CNL Exam 213 Questions with Verified Answers,100% CORRECT

CNL Exam 213 Questions with Verified Answers 1. The CNL role includes: - CORRECT ANSWER client and community advocacy. The first administration of the CNL certification exam occurred in - CORRECT ANSWER 2007 The ...

CNL Exam 213 Questions with Verified Answers 1. The CNL role includes: - CORRECT ANSWER client and community advocacy. The first administration of the CNL certification exam occurred in - CORRECT ANSWER 2007 The clinical nurse leader role is the first new nursing role in - CORRECT ANSWER over 40 years CNLs can practice - CORRECT ANSWER in all healthcare settings For the CNL, the measure of quality practice is - CORRECT ANSWER 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 - CORRECT ANSWER 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. - CORRECT ANSWER 80% The CNL graduate education program assumes that - CORRECT ANSWER 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? - CORRECT ANSWER 5 In what settings are CNLs currently practicing? - CORRECT ANSWER Outpatient clinics School health Acute-care hospitals Nursing is discipline that is - CORRECT ANSWER relationship-based 12. With changes in the Affordable Care Act, ________ Americans will have access to health services. - CORRECT ANSWER more 13. It could be said that nursing ________ the work of physicians. - CORRECT ANSWER best complements CNL Roles - CORRECT ANSWER Leader Advocate Educator Data interpreter Care Coordinator Communicator Risk anticipator Evidence-based practice Clinician Member of a profession Outcome Manager Design and Implementation Life-long learner Accountability is a CNL - CORRECT ANSWER professional value The CNL role is involved in organizational improvements that are - CORRECT ANSWER outcome and evidence based In The Future of Nursing: Leading Change, Advancing Health, the Institute of Medicine - CORRECT ANSWER is compatible with the CNL role The CNL works in - CORRECT ANSWER all practice settings. Acute care/public health etc. Core competencies of the CNL include - CORRECT ANSWER Communication Delegation Interpretation and analysis Business acumen Information management Therapeutic Use of Self Critical Thinking Assessment Nursing technology and Resource management Health promotion, risk reduction, disease prevention Illness and disease management Ethics Global Health care Human Diversity Member of a Profession Provider and manager of care The IOM report indicated that the nursing workforce should be - CORRECT ANSWER more educated. A partnership is between - CORRECT ANSWER cooperating parties with a common goal CNL professional value - CORRECT ANSWER Altruism Advocacy Ethics Accountability Collaboration Human Dignity Advocacy Social Justice Integrity One type of assessment analyzes the ________ between current and desired states. - CORRECT ANSWER gap An unmet need in the education arena - CORRECT ANSWER Increased population diversity Partnerships ________ interdependencies. - CORRECT ANSWER embrace Gap analysis is a - CORRECT ANSWER type of needs assessment. In order for a partnership to move forward, ________ must be present. - CORRECT ANSWER trust respect shared values The term "partnership" has origins in the - CORRECT ANSWER 14th century The first element in the McKinsey 7-S framework is - CORRECT ANSWER structure Measurable improvement with economic value is shown by a - CORRECT ANSWER business case Crucial to the success of the CNL role immersion are - CORRECT ANSWER -operational control. -creation of a scorecard. -regularly scheduled meetings. Metrics must be ________ and produce the ________ gain. - CORRECT ANSWER measurable, largest The important thing about metrics is to - CORRECT ANSWER choose them wisely The chief nurse executive must have ________ for how the CNL will be immersed in the care delivery model. - CORRECT ANSWER a clear vision In the McKinsey 7-S framework, a soft element is - CORRECT ANSWER skills A purpose of the CNL Spread Plan was to - CORRECT ANSWER integrate the CNL role into the patient care model. A ________ identifies communication needs for both internal and external stakeholders. - CORRECT ANSWER communication plan AIM stands for - CORRECT ANSWER Academy for the Improvement of Microsystems. The Office of Nursing Services (ONS) of ________ launched its CNL Spread Plan in 2010 - CORRECT ANSWER the VHA The importance of approaching CNL implementation by first developing a ________ cannot be overemphasized. - CORRECT ANSWER vision of the CNL role imposed from authorities outside the organization The CNL Spread Plan was designed to cover a ________ - year period. - CORRECT