d. determining buy-in. The individual who observes, listens, learns, engages, and transforms in the immersion process is the a. preceptee. b. counselor. c. preceptor. d. client. - CORRECT ANSWER a. preceptee. The preceptee is a a. teacher. b. student. c. professor. d. nurse manager. - CORRECT ANSWER b. student. In a clinical immersion, the ________ has the responsibility of assuming accountability for the learning process. a. preceptee b. advocate c. preceptor d. observer - CORRECT ANSWER a. preceptee CNL professional values include a. integrity. b. human dignity. c. advocacy. d. all of the above - CORRECT ANSWER d. all of the above Requisites for ensuring successful immersions between schools of nursing and healthcare settings include a. collaborative partnerships and agreements. b. thoughtful planning and pairing of preceptor and preceptee. c. both a and b, above d. random assignment of preceptees to preceptors. - CORRECT ANSWER c. both a and b, above The ________ drives the advisory council's organization and development. a. consultant b. leader c. facilitator d. lawyer - CORRECT ANSWER b. leader The first important step in setting up an advisory council is developing a a. membership. b. facilitator. c. charter. d. group of interprofessional stakeholders. - CORRECT ANSWER c. charter. Annual assessment of the council should be made by the ________. a. leader b. newest council member c. outside consulting firm chosen by the facilitator d. auditor - CORRECT ANSWER a. leader CNL professional values include a. critical thinking. b. membership in a profession. c. integrity. d. all of the above - CORRECT ANSWER d. all of the above An advisory council can provide both the authority and influence for a. organizational change. b. keeping faculty, students, and other stakeholders separate. c. defeating organizational change. d. eliminating subcommittees. - CORRECT ANSWER a. organizational change. A charter a. formally establishes a council. b. identifies a council's goals. c. both a and b, above d. recruits members. - CORRECT ANSWER c. both a and b, above Facilitators are part of ________ advisory councils. a. all b. some c. dysfunctional d. no - CORRECT ANSWER b. some A role of the CNL is a. consultant. b. group leader. c. professional leader. d. all of the above - CORRECT ANSWER d. all of the above Involving interprofessional stakeholders to facilitate meetings can help promote the CNL role: a. beyond the nursing domains. b. to council members. c. within the nursing domains. d. in the charter. - CORRECT ANSWER a. beyond the nursing domains. The responsibilities of members of an advisory council include: a. planning programs. b. marketing. c. communication. d. all of the above - CORRECT ANSWER d. all of the above The Joint Commission says that high-reliability organizations need to focus on: a. costs. b. mindfulness and perfection. c. audits. d. none of the above - CORRECT ANSWER b. mindfulness and perfection. Financial stewardship is a ________ of the CNL. a. core competency b. professional value c. role d. factor outside the scope - CORRECT ANSWER b. professional value HROs have a(n) a. preoccupation with success. b. aversion to expertise. c. preoccupation with failure. d. insensitivity to operations. - CORRECT ANSWER c. preoccupation with failure. Roles of the CNL include a. catalyst. b. data analysis. c. integrity. d. all of the above - CORRECT ANSWER a. catalyst. As assumption of the AACN for preparing the CNL is that: a. practice is at the microsystems level. b. client-centered practice is intra- and interdisciplinary. c. information will maximize self-care and client decision-making. d. all of the above - CORRECT ANSWER d. all of the above In the five-step model of EBM/EBP of Sackett and colleagues, the first step is to: a. ask the question. b. acquire the evidence. c. assess the patient. d. apply. - CORRECT ANSWER c. assess the patient. The healthcare economic model is undergoing a transition from a focus on ________ to a focus on ________. a. volume, high-value outcomes. b. value, cost c. EBP, cost-containment d. quality, quantity - CORRECT ANSWER a. volume, high-value outcomes. CNL core competencies include a. data analysis. b. critical thinking. c. ethical decision-making. d. all of the above - CORRECT ANSWER d. all of the above A microsystem is defined as the ________ unit on the frontline of healthcare delivery systems. a. only b. smallest c. largest d. least important - CORRECT ANSWER b. smallest A core principle of HROs is a. resilience. b. suspicion of expertise. c. obsession with success. d. isolation from operations. - CORRECT ANSWER a. resilience. CNL competencies include a. critical thinking. b. team leader. c. ethical decision-making. d. all of the above - CORRECT ANSWER d. all of the above The key feature of quality improvement is the ________ nature of the process. a. one-time b. isolated c. cyclical d. time-limited - CORRECT ANSWER c. cyclical Historically, risk management focused on a. quality improvement. b. compassion. c. reducing liability. d. risk anticipation. - CORRECT ANSWER c. reducing liability. A professional value of the CNL is a. social justice. b. member of a profession. c. systems analyst. d. team manager. - CORRECT ANSWER a. social justice. The domains of enterprise risk management (ERM) include a. clinical operations. b. finance. c. technological risks. d. all of the above - CORRECT ANSWER d. all of the above In quality improvement methodologies, the step of mapping the current processes occurs before a. literature review. b. root cause analysis. c. examining current resources. d. defining the aim. - CORRECT ANSWER b. root cause analysis. A characteristic of continuous quality improvement is a. exclusive focus on stakeholders. b. organizational rigidity. c. systems perspective. d. ignoring organization values to obtain organization results. - CORRECT ANSWER c. systems perspective. A CNL role is a. member of a profession. b. accountability. c. critical thinking. d. all of the above - CORRECT ANSWER a. member of a profession. Irrespective of the quality improvement methods that an organization selects, they all have common steps. The first step is: a. having a clear and defined aim or purpose. b. root cause analysis. c. selecting the right analytical tools. d. cyclical review of the plan. - CORRECT ANSWER a. having a clear and defined aim or purpose. Brainstorming, cause and effect diagrams, and Pareto charts are common ________ used in quality improvement efforts. a. metrics b. tools c. plan-do-check-acts (PDCAs) d. immersions - CORRECT ANSWER b. tools The first step in solving problems is a. designing intervention strategies. b. identifying and documenting the problems. c. analyzing outcome data. d. analyzing processes. - CORRECT ANSWER b. identifying and documenting the problems. In collecting data, the CNL should be sure to collect the ________ data. a. least granular b. smallest quantity of c. most granular d. least detailed - CORRECT ANSWER c. most granular Most inferential statistics are built on the model of the ________. a. pie chart b. normal curve c. bar chart d. free sketch - CORRECT ANSWER b. normal curve A core competency of the CNL is a. data analysis. b. catalyst. c. accountability. d. broker. - CORRECT ANSWER a. data analysis. Data are critical for a. documenting the existence of a problem. b. documenting the processes that result in the problematic outcome. c. demonstrating that an improvement initiative resulted in actual improvement. d. all of the above - CORRECT ANSWER d. all of the above True experimental, quasi-experimental, and pre-experimental are types of a. databases. b. feedback. c. basic design options. d. data errors. - CORRECT ANSWER c. basic design options. The first step in problem identification is: a. collecting data on the problem. b. formulating solutions. c. hiring a consultant. d. finding the cause. - CORRECT ANSWER a. collecting data on the problem. Roles of the CNL include a. advocate. b. catalyst. c. risk averter. d. all of the above - CORRECT ANSWER d. all of the above With inferential statistics, remember that the conclusions are always: a. probability statements. b. true. c. false. d. due to chance. - CORRECT ANSWER a. probability statements. A professional value of the CNL is a. advocate. b. broker. c. integrity. d. critical thinking. - CORRECT ANSWER c. integrity. Clinical ________ refers to the process of enhancing health-related decisions and actions through the use of relevant, organized clinical knowledge and patient information to improve health and healthcare quality and outcomes. a. decision support b. nursing c. informatics d. health literacy - CORRECT ANSWER a. decision support A professional value of the CNL is a. human dignity. b. member of a profession. c. team member. d. risk anticipator. - CORRECT ANSWER a. human dignity. A benefit of the use of informatics for care delivery is: a. the means to record episodic, but not longitudinal, patient information. b. fewer decisions to be made. c. access to timely information. d. shutting outcomes reporting and billing considerations out of the process. - CORRECT