Clin Nurse Leader Exam Guide
Questions and Answers
(CPOE)hComputerizedhphysicianhorderhentryh-hCORRECThANSWER-
FeaturehofhthehEHRhthathassureshstandardized,hlegiblehcommunicationhofhthehmedicalhplan
hofhcarehtohotherhmembershofhthehhealthcarehteam
h
Helpshpreventherrors
(HIE)hhealthhinformationhexchangeh-hCORRECThANSWER-
Allowshforhmultiplehhealthhcarehorganizationshservinghahclienthtohsharehhealthhinformationha
crosshelectronichnetworksh,hallowshforhtimelyhaccesshtohclienthinformationhforhproviders
Althoughhhavehtohbehcarefulhwithhprotectedhhealthhinformation/HIPAA
3hcomponentshofhcriticalhlisteningh-hCORRECThANSWER-1.hEthosh2.hLogosh3.hPathos
3hdimensionshofhsafetyh-hCORRECThANSWER-1.hsafetyhclimateh-
hcompliancehwithhruleshandhnohfaultherrorhreportingh
2.hTeamworkhclimateh-hcollaborationhandhcommunication
3.hPositivehperceptionh-hworkinghconditions,hopinionshofhmanagement
3hkeyhbeliefshforhahpersonhtohtakehahhealthhrelatedhactionhwhenhutilizinghthehHealthhBeliefhM
odelh-hCORRECThANSWER-
1.hpersonhfeelshthathahnegativehhealthhconditionhcouldhbehavoidedhbyhdoinghnewhactionh
h
2.hHavehahpositivehexpectationhthathbyhfollowinghnewhaction,htheyhwillhavoidhahnegativehheal
thhconditionh
3.hBelievehthaththeyhcanhsuccessfullyhtakehthathnewhhealthhaction
3hkeyhpartshofhEBPh-hCORRECThANSWER-1.hEvidencehuseh
2.hPatienthpreferences/values
3.hClinical/professionalhjudgementh
EBPhishusedhwhenhtherehareh1horhmorehbesthpracticeshthathcanhbehappliedhtohclinicalhpractic
e
,3hphaseshofhknowledgehtransferhwhenhusinghEBPh-hCORRECThANSWER-
1.hKnowledgehcreationhandhdistillationh(researchhandhrecommendationshforhclinicalhpractic
e)
2.hDiffusionhandhDisseminationh(distributehinfohtohusers,hpartnerhwithhorganizationshlikehpro
fessionalhnursinghorgs)
3.hImplementationhandhInstitutionalizationh(endhuserhadoptionh-
hhealthhcarehsystemshadopthpractices)
4hcomponentshofhlateralhintegrationh-hCORRECThANSWER-1.hCommunication
2.hCollaboration
3.hCoordination
4.hEvaluation
4hGoalshofhDiseasehManagementh-hCORRECThANSWER-1.hPreventhchronichdisease
2.hReducehcosts
3.hImprovehqualityhofhlife
4.hReducehrateshofhdeathhandhdisability
5hrightshofhdelegationh-hCORRECThANSWER-1.hRighthtask
2.hRighthcircumstance
3.hRighthperson
4.hRighthdirection/communication
5.hRighthsupervision
5hstageshofhgrouphdevelopmenth-hCORRECThANSWER-1.hForming
2.hStorming
3.hNorming
4.hPerforming
5.hMourning/adjourning
6haimshofhqualityhcarehbyhthehIOMh-hCORRECThANSWER-1.hsafe,
2.htimely,
3.hpatienthcentered,h4.heffective,h
5.hefficienth
6.handhequitable
8hessentialhcomponentshofhCNLhroleh-hCORRECThANSWER-1.hClinicianh
2.hOutcomeshmanagerh
3.hEducatorh
4.hInformationhmanagerh
5.hSystemshanalysth
,6.hTeamhmanagerh
7.hMemberhofhahprofessionh
8.hLifehlonghlearner
8hstepshofhQualityhImprovementh-hCORRECThANSWER-1.hEstablishhclearhaim/purpose
2.hReviewhthehliterature
h
3.hExaminehresources
4.hMaphcurrenthprocesses
5.hAnalyzehroothcause
6.hAppropriatehtoolshselectedhforhanalysis
7.hMeasureshandhmetricshselectedhtohmeasurehsuccesshofhinitiativeh