ANSWER 5 Stakeholders were ________ the CNL Spread Plan. - CORRECT ANSWER an important part of The CNL is a(n) ________ with a practice focus on the ________. - CORRECT ANSWER point-of-care generalist, microsystem ________ is often referred to as "lean thinking." - CORRECT ANSWER Lean six sigma Therapeutic use of self is an example of a CNL - CORRECT ANSWER core competency. Incorporating a "4-D" cycle, "AI" stands for - CORRECT ANSWER appreciative inquiry. ________ occurs when two or more values, beliefs, and opinions are incongruous and reconciliation of differences has not occurred. - CORRECT ANSWER Conflict The interactive behaviors of individuals within the context of a group refers to ________. - CORRECT ANSWER group dynamics ________ is built on predictable behavior associated with keeping promises and being accountable, even when expectations are not achieved. - CORRECT ANSWER Trust ________ is often associated with empathy, patience, kindness, and concern for others. - CORRECT ANSWER Warmth High self-esteem, sense of self-worth, self-awareness, and confidence are the matrix of ________. - CORRECT ANSWER assertiveness. ________ involves acknowledging and understanding personal strengths, attributes, shortcomings, and vulnerabilities. - CORRECT ANSWER Self-awareness Generally speaking, the nurse manager must demonstrate ________ competence. - CORRECT ANSWER administrative CNL roles include - CORRECT ANSWER -leadership. -design and implementation. -life-long learner -clinician -information manager A major competency for nurse managers is - CORRECT ANSWER communication and relationship building. Member of a profession, or professionalism, is a competency of - CORRECT ANSWER both the CNL and the nurse manager. A major competency for the CNL is - CORRECT ANSWER critical thinking. As a rule, the clinical nurse leader must demonstrate ________ competence. - CORRECT ANSWER clinical To be most effective, the CNL and the nurse manager should form a - CORRECT ANSWER leadership dyad. Global healthcare is a competency of the - CORRECT ANSWER CNL. A core competency of the CNL is risk - CORRECT ANSWER anticipation. CNL and nurse manager roles ________ each other. - CORRECT ANSWER complement The CNL clinical immersion is a ________ hour concentrated practicum. - CORRECT ANSWER 300-400 The first step in selecting a project plan would be - CORRECT ANSWER completing an organization overview. A preceptor is a(n) - CORRECT ANSWER instructor. teacher. professor. The ________ is the only place that success comes before work. - CORRECT ANSWER dictionary The final step of project plan selection would be - CORRECT ANSWER determining buy-in. The individual who observes, listens, learns, engages, and transforms in the immersion process is the - CORRECT ANSWER preceptee The preceptee is a - CORRECT ANSWER student In a clinical immersion, the ________ has the responsibility of assuming accountability for the learning process. - CORRECT ANSWER preceptee CNL professional values include - CORRECT ANSWER integrity. human dignity. advocacy. -accountability Requisites for ensuring successful immersions between schools of nursing and healthcare settings include - CORRECT ANSWER collaborative partnerships and agreements. thoughtful planning and pairing of preceptor and preceptee. The ________ drives the advisory council's organization and development. - CORRECT ANSWER leader The first important step in setting up an advisory council is developing a - CORRECT ANSWER charter 83. Annual assessment of the council should be made by the ________. - CORRECT ANSWER leader CNL professional values include - CORRECT ANSWER integrity. An advisory council can provide both the authority and influence for - CORRECT ANSWER organizational change. A charter - CORRECT ANSWER -formally establishes a council. -identifies a council's goals. Facilitators are part of ________ advisory councils. - CORRECT ANSWER some A role of the CNL is - CORRECT ANSWER -consultant. -group leader. -professional leader. Involving interprofessional stakeholders to facilitate meetings can help promote the CNL role - CORRECT ANSWER beyond the nursing domains. The responsibilities of members of an advisory council include - CORRECT ANSWER -planning programs. -marketing. -communication. The Joint Commission says that high-reliability organizations need to focus on - CORRECT ANSWER mindfulness and perfection. Financial stewardship is a ________ of the CNL. - CORRECT ANSWER professional value HROs have a(n) - CORRECT ANSWER preoccupation with failure. Roles of the CNL include - CORRECT ANSWER catalyst. As assumption of the AACN for