ANSWER c. access to timely information. ________ is concerned with data, information, knowledge, and wisdom. a. Healthcare informatics b. Decision support c. Nursing informatics d. Information science - CORRECT ANSWER c. Nursing informatics According to Albert Einstein, imagination is ________ knowledge. a. more than b. the same as c. less than d. restated - CORRECT ANSWER a. more than Educator is a ________ of the CNL. a. core competency b. role c. professional value d. none of the above - CORRECT ANSWER b. role CNL core competencies include: a. resource management. b. assessment. c. information and healthcare technologies. d. all of the above - CORRECT ANSWER d. all of the above The centerpiece in leveraging information technology is generally a. HIPAA. b. the electronic health record (EHR). c. social justice. d. all of the above - CORRECT ANSWER b. the electronic health record (EHR). ________ is a multidisciplinary science that involves the integration of healthcare science, computer science, information science, and cognitive science to support management of healthcare information. a. Nursing informatics b. Healthcare informatics c. Decision support d. A metaparadigm - CORRECT ANSWER b. Healthcare informatics ________ is the extent to which people have the ability to obtain, process, and understand basic health information needed to make appropriate health decisions. a. Informatics b. Database management c. Health literacy d. Consumer informatics - CORRECT ANSWER c. Health literacy A core competency of the CNL is a. genuineness. b. information and healthcare technologies. c. educator. d. clinician. - CORRECT ANSWER b. information and healthcare technologies. In the 6S model, the goal is to start ________ and work ________. a. low, upward b. high, downward c. the middle, upward d. the middle, downward - CORRECT ANSWER b. high, downward Client advocate is a ________ of the CNL. a. role b. professional value c. core competency d. critical appraisal tool - CORRECT ANSWER a. role Google ______ PubMed. a. does not index b. is the same thing as c. does index d. is used by - CORRECT ANSWER c. does index In healthcare, with its multicomponent interventions, ________ research methods are used. a. only qualitative b. only quantitative c. both quantitative and qualitative d. neither quantitative nor qualitative - CORRECT ANSWER c. both quantitative and qualitative For those in clinical practice who may want to carry out a fairly rapid appraisal of a systematic review, an appropriate choice might be a. AMSTAR. b. Google. c. the PRISMA statement d. GLIA. - CORRECT ANSWER a. AMSTAR. Professional values of the CNL include a. accountability. b. integrity. c. genuineness. d. all of the above - CORRECT ANSWER d. all of the above EndNote, RefWorks, and Procite are examples of: a. qualitative interventions. b. critical appraisal tools. c. outcomes management tools. d. reference management software packages. - CORRECT ANSWER d. reference management software packages. Qualitative research covers approaches arising out of fields such as a. anthropology. b. neurology. c. cardiology. d. chemistry. - CORRECT ANSWER a. anthropology. Original studies from journals are found ________ the 6S pyramid. a. at the pinnacle of b. in the middle of c. at the lowest level of d. nowhere in - CORRECT ANSWER c. at the lowest level of Meta-analyses would be found at the ________ of the evidence pyramid. a. bottom b. middle c. top d. right edge - CORRECT ANSWER c. top In the PICOT question-writing format, the "C" stands for a. comparison. b. conclusion. c. concise. d. calculation. - CORRECT ANSWER a. comparison. Case reports and quality improvement data are ________ sources of evidence. a. nonresearch b. invalid c. research d. not used as - CORRECT ANSWER a. nonresearch Professional values of the CNL include a. advocacy. b. accountability. c. human dignity. d. all of the above - CORRECT ANSWER d. all of the above Consensus and textbooks would be found at the ________ of the evidence pyramid. a. top b. middle c. bottom d. left edge - CORRECT ANSWER c. bottom The ________ is often described as the "gold standard" research design. a. anthropological study. b. database c. randomized controlled trial (RCT) d. cumulative index - CORRECT ANSWER c. randomized controlled trial (RCT) Diversity is a ________ of the CNL. a. role b. core competency c. professional value d. none of the above - CORRECT ANSWER b. core competency The final step in the EBP process is a. appraise the evidence. b. assess the outcomes. c. ask a question. d. apply the evidence. - CORRECT ANSWER b. assess the outcomes The first step in the EBP process is a. ask a question. b. acquire the evidence. c. assess the outcomes. d. synthesize the evidence. - CORRECT ANSWER a. ask a question. Roles of the CNL include a. life-long learner. b. information manager. c. clinician. d. all of the above - CORRECT ANSWER d. all of the above The clinical nurse leader and nurse manager should work a. separately. b. in a dyad. c. in occasional contact. d. from opposing viewpoints. - CORRECT ANSWER b. in a dyad. Observing the behaviors of leadership and staff can provide insight into the ________ and its/their underlying values, beliefs, and norms. a. culture b. role model c. patient preferences d. EBP behavioral expectation - CORRECT ANSWER a. culture Core competencies of the CNL include: a. information and healthcare technologies. b. communication. c. nursing technology and resource management. d. all of the above - CORRECT ANSWER d. all of the above In a ________, traditionally an article of interest is chosen and then discussed. In an EBP culture, the focus might broaden to include critiques of systematic reviews. a. nursing round b. macrosystem c. journal club d. dyad - CORRECT ANSWER c. journal club Risk anticipator/averter is a ______ of the CNL. a. role b. core competency c. professional value d. occasional concern - CORRECT ANSWER a. role The microsystem and macrosystem are a. separate. b. linked integrally. c. unrelated. d. different names for essentially the same thing. - CORRECT ANSWER b. linked integrally. An EBP ________ is a person who serves to implement and sustain EBP despite competing priorities. a. leader b. dyad c. mentor d. analyst - CORRECT ANSWER c. mentor Which of the following is a professional value of the CNL? a. Project manager b. Dignity c. Information and healthcare technologies d. Nursing technology - CORRECT ANSWER b. Dignity Infrastructure includes a. human resources. b. material resources. c. computer access to EBP d. all of the above - CORRECT ANSWER d. all of the above Strategies to support an EBP culture include a. nursing rounds. b. journal club. c. education d. all of the above - CORRECT ANSWER d. all of the above 161. At present there are ________ improvement scientists. a. no b. few c. many d. an ample number of - CORRECT ANSWER b. few 162. Accountability is a ________ of the CNL. a. professional value b. role c. core competency d. legal concept - CORRECT ANSWER a. professional value 163. ________ can use their understanding of improvement science to advance their roles. a. Clients b. Everyone c. Communities d. CNLs. - CORRECT ANSWER d. CNLs. 164. ________ has raised the bar in translating research evidence at the bedside and at the point of care. a. Effectiveness b. Improvement science c. Microsystems management d. all of the above - CORRECT ANSWER b. Improvement science 165. A core competency of the CNL is a. ethical decision making. b. social justice. c. member of a profession. d. all of the above - CORRECT ANSWER a. ethical decision making. 166. The widespread, often glaring, problems in healthcare quality a. generally have self-evident underlying causes. b. are insoluble. c. often have causes that remain unclear. d. have been approached by a wide array of approaches using very effective tests to confirm improvement. - CORRECT ANSWER c. often have causes that remain unclear. 167. CNL roles include a. clinician. b. information manager. c. life-long learner. d. all of the above - CORRECT ANSWER d. all of the above 168. The terms "complexity science," "science of change," "implementation science," and "improvement science" are a. distinct and clearly defined. b. interrelated and overlapping. c. exactly the same thing. d. all obsolete. - CORRECT ANSWER b. interrelated and overlapping. 169. Today improvement research tends to be ________. a. systematically planned. b. non-existent. c. opportunistic. d. so voluminous that it is difficult to categorize. - CORRECT ANSWER c. opportunistic. The Institute of Medicine found that one barrier to progress in improvement research was a. the extreme rigor applied to improvement studies. b. the fact that findings were usually too general. c. absence of a scientific "home" for improvement science. d. clear-cut ethical oversight principles. - CORRECT ANSWER c. absence of a scientific "home" for improvement science. 171. Community ________ require(s) inter-professional communication, collaboration, and being able to prioritize. a. gaps b. design c. assessment d. both a and b, above - CORRECT ANSWER c. assessment 172. A professional value of the CNL is a. accountability. b. outcomes manager. c. resource management d. all of the above - CORRECT ANSWER a. accountability. 