8.hRapidhCyclicalhReviewhofhplan,hdata,hinterventions,handhoutcomes
accomodatinghconflicthstyleh-hCORRECThANSWER-
cooperatinghinhthathonehsidehgiveshinhtohthehotherhside
AccordinghtohthehDiffusionhofhInnovationhtheoryhwhath2hgroupshshouldhyouhfocushonhwhenhy
ouhwanthtohhavehsuccessfulhsupporthforhahchange?h-hCORRECThANSWER-
Focushonhthehearlyhandhlatehmajorityhadoptershtohsupporthchangehforhsuccesshashmajorityho
fhthehgeneralhpopulationhtendshtohfallhinhthehmiddlehcategories
Actionhstageh-hCORRECThANSWER-
Stagehofhtranstheoreticalhmodelhofhchangehinhwhichhpeopleharehactivelyhchanginghahnegati
vehbehaviorhorhadoptinghahnew,hhealthyhbehavior
modifyinghbehavior
Adjourning/Mourningh-hCORRECThANSWER-
achievedhthehmission/goalshthathwerehset,hterminationhofhgroup,hcanhfeelhsensehofhloss
AfterhperforminghthehliteraturehreviewhandhdevelopinghahPICOThquestion,hwhathshouldhyouh
dohnexthbeforehimplementation?
A.hFormhahteamhofhstakeholders
B.hDevelophahcomparisonhgroup
C.hTalkhtohthehmanager
D.hStarththehimplementationhprocessh-hCORRECThANSWER-
A.hFormhahteamhofhstakeholders
, Rationale:hAfterhperforminghthehliteraturehreviewhandhdevelopinghahPICOThquestion,hyouhs
houldhcreatehahteamhofhstakeholdershtohensurehthehinterventionhhashthehappropriatehresour
ceshtohmakehthehstudyhsuccessful.
Allocationhfocushofhahpolicyhmeansh-hCORRECThANSWER-
providinghresourcesh(income,hservices,hgoods)htohensurehpolicyhimplementation
Anhoralhglucosehtolerancehtesth(OGTT)hmeasuresh-hCORRECThANSWER-
yourhbloodhsugarhafterhyouhhavehgonehathleastheighthhourshwithoutheatinghandhtwohhourshaft
erhyouhdrinkhahglucose-
containinghbeverage.hThishtesthcanhbehusedhtohdiagnosehdiabeteshorhprediabetes.
antecedenthconflicthconditionsh-hCORRECThANSWER-
increasehinhconflict,hincompatiblehgoals,hrolehconflict,hstructuralhconflict,hcompetitionhforhre
sources,hdifferenceshinhvalueshandhbeliefs.
AshahtrialhCNL,hwhosehbuy-
inhwillhbehthehmosthimportanthinhfullyhimplementinghthehCNLhrolehinhthehhospital?
A.hThehchiefhnursinghofficerh(CNO)
B.hThehunithmanager
C.hThehmembershofhthehinterdisciplinaryhteamh
D.hThehstaffhaffectedhbyhyourhoutcomesh-hCORRECThANSWER-
Thehchiefhnursinghofficerh(CNO)
CNOhwillhhavehthehmosthinfluencehinhyourhhospital
autocratichleadershiph-hCORRECThANSWER-
leadershiphstylehthathinvolveshmakinghmanagerialhdecisionshwithouthconsultinghothersh-
hleaderhmakeshallhdecisionshandhdirectshfollowershbehaviorh
authoritativehcontrolhoverhgroup,hassumeshindividualsharehmotivatedhbyhexternalhforces,
beneficenceh-hCORRECThANSWER-tohdohgoodhtohothers
BioethicalhDecisionhModelh-hCORRECThANSWER-
10hstephprocesshinhorderhtohhelphwithhdecisionshinhethicalhdilemmah
Includeshreviewinghthehsituation,hgatheringhinformation,hidentifyinghethicalhissues,hlookhath
moralhpositions,hidentifyinghactionshwithhoutcomes,hthenhdecidinghonhaction,handhevaluatin
ghresults
bottom-uphleadershiph-hCORRECThANSWER-
relieshonhwisdom/inputshofhthosehinvolvedhwithhthehwork,hseekhmeaningfulhinputhforhinterve