preparing the CNL is that - CORRECT ANSWER -practice is at the microsystems level. -client-centered practice is intra- and interdisciplinary. -information will maximize self-care and client decision-making. In the five-step model of EBM/EBP of Sackett and colleagues, the first step is to - CORRECT ANSWER assess the patient. The healthcare economic model is undergoing a transition from a focus on ________ to a focus on ________. - CORRECT ANSWER volume, high-value outcomes. CNL core competencies include - CORRECT ANSWER -data analysis. -critical thinking. -ethical decision-making. -communication -disease prevention -risk reduction -human care systems and policy -health promotion design/management/coordination of care. A microsystem is defined as the ________ unit on the frontline of healthcare delivery systems. - CORRECT ANSWER smallest A core principle of HROs is - CORRECT ANSWER resilience. CNL competencies include - CORRECT ANSWER a. critical thinking. b. team leader. c. ethical decision-making. The key feature of quality improvement is the ________ nature of the process. - CORRECT ANSWER cyclical Historically, risk management focused on - CORRECT ANSWER reducing liability. A professional value of the CNL is - CORRECT ANSWER social justice The domains of enterprise risk management (ERM) include - CORRECT ANSWER a. clinical operations. b. finance. c. technological risks. In quality improvement methodologies, the step of mapping the current processes occurs before - CORRECT ANSWER root cause analysis. A characteristic of continuous quality improvement is - CORRECT ANSWER systems perspective. A CNL role is - CORRECT ANSWER member of a profession. Irrespective of the quality improvement methods that an organization selects, they all have common steps. The first step is - CORRECT ANSWER having a clear and defined aim or purpose. Brainstorming, cause and effect diagrams, and Pareto charts are common ________ used in quality improvement efforts. - CORRECT ANSWER tools The first step in solving problems is - CORRECT ANSWER identifying and documenting the problems. In collecting data, the CNL should be sure to collect the ________ data. - CORRECT ANSWER most granular Most inferential statistics are built on the model of the ________. - CORRECT ANSWER normal curve A core competency of the CNL is - CORRECT ANSWER data analysis. Data are critical for - CORRECT ANSWER 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. True experimental, quasi-experimental, and preexperimental are types of - CORRECT ANSWER basic design options. The first step in problem identification is - CORRECT ANSWER collecting data on the problem. Roles of the CNL include - CORRECT ANSWER -advocate -catalyst -risk averter life-long learner -information manager -clinician With inferential statistics, remember that the conclusions are always - CORRECT ANSWER probability statements. A profssional value of the CNL is - CORRECT ANSWER integrity human dignity accountability genuineness advocacy 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. - CORRECT ANSWER decision support A benefit of the use of informatics for care delivery is - CORRECT ANSWER access to timely information ________ is concerned with data, information, knowledge, and wisdom. - CORRECT ANSWER Nursing informatics According to Albert Einstein, imagination is ________ knowledge. - CORRECT ANSWER more than Educator is a ________ of the CNL. - CORRECT ANSWER role CNL core competencies - CORRECT ANSWER -resource management -assessment -information and healthcare technologies -diversity -communication -nursing technology The centerpiece in leveraging information technology is generally - CORRECT ANSWER Electronic medical record ________ is a multidisciplinary science that involves the integration of healthcare science, computer science, information science, and cognitive science to support management of healthcare information. - CORRECT ANSWER 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. - CORRECT ANSWER Health literacy In the 6S model, the goal is to start ________ and work ________. - CORRECT ANSWER high downward Client advocate is a ________ of the CNL. - CORRECT ANSWER role Google ___________PubMed - CORRECT ANSWER does index In healthcare, with its multicomponent interventions, ________ research methods are used. - CORRECT ANSWER 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 - CORRECT ANSWER AMSTAR EndNote, RefWorks, and Procite are examples of - CORRECT ANSWER d. reference management software packages. Qualitative research covers approaches arising out of fields such as - CORRECT ANSWER anthropology Original