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CIC EXAM UPDATED EXAM WITH
VERIFIED SOLUTIONS.
1. Adult learners - correct answer -Are autonomous and self
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directed; have experiences and knowledge already. Are oriented
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towards goals and relevancy/practical. Must be shown respect.
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Engaging learners in formulating the objectives for the education
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is helpful. Generally prefer more active learning activities;
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teaching others/immediately using learning is the most likely to
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result in retention.
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2. Learning style assessment tools - correct answer -Very
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important for success of activity and key to personalizing
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education. Kolb has 4 styles: accomodative (concrete
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experience/experimentation), assimilative (abstract thinking L L L L
and reflection), divergent (concrete experience and reflective
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observation), and convergent (abstracts and active L L L L L L
experimentation). PEPS is a self diagnostic that assesses 4 L L L L L L L L L
areas, including environmental and sociologicla conditions for
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learning, plus physical and emotional learning preferences.
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VARK is the visual/audio/kinesthetic.
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3. Education program evaluaation - correct answer -Pre/posttest
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and direct observation of practice are common options.
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evaluation method should be consistent with the objectives of
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the program.
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4. Instructional methods - correct answer -Positive deviance- L L L L L L L
community and problem solving based way to find new solutions
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and promote them. Lecture is not ideal; having Q+A time helps,
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as does forum or panel presentations. Computer- based training
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is flexible and fun, but requires tech support and some learners
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may lack computer skills or computer access. Train-the-trainer is
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good for training lots of people in a short time. Lots of others.
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5. Staffing - correct answer -Data is outdated, but CDC says at
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least one IP for every 250 beds; other recommendations/
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common practice is for 1 IP per 100 beds. Facility factors
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beyond bed size should be considered when assessing staff
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needs.
6. Some studies have linked lower nurse staffing with higher HAI
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rates, particularly for VAP. Studies have also shown that float
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nurses/ temporary staff are associated with higher rates than
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permanent staff; probably related to lack of familiarity and also
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the need for good communication and teamwork.
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7. Strategic plans - correct answer -An organizational plan to
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reach goal/mission/vision. Includes an analysis of the org,
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conclusion about what to do based on issues, and action
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planning. Action plans describe the who/when/how/resources.
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8. Performance measures - correct answer -Should have clear-cut L L L L L L L L
definitions, provide precise and usable information, be supported
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by studies, and are easily applied in most settings. They should
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also be clinically important and helpful to leadership.
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9. human factors - correct answer -Components of the task
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(work/rest amount), the worker, and the environment. Issues
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here contribute to errors. Key factors: people have limited
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memory capacity, in stressful/intense situations can get tunnel
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vision, people get tired or overwhelmed, and we sometimes
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require too much multitasking. When processes don't
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accomodate limitations, workers improvise and adapt in L L L L L L L
nonstandard ways => errors. L L L
10. VAP IP - correct answer -Bundle includes elevating head of
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bed, DAILY sedation vacations and assessments of readiness
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to extubate, peptic ulcer prophy, DVT prophy, and daily oral care
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with chlorhexidine. Don't change vent circuits unless visibly
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soiled or malfunctioning (don't just routinely swap every couple
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days.) Periodically drain and tubing of condensate. Use
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