173. Complexity theory maintains that the experience of community is a. random. b. unknowable. c. an outcome and the context of informal networking. d. irrelevant. - CORRECT ANSWER c. an outcome and the context of informal networking. 174. The epidemiological ________ is central to community diagnosis. a. dyad b. triad c. tetragon d. grid - CORRECT ANSWER b. triad 175. Discharge planning begins a. once the patient is ready to leave the facility. b. with the first encounter with the patient. c. as soon as the patient has left the facility. d. before the first encounter with the patient. - CORRECT ANSWER b. with the first encounter with the patient 176. The natural history of ________ model describes the progression of disease. a. communities b. bacteria c. infection d. disease - CORRECT ANSWER d. disease 177. The roles of the CNL include a. outcomes manager. b. educator. c. client advocate. d. all of the above - CORRECT ANSWER d. all of the above 178. ________ Maps provide an excellent tool for leading teams through innovation. a. Community b. Mind c. Six Sigma d. Nursing - CORRECT ANSWER b. Mind 179. According to Coleman, the Care Transitions Program a. supports patients and families. b. influences health policy only at the local level. c. deemphasizes health information technology. d. dismantles system-level interventions directed at quality and safety. - CORRECT ANSWER a. supports patients and families. Three rules of __________ , according to Loehr, are purpose, truth, and action. a. Mind Maps b. economics c. storytelling d. transportation - CORRECT ANSWER c. storytelling 181. With the Patient Protection and Affordable Care Act, the national health care agenda is focused on a. illness. b. sick care. c. wellness. d. cure. - CORRECT ANSWER c. wellness. 182. About what percentage of healthcare costs is spent on health promotion in the United States? a. 1% b. 5% c. 9% d. 16% - CORRECT ANSWER b. 5% 183. Provide and manage care is a ________ of the CNL. a. professional value b. core competency c. health literacy d. role - CORRECT ANSWER b. core competency 184. WHO's plan to improve health outcomes includes a. promoting socioeconomic development. b. enhancing collaboration. c. applying research, information, and evidence d. all of the above - CORRECT ANSWER d. all of the above 185. A Readiness to Change ________ is a tool to help healthcare providers understand patient thinking about behavioral change. a. book b. video c. Ruler d. lecture - CORRECT ANSWER c. Ruler 186. Human dignity is a ________ of the CNL. a. professional value b. core competency c. private concern d. role - CORRECT ANSWER a. professional value 187. From 2002 to 2012, employers paid a ________ increase in healthcare premiums. a. 3% b. 41% c. 97% d. 133% - CORRECT ANSWER c. 97% 188. CNL core competencies include a. communication. b. disease prevention. c. risk reduction. d. all of the above - CORRECT ANSWER d. all of the above 189. The increased cost of insurance and health care in the United States can be attributed to a. healthcare technology. b. over-treating patients. c. an older population. d. all of the above - CORRECT ANSWER d. all of the above 190. ________ and adherence to treatment are more likely when patient and provider have a collaborative partnership. a. Accountability b. Self-care c. Readmission d. Lifestyle diseases - CORRECT ANSWER b. Self-care 191. Evidence of outcomes in the LTC setting is a. extensive. b. sparse. c. greater than in the acute care setting. d. non-existent. - CORRECT ANSWER b. sparse. 192. Transformer is a ________ of the CNL. a. professional value b. core competency c. role d. personal value - CORRECT ANSWER c. role 193. One way to gauge the success of the CNL role is through reduced a. turnover. b. certification rates. c. nurse satisfaction scores. d. all of the above - CORRECT ANSWER a. turnover. 194. The ________ Data Set (MDS) collects information about the type of care need for an individual LTC resident. a. Maximum b. Multiple c. Minimum d. Motor - CORRECT ANSWER c. Minimum 195. CNL core competencies include a. human care systems and policy. b. health promotion. c. design/management/coordination of care. d. all of the above - CORRECT ANSWER d. all of the above 196. Practice care settings of the CNL include the a. ambulatory care setting. b. long-term care setting. c. acute specialty care setting. d. all of the above - CORRECT ANSWER d. all of the above 197. Historically, CNLs have practiced mainly in ________ settings. a. inpatient acute care b. school c. primary care ambulatory d. LTC - CORRECT ANSWER a. inpatient acute care 198. When patients are receiving both specialty and primary care services, issues include a. care transition. b. responsibility for care. c. patient autonomy. d. all of the above - CORRECT ANSWER d. all of the above 199. Altruism and integrity are ________ of the CNL. a. professional values b. competencies c. goals d. roles - CORRECT ANSWER a. professional values Helping a patient obtain needed health care—perhaps dealing with cost, language, and geographical barriers—is a part of ________. a. nursing technology and resource management. b. advocacy. c. health promotion. d. transforming. - CORRECT ANSWER b. advocacy. 201. The time for CNL students to start keeping a portfolio is a. after holding one or two CNL positions. b. when their coursework is completed. c. right from the beginning of their coursework. d. CNLs do not need a portfolio. - CORRECT ANSWER c. right from the beginning of their coursework. 202. After identifying ________, a CNL student can organize a clinical immersion project. a. gaps b. organizational strengths c. macrosystems d. desired outcomes - CORRECT ANSWER a. gaps 203. The business case for a CNL project must be supported by ________ - based data. a. outcome b. evidence c. portfolio d. story - CORRECT ANSWER b. evidence 204. When a CNL accepts a position, a performance ________ is often used to define role expectations and markers of impact and success. a. test b. analysis c. contract d. video - CORRECT ANSWER c. contract 205. The ideal clinical experience should a. be creatively developed. b. be meaningful to the student. c. add value for the organization. d. all of the above - CORRECT ANSWER d. all of the above 206. How many components does a business model have? a. Two b. Three c. Five d. Sixteen - CORRECT ANSWER b. Three 207. Design/management/coordination of care is ________ of the CNL. a. beyond the scope b. a core competency c. a role d. a professional value - CORRECT ANSWER b. a core competency 208. When developing an immersion project, the CNL will find a. no resources available to help. b. experienced CNLs in every practice setting to help them. c. multiple resources available to help. d. none of the above - CORRECT ANSWER c. multiple resources available to help. 209. Which one of the following is not one of the "5Ps"? a. Purpose b. Professionals c. Patterns d. Peer - CORRECT ANSWER d. Peer Among the CNL's many roles is a. life-long learner. b. integrity. c. interdisciplinary teams. d. assessment. - CORRECT ANSWER d. assessment. 211. Elements of a CNL transition to practice program include a. the framework. b. curriculum development. c. program structure. d. all of these - CORRECT ANSWER d. all of these 212. Compared to an RN residency, CNL transition to practice programs a. are almost identical to the RN residency. b. may differ considerably. c. are in fact different terms for the same thing. d. require more clinical oversight of the novice. - CORRECT ANSWER b. may differ considerably. 213. The VHA example given in the chapter of a CNL transition to practice program is based upon a. the long history of such programs. b. lectures. c. self-study. d. a total absence of preceptor guidance. - CORRECT ANSWER c. self-study. 214. Characteristics of preceptor support are ________ novice nurse performance. a. predictors of b. unrelated to c. perhaps a factor in d. none of the above - CORRECT ANSWER a. predictors of 215. Facilitation is a CNL ________. a. optional value b. core competency c. professional value d. role model - CORRECT ANSWER b. core competency 216. Curriculum of the CNL transition to practice program should a. not duplicate academic coursework. b. extend learning beyond the clinical immersion experience. c. both a and b, above d. assume incomplete academic preparation of the CNL. - CORRECT ANSWER c. both a and b, above 217. CNL professional values include a. accountability. b. integrity. c. management. d. both a and b, above - CORRECT ANSWER d. both a and b, above 218. ________ is a form of reflective observation that can serve as a basis for CNL praxis. a. Journaling b. A strategic learning activity c. A portfolio d. Having the novice become a preceptor immediately - CORRECT ANSWER a. Journaling 219. Measures of program success may include a. the number of novice CNLs successfully completing the program. b. evaluation feedback from the CNLs. c. evaluation feedback from the preceptors. d. all of the above - CORRECT ANSWER d. all of the above 220. Communicator, educator, and advocate are CNL __________. a. roles b. professional values c. core competencies d. none of the above - CORRECT ANSWER a. roles 221. Which one of the following is not one of the 10 principles of servant leadership? a. Listening b. Awareness c. Servitude d. Stewardship - CORRECT ANSWER c. Servitude 222. As clinical leaders, CNLs are a. action oriented. b. transactional. c. passive. d. focused on the macrosystem. - CORRECT ANSWER a. action oriented. 