ntions,hprocedures,hworkflow
Questions and Answers
(CPOE)hComputerizedhphysicianhorderhentryh-hCORRECThANSWER-
FeaturehofhthehEHRhthathassureshstandardized,hlegiblehcommunicationhofhthehmedicalhplan
hofhcarehtohotherhmembershofhthehhealthcarehteam
h
Helpshpreventherrors
(HIE)hhealthhinformationhexchangeh-hCORRECThANSWER-
Allowshforhmultiplehhealthhcarehorganizationshservinghahclienthtohsharehhealthhinformationha
crosshelectronichnetworksh,hallowshforhtimelyhaccesshtohclienthinformationhforhproviders
Althoughhhavehtohbehcarefulhwithhprotectedhhealthhinformation/HIPAA
3hcomponentshofhcriticalhlisteningh-hCORRECThANSWER-1.hEthosh2.hLogosh3.hPathos
3hdimensionshofhsafetyh-hCORRECThANSWER-1.hsafetyhclimateh-
hcompliancehwithhruleshandhnohfaultherrorhreportingh
2.hTeamworkhclimateh-hcollaborationhandhcommunication
3.hPositivehperceptionh-hworkinghconditions,hopinionshofhmanagement
3hkeyhbeliefshforhahpersonhtohtakehahhealthhrelatedhactionhwhenhutilizinghthehHealthhBeliefhM
odelh-hCORRECThANSWER-
1.hpersonhfeelshthathahnegativehhealthhconditionhcouldhbehavoidedhbyhdoinghnewhactionh
h
2.hHavehahpositivehexpectationhthathbyhfollowinghnewhaction,htheyhwillhavoidhahnegativehheal
thhconditionh
3.hBelievehthaththeyhcanhsuccessfullyhtakehthathnewhhealthhaction
3hkeyhpartshofhEBPh-hCORRECThANSWER-1.hEvidencehuseh
2.hPatienthpreferences/values
3.hClinical/professionalhjudgementh
EBPhishusedhwhenhtherehareh1horhmorehbesthpracticeshthathcanhbehappliedhtohclinicalhpractic
e
,3hphaseshofhknowledgehtransferhwhenhusinghEBPh-hCORRECThANSWER-
1.hKnowledgehcreationhandhdistillationh(researchhandhrecommendationshforhclinicalhpractic
e)
2.hDiffusionhandhDisseminationh(distributehinfohtohusers,hpartnerhwithhorganizationshlikehpro
fessionalhnursinghorgs)
3.hImplementationhandhInstitutionalizationh(endhuserhadoptionh-
hhealthhcarehsystemshadopthpractices)
4hcomponentshofhlateralhintegrationh-hCORRECThANSWER-1.hCommunication
2.hCollaboration
3.hCoordination
4.hEvaluation
4hGoalshofhDiseasehManagementh-hCORRECThANSWER-1.hPreventhchronichdisease
2.hReducehcosts
3.hImprovehqualityhofhlife
4.hReducehrateshofhdeathhandhdisability
5hrightshofhdelegationh-hCORRECThANSWER-1.hRighthtask
2.hRighthcircumstance
3.hRighthperson
4.hRighthdirection/communication
5.hRighthsupervision
5hstageshofhgrouphdevelopmenth-hCORRECThANSWER-1.hForming
2.hStorming
3.hNorming
4.hPerforming
5.hMourning/adjourning
6haimshofhqualityhcarehbyhthehIOMh-hCORRECThANSWER-1.hsafe,
2.htimely,
3.hpatienthcentered,h4.heffective,h
5.hefficienth
6.handhequitable
8hessentialhcomponentshofhCNLhroleh-hCORRECThANSWER-1.hClinicianh
2.hOutcomeshmanagerh
3.hEducatorh
4.hInformationhmanagerh
5.hSystemshanalysth
,6.hTeamhmanagerh
7.hMemberhofhahprofessionh
8.hLifehlonghlearner
8hstepshofhQualityhImprovementh-hCORRECThANSWER-1.hEstablishhclearhaim/purpose
2.hReviewhthehliterature
h
3.hExaminehresources
4.hMaphcurrenthprocesses
5.hAnalyzehroothcause
6.hAppropriatehtoolshselectedhforhanalysis
7.hMeasureshandhmetricshselectedhtohmeasurehsuccesshofhinitiativeh
