CORRECT ANSWERS CLARIFIED &
PASSED
How can the CNL answer the key question that the change in practice is an
improvement?
a. Use a SWOT analysis
b. All of the above
c. PDSA
d. FMEA - Correct Answer ✔✔ PDSA
The CNL must use small measures of change to support the practice. In a PDSA cycles
used immediately after the change helps determine the effect of change
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 ✔✔ Differentiating sepsis from systemic inflammatory response
systems (SIRS)
A _______ identifies communication needs for both internal and external stakeholders
a. Measurable outcome
b. Microsystem
c. Communication plan
d. Value - Correct Answer ✔✔ Communication plan
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 - Correct Answer ✔✔ Interdisciplinary team
Metrics must be __________ and produce the _________ gain:
a. measurable, largest
b. subjective, largest
c. measurable, smallest
d. hidden, unknown - Correct Answer ✔✔ Measurable, largest
, 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 - Correct Answer ✔✔ Chaos theory
Measurable improvement with economic value is shown by a:
a. system readiness
b. business case
c. risk anticipation
d. strategic plan - Correct Answer ✔✔ Business case
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 ✔✔ Increased population diversity
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 ✔✔ Choose them wisely
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 - Correct Answer ✔✔ Allows the CNL to offer research evidence
to key stakeholders
A gap analysis does a dig deep into the system in need of continuous quality
improvement
Jen is an obese patient admitted with COPD, DM. 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 cigarette per day. This goal will not work
because:
a. this is not a measurable goal
b. jen should decrease by 2 cigarettes per day
c. the patient has COPD
d. Jen should help make her goal - Correct Answer ✔✔ Jen should help make her goal
When goals are set with adult clients, the client must be involved. Mutually set goals are
effective.