223. The CNL ________ stakeholders in understanding the improvement process. a. bypasses b. ignores c. is directed by d. engages - CORRECT ANSWER d. engages 224. Which of these questions is more to the point? a. "Are we doing things right?" b. "Should we be doing what we're doing?" c. "Are we doing the right things?" d. They are equally relevant - CORRECT ANSWER b. "Should we be doing what we're doing?" 225. Roles of the CNL include a. communicator. b. advocate. c. outcomes manager. d. all of the above - CORRECT ANSWER d. all of the above 226. ________ leaders focus on completion of tasks, and try to carry out decisions with little disruption or conversation. a. Transformational b. Microsystem c. Transactional d. Appreciative Inquiry (AI) - CORRECT ANSWER c. Transactional 227. The CNL can serve as a clinical leader by a. setting direction. b. improving services. c. developing personal qualities. d. all of the above - CORRECT ANSWER d. all of the above 228. ________ is about the coevolutionary search for the best in people, their organizations, and the relevant world around them. a. Lewin's change model b. Appreciative Inquiry (AI) c. Lippitt's theory of change d. all of the above - CORRECT ANSWER b. Appreciative Inquiry (AI) 229. Collaboration is a CNL a. core competency. b. professional value. c. role. d. choice. - CORRECT ANSWER a. core competency. 230. In Lippitt's theory, the final stage is a. terminate the helping relationship. b. assess the motivation of those who will need to make the change. c. diagnose the problem. d. choose those who will lead the change. - CORRECT ANSWER a. terminate the helping relationship. Patient satisfaction scores on your unit have declined over the last quarter. There are several new nurses on the unit. You suspect that the novice nurses may be contributing to this decline in satisfaction scores. What would be a good strategy to address the issue? A. Schedule a group education session with the new nurses to discuss patient satisfaction B. Have the novice nurses shadow an experienced nurse for the day C. While doing patient rounds, apologize for the number of new nurses on the unit D. Hang signs around the unit reminding staff that patient satisfaction is the goal (W19 Midterm) - CORRECT ANSWER A. Schedule a group education session with the new nurses to discuss patient satisfaction The important thing about metrics is to: A. Choose them wisely B. Use as many as possible to impress people C. Avoid them if possible, as they cloud the issue D. None of the above (W19 Midterm) - CORRECT ANSWER A. Choose them wisely Measurable improvement with economic value is shown by a: A. system readiness B. business case C. risk anticipation D. strategic plan (W19 Midterm) - CORRECT ANSWER B. business case Costs that are directly related for an individual patient or activity is called: A. Direct Costs B. Indirect Costs C. Expenses D. Revenue (W19 Midterm) - CORRECT ANSWER A. Direct Costs Crucial to the success of the CNL role immersion are: A. operational control B. creation of a scorecard C. regularly scheduled meetings D. all of the above (W19 Midterm) - CORRECT ANSWER D. all of the above For the CNL, the measure of quality practice: A. is client care outcomes. B. has not yet been articulated by the AACN. C. nursing satisfaction. D. healthcare team member approval. (W19 Midterm) - CORRECT ANSWER A. is client care outcomes. Data reported by the ICU quality committee reflect challenges in the managment of the septic patient. As a CNL in the ICU, all of the following are first steps in evaluating the delivery of client care except: A. Knowledge of sepsis guidelines B. Critical care clinicans staffing ratios C. Use of clinical decision support systems D. Differentiating sepsis from systemic inflammatory response syndrome (SIRS) (W19 Midterm) - CORRECT ANSWER D. Differentiating sepsis from systemic inflammatory response syndrome (SIRS) How can the CNL answer the key question that the change in practice is an improvment? A. PDSA B. Use a SWOT Analysis C. FMEA D. All of the Above. (W19 Midterm) - CORRECT ANSWER A. PDSA The CNL must use small measures of change to support the pratice. In a PDSA cyles used imediately after the change helps determine the effect of change. The CNL has a direct relationship and is responsible and accountable for outcomes within a microsystem. The 2 variables that the CNL must understand and influence are: A. Morbidity and Mortality B. Discharges and Admissions in the population C. Length of stay on expected reimbursement and incentive pay to providers D. Length of stay and utilization of supplies and services within that length of stay. (W19 Midterm) - CORRECT ANSWER D. Length of stay and utilization of supplies and services within that length of stay. The ________ drives the interdisciplinary team and development. A. Consultant B. Leader C. Facilitator D. Lawyer (W19 Midterm) - CORRECT ANSWER B. Leader The concept that an organization is in a continued state of change describes which organizational theory: A. Systems theory B. Classical theory C. Contingency theory D. Chaos theory (W19 Midterm) - CORRECT ANSWER D. Chaos theory A nurse on the unit comes to you and says that every shift he works day or night he finds at least one of his patients without an identification band in place. He is very concerned about patient safety and feels a harmful mistake could occur in the near future if the practice on the unit is not improved. What do you do as the CNL? A. Perform daily audits on all of the patients and report results to management B. Have the unit secretary make new identification bands for all of the patients daily so the charge nurse can place place new bands on the patients daily C. Research a new style of patient identification bands since the current product does not stay on the patient properly D. Provide support to the nurse on the unit who determines the problem and help him identify areas in the process to improve patient identification (W19 Midterm) - CORRECT ANSWER D. Provide support to the nurse on the unit who determines the problem and help him identify areas in the process to improve patient identification A _______ identifies communication needs for both internal and external stakeholders. A. Measurable outcome B. Microsystem C. Communication plan D. Value (W19 Midterm) - CORRECT ANSWER C. Communication plan Which of the following would signal an unmet need in the education arena? A. Increased population diversity B. A surplus of faculty members C. Ample space D. Adequate supply resources (W19 Midterm) - CORRECT ANSWER A. Increased population diversity The IOM report indicates that the nursing workforce should be: A. more educated B. receiving the same education as today C. less educated, to produce graduates more quickly in order to fill the nursing shortage D. completely educated at the doctoral level (W19 Midterm) - CORRECT ANSWER A. more educated Core competencies of the CNL include: A. Advocate B. Educator C. Clinican D. All of the above (W19 Midterm) - CORRECT ANSWER D. All of the above Most Acute Care insitutions calculate care hours to address staffing for the unit.The management of the unit has determined that there should be a 70/30 mix of licensed to unlicensed staff. This translates to 70 % of all care hours must be delivered by a license caregiver. The remaining 30% by personal care assistant, nurse's aide or other title for an employee without a license. There are 24 patients in this unit. Each RN works 7 hours after breaks are deducted.The total number of care hours for the patients in a 24-hour period is 84 hours. How many RN's and other personnel are needed to provide the hours of care? A. 10 RN 3.6 nursing assistants B. 9 RN 3 nursing assistants C. 8.4 RN 3.6 nursing assistants D. 12 RN 0 nursing assistants (W19 Midterm) - CORRECT ANSWER B. 9 RN 3 nursing assistants You know that 70% of 84 is 58.8 hours. Divide 7 into 58.8 (round up to 60), and you get 8.4 RN 30% of the remining 25.2 hours of care is 3.6 A lack of compliance with deep vein thrombosis (DVT) prophylaxis has been identified in retrospective chart reviews of all ischemic stroke patients in your organization. As a CNL on the neurological unit, your primary goal will include: A. Challenging the guidelines on primary prevention of ischemic stroke written by the American Stroke Association. B. Gaining an understaning of how DVT prophylaxis is initiated on each stroke patient on your unit. C. Developing an organization-wide educational program on DVT prophylaxis. D. Developing a unit-based team of nursing personnel