studies from journals are found ________ the 6S pyramid. - CORRECT ANSWER at the lowest level of Meta-analyses would be found at the ________ of the evidence pyramid. - CORRECT ANSWER top In the PICOT question-writing format, the "C" stands for - CORRECT ANSWER comparison Case reports and quality improvement data are ________ sources of evidence. - CORRECT ANSWER non-research 2. Consensus and textbooks would be found at the ________ of the evidence pyramid. - CORRECT ANSWER bottom The ________ is often described as the "gold standard" research design. - CORRECT ANSWER randomized controlled trial (RCT) The final step in the EBP process is - CORRECT ANSWER assess the outcomes The first step in the EBP process is - CORRECT ANSWER ask a question The clinical nurse leader and nurse manager should work - CORRECT ANSWER in a dyad Observing the behaviors of leadership and staff can provide insight into the ________ and its/their underlying values, beliefs, and norms. - CORRECT ANSWER culture 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. - CORRECT ANSWER jounal club Risk anticipator/averter is a ______ of the CNL. - CORRECT ANSWER role 1. The microsystem and macrosystem are - CORRECT ANSWER linked integrally An EBP ________ is a person who serves to implement and sustain EBP despite competing priorities. - CORRECT ANSWER mentor Dignity is a ___________of the CNL - CORRECT ANSWER professional value Infrastructure includes - CORRECT ANSWER -human resources -material resources -computer access to EBP Strategies to support an EBP culture include - CORRECT ANSWER -nursing rounds -journal club -education At present there are _______ improvement scientists - CORRECT ANSWER few Accountability is a ________ of the CNL. - CORRECT ANSWER professional value ________ can use their understanding of improvement science to advance their roles. - CORRECT ANSWER CNLs ________ has raised the bar in translating research evidence at the bedside and at the point of care. - CORRECT ANSWER Improvement science Ethical decision making is - CORRECT ANSWER a core competency of the CNL. The widespread, often glaring, problems in healthcare quality - CORRECT ANSWER often have causes that remain unclear. The terms "complexity science," "science of change," "implementation science," and "improvement science" are - CORRECT ANSWER interrelated and overlapping Today, improvement research tends to be - CORRECT ANSWER Opportunistic The Institute of Medicine found that one barrier to progress in improvement research was - CORRECT ANSWER absence of a scientific "home" for improvement science. Community ________ require(s) interprofessional communication, collaboration, and being able to prioritize. - CORRECT ANSWER assessment Complexity theory maintains that the experience of community is - CORRECT ANSWER an outcome and the context of informal networking. The epidemiological ________ is central to community diagnosis. - CORRECT ANSWER triad Discharge planning begins - CORRECT ANSWER with the first encounter with the patient The natural history of ________ model describes the progression of disease. - CORRECT ANSWER disease The roles of the CNL include - CORRECT ANSWER -outcomes manager -educator -client advocate ________ Maps provide an excellent tool for leading teams through innovation. - CORRECT ANSWER Mind According to Coleman, the Care Transitions Program - CORRECT ANSWER supports patients and families. Three rules of __________ , according to Loehr, are purpose, truth, and action. - CORRECT ANSWER storytelling With the Patient Protection and Affordable Care Act, the national health care agenda is focused on - CORRECT ANSWER wellness About what percentage of healthcare costs is spent on health promotion in the United States? - CORRECT ANSWER 5% Provide and manage care is a ________ of the CNL. - CORRECT ANSWER core competency WHO's plan to improve health outcomes includes - CORRECT ANSWER a. promoting socioeconomic development. b. enhancing collaboration. c. applying research, information, and evidence A Readiness to Change ________ is a tool to help healthcare providers understand patient thinking about behavioral change. - CORRECT ANSWER Ruler Human dignity is a ________ of the CNL. - CORRECT ANSWER professional value From 2002 to 2012, employers paid a ________ increase in healthcare premiums - CORRECT ANSWER 97% CNL core competencies include - CORRECT ANSWER -communication -disease prevention -risk reduction -data analysis. -critical thinking. -ethical decision-making. The increased cost of insurance and health care in the United States can be attributed to - CORRECT ANSWER a. healthcare