8.hRapidhCyclicalhReviewhofhplan,hdata,hinterventions,handhoutcomes
accomodatinghconflicthstyleh-hCORRECThANSWER-
cooperatinghinhthathonehsidehgiveshinhtohthehotherhside
AccordinghtohthehDiffusionhofhInnovationhtheoryhwhath2hgroupshshouldhyouhfocushonhwhenhy
ouhwanthtohhavehsuccessfulhsupporthforhahchange?h-hCORRECThANSWER-
Focushonhthehearlyhandhlatehmajorityhadoptershtohsupporthchangehforhsuccesshashmajorityho
fhthehgeneralhpopulationhtendshtohfallhinhthehmiddlehcategories
Actionhstageh-hCORRECThANSWER-
Stagehofhtranstheoreticalhmodelhofhchangehinhwhichhpeopleharehactivelyhchanginghahnegati
vehbehaviorhorhadoptinghahnew,hhealthyhbehavior
modifyinghbehavior
Adjourning/Mourningh-hCORRECThANSWER-
achievedhthehmission/goalshthathwerehset,hterminationhofhgroup,hcanhfeelhsensehofhloss
AfterhperforminghthehliteraturehreviewhandhdevelopinghahPICOThquestion,hwhathshouldhyouh
dohnexthbeforehimplementation?
A.hFormhahteamhofhstakeholders
B.hDevelophahcomparisonhgroup
C.hTalkhtohthehmanager
D.hStarththehimplementationhprocessh-hCORRECThANSWER-
A.hFormhahteamhofhstakeholders
, Rationale:hAfterhperforminghthehliteraturehreviewhandhdevelopinghahPICOThquestion,hyouhs
houldhcreatehahteamhofhstakeholdershtohensurehthehinterventionhhashthehappropriatehresour
ceshtohmakehthehstudyhsuccessful.
Allocationhfocushofhahpolicyhmeansh-hCORRECThANSWER-
providinghresourcesh(income,hservices,hgoods)htohensurehpolicyhimplementation
Anhoralhglucosehtolerancehtesth(OGTT)hmeasuresh-hCORRECThANSWER-
yourhbloodhsugarhafterhyouhhavehgonehathleastheighthhourshwithoutheatinghandhtwohhourshaft
erhyouhdrinkhahglucose-
containinghbeverage.hThishtesthcanhbehusedhtohdiagnosehdiabeteshorhprediabetes.
antecedenthconflicthconditionsh-hCORRECThANSWER-
increasehinhconflict,hincompatiblehgoals,hrolehconflict,hstructuralhconflict,hcompetitionhforhre
sources,hdifferenceshinhvalueshandhbeliefs.
AshahtrialhCNL,hwhosehbuy-
inhwillhbehthehmosthimportanthinhfullyhimplementinghthehCNLhrolehinhthehhospital?
A.hThehchiefhnursinghofficerh(CNO)
B.hThehunithmanager
C.hThehmembershofhthehinterdisciplinaryhteamh
D.hThehstaffhaffectedhbyhyourhoutcomesh-hCORRECThANSWER-
Thehchiefhnursinghofficerh(CNO)
CNOhwillhhavehthehmosthinfluencehinhyourhhospital
autocratichleadershiph-hCORRECThANSWER-
leadershiphstylehthathinvolveshmakinghmanagerialhdecisionshwithouthconsultinghothersh-
hleaderhmakeshallhdecisionshandhdirectshfollowershbehaviorh
authoritativehcontrolhoverhgroup,hassumeshindividualsharehmotivatedhbyhexternalhforces,
beneficenceh-hCORRECThANSWER-tohdohgoodhtohothers
BioethicalhDecisionhModelh-hCORRECThANSWER-
10hstephprocesshinhorderhtohhelphwithhdecisionshinhethicalhdilemmah
Includeshreviewinghthehsituation,hgatheringhinformation,hidentifyinghethicalhissues,hlookhath
moralhpositions,hidentifyinghactionshwithhoutcomes,hthenhdecidinghonhaction,handhevaluatin
ghresults
bottom-uphleadershiph-hCORRECThANSWER-
relieshonhwisdom/inputshofhthosehinvolvedhwithhthehwork,hseekhmeaningfulhinputhforhinterve
ntions,hprocedures,hworkflow