to investigate the problem. (W19 Midterm) - CORRECT ANSWER B. Gaining an understaning of how DVT prophylaxis is initiated on each stroke patient on your unit. The first element in the McKinsey 7-S framework is: A. Style B. Superiority C. Structure D. Simplicity (W19 Midterm) - CORRECT ANSWER C. Structure (Roussel/Thomas Chapter 4) Over the past few weeks, nurses on the 36-bed medical unit have been complaining the MD orders related to oxygen do not match what the patient is receiving. Often the patient has more than one oxygen order at the same time. This leads to confusion for nursing and respiratory care staff and could harm the patient. How can the CNL improve the practice? A. Using the informatics team to support, create a hard stop in the computer that does not allow the physician to activate a new oxygen order without discontinuing the previous order B. Tell the nurse they need to remind the doctors to keep orders up to date and have the nurses review orders at rounds with the team C. Meet the unit hospitalist to make a plan to address the problem D. Do nothing since CNLs cannot write patient care orders (W19 Midterm) - CORRECT ANSWER A. Using the informatics team to support, create a hard stop in the computer that does not allow the physician to activate a new oxygen order without discontinuing the previous order A gap analysis, unlike the SWOT : A. Is an analysis of the micro, meso and macro system. B. Is an analysis of the internal processes and personnel C. Allows the CNL to offer research evidence to key stakeholders. D. None of the above. (W19 Midterm) - CORRECT ANSWER C. Allows the CNL to offer research evidence to key stakeholders. Response Feedback: A gap analysis does a deep dig into the system in need of continuous quality improvement. A patient diagnosed with colon cancer remarks that since his diagnosis, many people he knows have mentioned someone they know who has colon cancer. Most of these people live nearby. The patient asks you if colon cancer rates in the area have risen? The patient is asking about what type of measure? A. Incidence B. Prevalence C. Mortality D. Correlation (W19 Midterm) - CORRECT ANSWER A. Incidence Response Feedback: Tracking the number of new cases in the area is incidence. Having completing unit audits, you have noticed nurses are not completing AIR cycles documentation with pain management (AIR: assessment, intervention, reassessment). What should be done to improve documentation? A. Tell the unit management which staff are documenting inappropriately. B. Re-educate staff on the hospital documentation policy. C. Remind staff of pain documentation during staff meetings and charge report. D. Provide staff with a self-audit sheet as a way to review their own documentation during their shifts. (W19 Midterm) - CORRECT ANSWER D. Provide staff with a self-audit sheet as a way to review their own documentation during their shifts. Metrics must be __________ and produce the __________ gain: A. measurable, largest B. subjective, largest C. measurable, smallest D. hidden, unknown (W19 Midterm) - CORRECT ANSWER A. measurable, largest Jen is an obese patient admitted with COPD, DM type 2. Part of her social history is that she smokes 2 ppd the last 20 years. Her CNL, makes a patient goal for Jen to stop smoking in 6 weeks by decreasing one cigarrete per day. This goal will not work because: A. This is not a measureable goal. B. Jen should decrease by 2 cigarettes per day. C. The patient has COPD. D. Jen should help make the goal. (W19 Midterm) - CORRECT ANSWER D. Jen should help make the goal. Response Feedback: When goals are set with adult clients, the client must be involved. Mutually set goals are effective. A team approach utilizing the integration of many different roles working toward common patient and family goals describes the objective of which type of team: A. Multidisciplinary team B. Interdisciplinary team C. Patient advocacy team D. Care coordination team (W19 Midterm) - CORRECT ANSWER B. Interdisciplinary team A root cause analysis is? A. proactive B. reactive C. an outcome measure D. an incident report (W19 Q2) - CORRECT ANSWER B. reactive The keystone of health service regulation in the United States is regulation of what? A. policies B. changes C. licensure D. insurance (W19 Q2) - CORRECT ANSWER C. licensure ________ is often referred to as "lean thinking". A. Six Sigma B. Communication C. Lean six sigma D. Organizational trust (W19 Q2) - CORRECT ANSWER C. Lean six sigma There are a variety of scheduling models. this model is relatively inflexible and can be used with rotating, permanent, or mixed shifts, modified to allow fixed days off and uneven work periods. A. Cyclic scheduling. B. Self-scheduling. C. Flextime. D. Weekend alternative. (W19 Q2) - CORRECT ANSWER A. Cyclic scheduling. The American Nurses Association describes what as an "authoritative statement defined and promoted by the profession by which the quality of practice, service or education can be evaluated"? A. Benchmark B. Standard C. Customary practice D. Average (W19 Q2) - CORRECT ANSWER B. Standard From the Institute of Medicine ( IOM)'s aims for quality care, for health care to be considered effective, the following premise exist: A. Race, ethnicity, gender and income should not prevent anyone in the world from receiving care. B. The individual patient's culture, social context and specific needs are respected; the patient plays an active role in making health care decisions. C. No one should ever be harmed by health care and provider's incompetence. D. Care should match science, with neither underuse not overuse of the best available techniques. (W19 Q2) - CORRECT ANSWER D. Care should match science, with neither underuse not overuse of the best available techniques. Actively managing the process of change is one of the hallmarks of a healthy work environment. An example of this would include practices such as: A. Communication training, designing mechanisms for feedback, measurement and worker involvement. B. Redundancy of work design, production efficiency, and alignment of organizational goals. C. Shared governance, nursing empowerment, and clinical autonomy to improve patient safety. D. The use of systematic experimentation to generate new knowledge within the organization to enhance patient care. (W19 Q2) - CORRECT ANSWER A. Communication training, designing mechanisms for feedback, measurement and worker involvement. The CNL is a(n) ________ with a practice focus on the _________. A. Interim consultant, macrosystem B. point-of-care specialist, microsystem C. interim consultant, microsystem D. point -of-care specialist, macrosystem (W19 Q2) - CORRECT ANSWER B. point-of-care specialist, microsystem Patient classification systems based on a model of nursing are commonplace and the rule rather than the exception. True False (W19 Q2) - CORRECT ANSWER Correct False What is an established plan of action usually made by governmental policymakers or healthcare organizations to achieve established outcomes pertaining to the healthcare system? A. policy process B. health policy C. implementation D. health politics (W19 Q2) - CORRECT ANSWER B. health policy What is an established plan of action usually made by governmental policymakers or healthcare organizations to achieve established outcomes pertaining to the healthcare system? A. policy process B. health policy C. implementation D. health politics (W19 Q1) - CORRECT ANSWER B. health policy The chief nurse executive must have ________ for how the CNL will be immersed in the care delivery model. A. Some idea, even vague if possible B. A gut feeling C. A clear vision D. No Plan (W19 Q1) - CORRECT ANSWER C. A clear vision The CNL role is involved in organizational improvemets that are: Answers: A. relationship based B. outcome based C. evidenced based D. both B and C, above (W19 Q1) - CORRECT ANSWER D. both B and C, above The nursing staff of a microsystem is concerned about an increase in catheter associated urinary tract infections.What model must the CNL apply to this microsystem problem to identify probable causes of a sudden increase in CAUTIs, collect specific data, review literature and practice guidelines and incorporate infection control for future prevention? (W19 Q1) - CORRECT ANSWER Epidemiological Model One type of assessment analyzes the __________ between current and desired states. Answers: A. Partnership B. Guilty individuals responsible for the difference C. Gap D. Equivalency (W19 Q1) - CORRECT ANSWER C. Gap ________ is often referred to as "lean thinking". A. Six Sigma B. Communication C. Lean six sigma D. Organizational trust (W19 Q1) - CORRECT ANSWER C. Lean six sigma A root cause analysis is? A. proactive B. reactive C. an outcome measure D. an incident report (W19 Q1) - CORRECT ANSWER B. reactive Requisites for ensuring successful immersions between schools of nursing and healthcare settings include: Answers: A. collaborative partnerships and agreements B. thoughtful planning and pairing of preceptor and preceptee C. both A and B, above D. random assignment of preceptees to preceptors (W19 Q1) - CORRECT