technology. b. overtreating patients. c. an older population. ________ and adherence to treatment are more likely when patient and provider have a collaborative partnership. - CORRECT ANSWER Self-care Evidence of outcomes in the LTC setting is - CORRECT ANSWER sparse Transformer is a __________ of the CNL - CORRECT ANSWER role One way to gauge the success of the CNL role is through reduced - CORRECT ANSWER turnover The ________ Data Set (MDS) collects information about the type of care need for an individual LTC resident. - CORRECT ANSWER Minimum CNL core competencies include - CORRECT ANSWER -human care systems and policy -health promotion design/management/coordination of care. Practice care settings of the CNL include the - CORRECT ANSWER a. ambulatory care setting. b. long-term care setting. c. acute specialty care setting. Historically, CNLs have practiced mainly in ________ settings. - CORRECT ANSWER inpatient acute care When patients are receiving both specialty and primary care services, issues include - CORRECT ANSWER a. care transition. b. responsibility for care. c. patient autonomy. Altruism and integrity are _______ of the CNL - CORRECT ANSWER professional values Helping a patient obtain needed health care—perhaps dealing with cost, language, and geographical barriers—is a part of ________. - CORRECT ANSWER advocacy The time for CNL students to start keeping a portfolio is - CORRECT ANSWER right from the beginning of their coursework. After identifying ________, a CNL student can organize a clinical immersion project. - CORRECT ANSWER gaps The business case for a CNL project must be supported by ________ - based data. - CORRECT ANSWER evidence When a CNL accepts a position, a performance ________ is often used to define role expectations and markers of impact and success. - CORRECT ANSWER contract The ideal clinical experience should - CORRECT ANSWER a. be creatively developed. b. be meaningful to the student. c. add value for the organization. How many components does a business model have? - CORRECT ANSWER 3 Design/management/coordination of care is ________ of the CNL. - CORRECT ANSWER core competency When developing an immersion project, the CNL will find - CORRECT ANSWER multiple resources available to help. 5 P's - CORRECT ANSWER Purpose Patients Professionals Processes Patterns Among the CNL's many roles is - CORRECT ANSWER life-long learner Elements of a CNL transition to practice program include - CORRECT ANSWER a. the framework. b. curriculum development. c. program structure. Compared to an RN residency, CNL transition to practice programs - CORRECT ANSWER may differ considerably The VHA example given in the chapter of a CNL transition to practice program is based upon - CORRECT ANSWER self-study Characteristics of preceptor support are ________ novice nurse performance. - CORRECT ANSWER predictors of Facilitation is a CNL - CORRECT ANSWER core competency Curriculum of the CNL transition to practice program should - CORRECT ANSWER a. not duplicate academic coursework. b. extend learning beyond the clinical immersion experience. CNL professional values include - CORRECT ANSWER a. accountability. b. integrity. ________ is a form of reflective observation that can serve as a basis for CNL praxis. - CORRECT ANSWER Journaling Measures of program success may include - CORRECT ANSWER a. the number of novice CNLs successfully completing the program. b. evaluation feedback from the CNLs. c. evaluation feedback from the preceptors. Communicator, educator, and advocate are CNL __________. - CORRECT ANSWER roles Which one of the following is not one of the 10 principles of servant leadership - CORRECT ANSWER Servitude As clinical leaders, CNLs are - CORRECT ANSWER action oriented The CNL ________ stakeholders in understanding the improvement process. - CORRECT ANSWER engages Which of these questions is more to the point? - CORRECT ANSWER b. "Should we be doing what we're doing?" Roles of the CNL include - CORRECT ANSWER -communicator -advocate -outcomes manager ________ leaders focus on completion of tasks, and try to carry out decisions with little disruption or conversation. - CORRECT ANSWER Transactional The CNL can serve as a clinical leader by - CORRECT ANSWER a. setting direction. b. improving services. c. developing personal qualities. ________ is about the coevolutionary search for the best in people, their organizations, and the relevant world around them. - CORRECT ANSWER Appreciative Inquiry (AI) Collaboration is a CNL - CORRECT ANSWER core competency In Lippitt's theory, the final stage is - CORRECT ANSWER terminate the helping relationship.