ANSWER C. both A and B, above Accountability s a CNL: A. core competency B. role C. professional value D. both A and B, above (W19 Q1) - CORRECT ANSWER C. professional value The professional values of a CNL include: A. Collaboration B. Accountability C. Advocacy D. All of the above (W19 Q1) - CORRECT ANSWER D. All of the above The hospital is shifting from paper records to electronic medical records (EMR), and the CNL is a member of the committee that has selected a vendor. What of the following must be completed before a final selection can be made? A. Needs Assessment B. Financial Plan C. Staff Training D. Computer Purchases - CORRECT ANSWER A. Needs Assessment The CNL has been chosen to represent nurses in collective bargaining. The management wants to maintain the status quo and give as little as possible while the union wants to maximize salary and benefit gains. If one side wins, the other side loses. This type of collective bargaining is: A. Distributive B. Integrative C. Productive D. Composite - CORRECT ANSWER A. Distributive When considering the budget, which costs in a healthcare organization are usually fixed? A. Surgical Supplies B. Medical Supplies C. Administrative Salaries D. Food Costs - CORRECT ANSWER C. Administrative Salaries The CNL has identified a number of changes to promote safety and improve client outcomes and has the support of most members of the interdisciplinary team in working toward change. However, two members of the team remain vocally resistant to chance and are arguing with other team members, trying to convince them to resist chance as well. The BEST solution for the CNL is to: A. Ignore the two team members. B. Ask to have the two team members transferred to a difference unit. C. Tell the two team members that they are being disruptive. D. Ask the two team members to take active roles in facilitating change. - CORRECT ANSWER D. Ask the two team members to take active roles in facilitating change. According to the CNL Standards of Conduct, concern for and advocating for the welfare of clients and staff and demonstrating understanding of others' beliefs and values is related to: A. Accountability B. Altruism C. Integrity D. Social Justice - CORRECT ANSWER B. Altruism The CNL must hire a new nursing team member and has conducted the initial interviews and will send three candidates to a peer interview with other team members. The final decision about hiring will rest with the team members. Because of this, the most important factor in making a selection of three candidates is: A. The CNL choses candidates who are similar to those already on the team. B. The CNL choses those with the best qualifications. C. The CNL choses a candidate who seems excellent and two candidates that seem weak to ensure the preferred candidate will be hired. D. The CNL would be willing to hire any of the three selected candidates. - CORRECT ANSWER D. The CNL would be willing to hire any of the three selected candidates. The primary difference between a data warehouse and a data mart is that: A. The data warehouse is a smaller component of the larger data mart. B. The data mart is a smaller component of the larger data warehouse. C. There is no difference as the terms are interchangeable. D. The data mart is not accessible to data mining. - CORRECT ANSWER B. The data mart is a smaller component of the larger data warehouse. The CNL notes when making rounds that team members are leaving extra linen (towels, sheets, washcloths) in the clients' private rooms in case they are needed later. During the team meeting, the CNL notes that: A. This is a good time-saving practice. B. This is not a cost-effective practice. C. This increases the risk of contamination. D. This is a violation of health practices. - CORRECT ANSWER B. This is not a cost-effective practice. The CNL encourages team members to gain leadership experience. One novice team member states she doesn't understand the need to develop leadership skills since she in not part of management and has little experience. Which of the following is the best response? A. Everyone needs leadership experience. B. Leadership skills will help you be more effective when working with clients, other nurses, and unlicensed assistive personnel. C. If you want to advance, you need leadership skills. D. While you may not see the value of leadership skills now, you will understand the value as you gain experience. - CORRECT ANSWER B. Leadership skills will help you be more effective when working with clients, other nurses, and unlicensed assistive personnel. The CNL leads a team on the substance abuse rehabilitation unit and is involved in a community partnership, working with adolescents and trying to overcome predictive/risk factors and reinforce protective factors. Which of the following is a protective factor for substance abuse for an adolescent whose parents are drug abusers? A. Knowledge about the risks of substance abuse. B. Uncertainty about future plans. C. Poor reading and academic skills. D. Early sexual activity. - CORRECT ANSWER A. Knowledge about the risks of substance abuse. The CNL asked the team to brainstorm a problem during a meeting and come up with a number of possible solutions to discuss. This type of exercise is an example of: A. Convergent Thinking B. Abstract Thinking C. Critical Thinking D. Divergent Thinking - CORRECT ANSWER D. Divergent Thinking The CNL on a geriatric unit observes that a recently graduated nurse appears uncomfortable with family members of dying clients and avoids talking or interactive with them when providing patient care. When a client's daughter began crying while the nurse was turning the client, the nurse didn't look at or speak to the daughter but abruptly left the room. Which is the BEST approach for the CNL to take? A. Reassign the nurse to clients who are not dying. B. Describe the incident to the nurse and ask for an explanation. C. Give the nurse literature about death and dying. D. Practice role-playing with the nurse. - CORRECT ANSWER D. Practice role-playing with the nurse. When a patient is admitted to the orthopedic unit with a fractured femur, the intake assessment includes not only questions about the orthopedic problem but also questions about social history, family history, nutrition, habits and lifestyle, sexuality, spirituality, and health concerns. This is an example of a(n): A. Holistic Assessment B. Problem-Focused Assessment C. Emergency Assessment D. Ongoing Assessment - CORRECT ANSWER A. Holistic Assessment The CNL serves on a committee lobbying the state legislature to enact nurse-patient ratios. Which of the following current issues in nursing may work against enacting ratios? A. Nursing Shortage B. Nursing Salaries C. Nursing Education D. Nursing Processes - CORRECT ANSWER A. Nursing Shortage The CNL is considering applying four difference hospitals, but they have different organizational forms. Which of the following organization forms is likely to present the most challenges in facilitating client-centered, interdisciplinary care? A. Program B. Matrix C. Functional D. Parallel - CORRECT ANSWER C. Functional Patient satisfaction scores in the emergency department (ED) have shown a downward trend over the past three quarters. As a clinical nurse leader (CNL) in the ED, your focus is to: A. Create a script for the triage nurse in welcoming the patient. B. Assign a volunteer to welcome patients to the hospital. C. Compare desired outcomes with national and state standards. D. Write a letter of apology to each dissatisfied patient. - CORRECT ANSWER C. Compare desired outcomes with national and state standards. Which of the following actions illustrates the CNL professional value of altruism? A. Leading an interdisciplinary team looking at the remote cardiac monitoring process. B. Sponsoring a meeting with the monitor technicians to understand their barriers in the cardiac monitoring process. C. Flow mapping the admission process of the remote cardiac-monitored patient. D. Editing the policy for the remote cardiac monitoring process. - CORRECT ANSWER B. Sponsoring a meeting with the monitor technicians to understand their barriers in the cardiac monitoring process. You are a CNL on the telemetry unit and orienting a newly graduated nurse. Critical thinking is best demonstrated when: A. The CNL discusses with the physician the rationale for discontinuing cardiac monitoring in the hospice patient. B. Drawing the scheduled cardiac enzymes every 8 hours. C. Reviewing the patient care guidelines and protocols related to hourly rounding. D. The CNL balances both the charge role and the preceptor role simultaneously. - CORRECT ANSWER A. The CNL discusses with the physician the rationale for discontinuing cardiac monitoring in the hospice patient. You are a CNL selected to lead a team focused on implementing a multidisciplinary clinical pathway for acute ischemic stroke and transient ischemic attack. The risk assessment tool that you have adopted identifies all of the following as independent stroke risk factors except: A. Age B. Systolic blood pressure C. Liver dysfunction D. Current smoking E. Diabetes mellitus - CORRECT ANSWER C. Liver dysfunction A lack of compliance with deep vein thrombosis (DVT) prophylaxis has been identified in retrospective chart reviews of all ischemic stroke patients in your organization. As a CNL on the neurological unit, your primary goal will include: A. Challenging the guidelines on primary prevention of ischemic stroke written by the American Stroke Association. B. Gaining an understanding of how DVT prophylaxis is initiated on each stroke patient on your unit. C. Developing an organization-wide educational program on DVT prophylaxis. D. Developing a unit-based team of nursing personnel to investigate the problem. - CORRECT ANSWER B. Gaining an understanding of how DVT prophylaxis is initiated on each stroke patient on your unit. You are working on improving the patient discharge process. Which of these targets would best reflect clinical microsystem outcomes? A. Hospital length of stay B. Time of discharge order for all medical patients to the actual time the patient left C. Number of discharge orders on your unit entered before 11 a.m. D. Total number of discharged patients leaving by 11 a.m. - CORRECT ANSWER C. Number of discharge orders on your unit entered before 11 a.m. Electronic nursing documentation has recently been instituted in your organization. Select a response that best defines a clinical decision support: A. A reminder to save and sign your admission assessment B. A visual red alert when a patient's potassium is 6.8 mEq/L C. A pop-up to initiate the discharge instruction sheet with every physician discharge order D. An electronic nursing care plan - CORRECT ANSWER C. A pop-up to initiate the discharge instruction sheet with every physician discharge order In 2008, the Centers for Medicaid and Medicare Services (CMS) collaboratively with the Centers for Disease Control and Prevention enacted a new payment provision related to eight hospital-acquired conditions. Hospital falls and traumas occurring during a hospital stay will not receive CMS reimbursement. Health promotion, risk reduction, and disease prevention are core competencies of the clinical nurse leader. As a CNL on the telemetry unit, you have recognized the importance of this issue. Which level within a system does this issue affect? A. Microsystem B. Mesosystem C. Macrosystem D. All of the above - CORRECT ANSWER D. All of the above Clinical nurse leaders focus on projects within a clinical microsystem. A clinical microsystem can be best described as: A. A department-wide program focused on improving continuity of care and patient satisfaction. B. Trending the postoperative care on all surgical units. C. The clinical and business processes of a single unit within an organization. D. All medical and surgical units guided by a chief nursing officer. - CORRECT ANSWER C. The clinical and business processes of a single unit within an organization. All are part of the data necessary for a CNL to fully understand and assess his or her clinical unit except: A. The organization financial statement B. The target population and age distribution C. The percentage of full-time equivalents (FTEs) D. Rate of nosocomial infections E. Fall rates - CORRECT ANSWER A. The organization financial statement The results of a quarterly report identify an increase in patient falls on the telemetry unit. Your first action will be to: A. Implement hourly rounding B. Gain an understanding of patient care practices on the telemetry unit C. Assign patient personal alarms to all patients at risk D. Revise the current fall risk documentation form - CORRECT ANSWER B. Gain an understanding of patient care practices on the telemetry unit You have been asked to lead the telemetry fall prevention committee. Which combination of team members would best suit the initial phase of this group? A. A behavioral health APRN B. A staff nurse C. A physical therapist D. The nurse manager E. All of the above F. Only A, B, and D are needed - CORRECT ANSWER E. All of the above As a CNL in the ICU, you have observed several prolonged and fragmented processes of starting an intravenous line in a critically ill patient. All of the following considerations are necessary in identifying a theme for your improvement process except: A. A thorough review of the clinical unit B. The manager's mandate for change C. The alignment with the organization's strategic priorities D. Input from the patient's family - CORRECT ANSWER B. The manager's mandate for change The hospital is looking to utilize cardiac monitor watchers. Your analysis includes all of the following except: A. A review of an online ECG monitoring education program B. Identifying a clinical issue with a focus on a specific population C. Conducting a trend analysis of outcome data D. Analyzing barriers and facilitators with the organization - CORRECT ANSWER A. A review of an online ECG monitoring education program Several near misses were identified by ICU nurses who had mistaken invasive lines for intravenous ports for medication administration. You have completed an analysis of the issue. Your recommendations include: A. A visual signal on all ports not intended for intravenous drugs B. A double-check system for medication administration C. To facilitate a critical incident reporting structure that fosters a "without blame" unit culture D. All of the above - CORRECT ANSWER D. All of the above Data reported by the ICU quality committee reflect challenges in the management of the septic patient. As a CNL in the ICU, all of the following are first steps in evaluating the delivery of client care except: A. Knowledge of sepsis guidelines B. Critical care clinicians staffing ratios C. Use of clinical decision support systems D. Differentiating sepsis from systemic inflammatory response syndrome (SIRS) - CORRECT ANSWER D. Differentiating sepsis from systemic inflammatory response syndrome (SIRS) A fellow staff nurse is struggling to understand the use of a clinical decision support system (CDSS) in the management of her septic patient. Your initial teaching strategy includes: A. Sharing the latest clinical research B. An understanding of expected and actual outcomes C. Defining the purpose of CDSS D. Exploring challenges, risks, and benefits - CORRECT ANSWER C. Defining the purpose of CDSS You are using failure mode and effect analysis (FMEA) to anticipate the risk of medication errors in the ICU related to invasive lines. You begin your FMEA analysis with: A. The effects of each failure B. The potential cause of each failure C. Process mapping D. Specific defects and delays in the medication administration process - CORRECT ANSWER C. Process mapping Your colleagues have identified challenges in the process of inserting an intravenous line. To gain a better understanding of what this process entails, you: A. Directly observe the intravenous line insertion process and time each step of the process B. Create a workflow diagram tracing the path of the nurse during the line insertion process C. Engage the IV team to reeducate the nurses D. All of the above E. A and B - CORRECT ANSWER E. A and B The result of a workflow diagram of a clinician illustrates an excessive amount of walking to obtain supplies. Reducing the waste of motion adds value-added time that ultimately benefits: A. The patient B. The clinician C. Documentation D. None of the above - CORRECT ANSWER A. The patient You are trying to reduce admission time to your unit from the emergency room. You have completed several PDSA cycles and have reduced the time by 21 minutes. But in the most recent PDSA, the time actually increased by 6 minutes. What stage of the PDSA cycle should the team go to, in order to plan the next steps? A. Act B. Plan C. Do D. Study Spring Q1 - CORRECT ANSWER D. Study Having completed unit audits, you have noticed the nurse are not completing AIR cycles documentation with pain management (AIR: assessment, intervention, reassessment). What should be done to improve documentation? A. Tell unit management which staff are documentain inappropriately B. Re-educate staff on the hospital documentation policy C. Remind staff of pain documentation during staff meetings and charge report D. Provide staff with a self-audit sheet as a way to review their own documentation during their shifts Spring Q1 - CORRECT ANSWER D. Provide staff with a self-audit sheet as a way to review their own documentation during their shifts Quality Improvement ( QI) processes include: A. Unit Champion to re-educate staff on policies and procedures. B. Clinical support system to improve clinical processes. C. Assess ongoing risk reduction and patient safety efforts. D. Applying evidence to improve one clinical process. Spring Q1 - CORRECT ANSWER C. Assess ongoing risk reduction and patient safety efforts. Clinical Nurse Leaders focus on clinical microsystems. A clinical microsystem can best be described as: A. A department wide program focusing on improving continuity of care and patient satisfaction. B. Trending the postoperative care on all surgical units. C. All medical and surgical units guided by a Chief Nursing Officer. D. The clinical and business process of a single unit within an organization. Spring Q1 - CORRECT ANSWER D. The clinical and business process of a single unit within an organization. You have noticed that on your unit, many elderly patients are unable to return home with their family members due to loss/decrease functional abilities.You research and implement a tool that scores a patient's functional ability when they enter the hospital and once on discharge. You use this data to share with staff and create ideas to improve an elderly patient's functional ability. what is this an example of? A. Interpreting and using quantitative data. B. Interpreting a gap in the evidence for EBP. C. Risk Analysis. D. Using evidence to identify and modify specific patient needs. Spring Q1 - CORRECT ANSWER A. Interpreting and using quantitative data. Quantitative data is useful in designing evidenced-based interventions to improve practice and system performance. Your unit has recently had an increase in fall rates. When you compare what other units in your department are doing, you identify that each unit is using a different fall risk assessment tool. You research each tool and identify which one has the strongest evidence-based research in preventing patient falls. This tool is later standardized throughout the hospital due to your presentation of the data. What is this an example of? A. Applying tools for risk analysis. B. Patient advocacy. C. Gathering, analyzing, and synthesizing data related to patterns of behavior. D. Demonstrating accountability for the delivery of high-quality care. Spring Q1 - CORRECT ANSWER A. Applying tools for risk analysis. As the CNL, you have identified that post-surgical pneumonia has been a frequent occurrence in your unit. Your manager approaches you and identifies that each occurrence of post-surgical pneumonia costs the unit $5000. You develop a respiratory program that includes frequent incentive spirometry use, ambulation at least 3 times per day, and frequent mouth care. You are able to reduce the unit's occurrences of post-surgical pneumonia by 75%. What is this an example of? A. Conceptual analysis and implementation of the CNL role. B. Information system management and analysis. C. Effective use of self. D. Horizontal leadership. Spring Q1 - CORRECT ANSWER B. Information system management and analysis. Following the recommendation of an interdisciplinary team policy creation, the CNL requests the electronic order entry representative to allow incentive spirometry to be entered as a nursing task. Doing this reminds the nursing staff to complete and document this task. What action is the CNL demonstrating? A. Use of health care technologies to maximize health care outcomes. B. Acknowledging the microsystems use of available resources. C. Unfreezing. D. Standardizes policy and removes waste. Spring Q1 - CORRECT ANSWER A. Use of health care technologies to maximize health care outcomes. The CNL is on the frontline of the point of care, making recommendations to management and other providers about disease management and use of standardized protocols, ensuring that all charges incurred are assessed and tracked to the appropriate cost center. Your team is looking at delays in discharge. Your cause and effect diagram should include: A. Run Chart B. Gantt chart C. Fishbone diagram D. Clinical Process Map Spring Q1 - CORRECT ANSWER C. Fishbone diagram You are using failure mode and effect analysis (FMEA) to anticipate the risk of medication errors in the ICU related to invasive lines. You begin your FMEA analysis with: A. The effects of each failure B. The potential cause of each failure C. Process mapping D. Specific defects and delays in the medication administration process Spring Q1 - CORRECT ANSWER C. Process mapping There is a fall prevention policy in place and a fall prevention tool that is to be filled out each shift. There is a lack of documentation and inconsistent implementation of the fall policy. The nurse manager has asked you to investigate this topic. What is your first step? A. Create a written survey and ask all interdisciplinary team members to complete it B. Look at the current rates for this unit and see if there has been an increase in the fall rate over the last month C. Look at staffing ratios in the last quarter to determine if this has changed D. Complete a chart audit of Falls and safety assessments Spring Q2 - CORRECT ANSWER B. Look at the current rates for this unit and see if there has been an increase in the fall rate over the last month __________ is built on predictable behavior with keeping promises and being accountable, even when expectations are not achieved. A. Trust B. Altruism C. Empathy D. Conflict Spring Q2 - CORRECT ANSWER A. Trust As a CNL on your unit, you are rounding on your microsystem. Jen, a 70-year-old patient with stage IV cancer, chronic obstructive pulmonary disease (COPD), diabetes mellitus (DM), and chronic kidney disease, is currently on an Ativan drip and morphine drip. She has a do-not-resusciate (DNR) order and is a hospice patient. You notice she has multiple grieving family members in her room. You speak with the family and collaborate with the palliative care unit (PCU) CNL and charge nurse and decide to move the patient to a bigger room in the PCU. What CNL role was demonstrated in this scenario ? A. Advocate B. Outcomes manager C. Team manager D. Risk analyst Spring Q2 - CORRECT ANSWER A. Advocate You are a CNL on the telemetry unit orienting a new graduate nurse. Critical thinking is best demonstrated when: A. The CNL discusses with the physician the rationale for discontinuing cardiac monitoring in the hospice patient B. Drawing the scheduled cardiac enzymes every 8 hours C. Reviewing the patient care guidelines and protocols related to hourly rounding D. The CNL balances both the charge role and the preceptor role simultaneously Spring Q2 - CORRECT ANSWER A. The CNL discusses with the physician the rationale for discontinuing cardiac monitoring in the hospice patient The CNL is expected to possess qualities that are foundational for effective communication and interdisciplinary collaboration.Which qualities listed are essential to quickly establish trust and foster cooperative behavior. A. strong professional value system and respect for patient concerns B. making clinical decisions based on best practices C. maturity and acceptance D. allowing for maximum self care for patients and therapeutic use of technology Spring Q2 - CORRECT ANSWER C. maturity and acceptance The AACN 'White paper" identifies 10 Assumptions regarding the CNL. Assumption 5 states that information that aid self-care and client decision-making is supported by the CNL who: A. Maximizes communication by becoming the center of many communication systems B. Use analytics and critical problem solving for complex problems C. Uses critical listening to manipulate the decisions of the environment D. Encourages family involvement to support the caregiver role Spring Q2 - CORRECT ANSWER A. Maximizes communication by becoming the center of many communication systems B.F. is a 52-year-old female recently placed with the palliative care team. The CNL makes sure that B.F. is transferred to another unit with a specific palliative section. How is this a demonstration of advocacy ? A. Physicians understand when to transfer patients B. It ensures that the system meets the needs of the population C. It advocates for the professional nurse D. It applies ethics toward patient care Spring Q2 - CORRECT ANSWER B. It ensures that the system meets the needs of the population The CNL is described as the lateral integrator of care. In communicating to staff nurses, patients and administration, the CNL balances: A. Knowledge of the microsystem and evidence to guide best practices B. Developing protocols that meet JCAHO guidelines C. Promoting shared governance with health care providers D. Increasing patient safety with best behavioral outcomes Spring Q2 - CORRECT ANSWER A. Knowledge of the microsystem and evidence to guide best practices Which of the following may be a beneficial tool for an interdisciplinary team to use to focus many ideas for improvement of patient satisfaction scores. A. Root Cause analysis B. Multivoting C. Development of a subcommittee D. The group should work only on group ideas Spring Q2 - CORRECT ANSWER B. Multivoting A lack of compliance with deep vein thrombosis (DVT) prophylaxis has been identified in retrospective chart reviews of all ischemic stroke patients in your organization. As a CNL on the neurological unit, your primary goal will include: A. Challenging the guidelines on primary prevention of ischemic stroke written by the American Stroke Association B. Gaining an understaning of how DVT prophylaxis is initiated on each stroke patient on your unit C. Developing an organization-wide educational program on DVT prophylaxis D. Developing a unit based team of nursing personnel to investigate the problem Spring Q2 - CORRECT ANSWER B. Gaining an understaning of how DVT prophylaxis is initiated on each stroke patient on your unit