Comprehensive CNL Practice and Healthcare
Policy: Key Concepts and Case Studies Exam
Questions and Correct Answers
CNL role demonstration
The CNL can best demonstrate their role when healthcare professionals seek collaboration on
care plans, but not when the bedside nurse asks for assistance with routine tasks.
Opioid epidemic involvement
As a CNL, you can impact healthcare policy by joining a city, county, or state opioid task force.
Best theory for healthcare environment
The best theory to understand a rapidly changing healthcare environment is Complexity Theory.
CMS quality care program
The CNL can have the most impact on Value-based purchasing (VBP) in the CMS quality care
program.
Myocardial infarction in women
Signs and symptoms of myocardial infarction in women may include fatigue, nausea without
vomiting, back pain, and shortness of breath.
Best research for evidence-based practice
The best research to use for evidence-based practice regarding early central line removal is a
systematic review that includes evidence-based clinical practice guidelines.
Quality improvement tool
,The Fishbone diagram is a quality improvement tool that assists teams in categorizing possible
root causes of a problem systematically.
Leading health indicators
Healthy People 2020 includes leading health indicators such as environmental quality, oral
health, and social determinants, but not financial status.
Advocacy for nursing profession
CNLs can advocate for nursing by participating in nursing organizations, education, and
legislative efforts, but not by discussing specific patient care with physicians.
Improving team communication
The best way to improve team communication is to initiate daily interprofessional rounds that
include a member of each discipline.
Definition of altruism
Altruism is defined as the concern for the welfare and well-being of others.
Preparing for EMR downtime
The first task to prepare for EMR downtime is to evaluate the process for using downtime forms
and develop an education plan for staff.
Necessary order for heroin overdose
For a patient with a heroin overdose, the most necessary order is withdrawal precautions.
Interdisciplinary approach in care
,In planning care for a patient like Mr. Hank, the CNL should include a clinical case manager,
social worker, dietician, physical therapist, RN, CNL, and MD.
Stages of group development
The stage of group development that requires the leader to facilitate discussion and respect
differences is called Norming.
What is cultural competence?
The ability to understand, communicate with, and effectively interact with people across
cultures.
What is cultural awareness?
The recognition and understanding of the differences and similarities between cultures.
What is cultural knowledge?
The understanding of cultural differences and the ability to apply that knowledge in practice.
What is cultural anthropology?
The study of cultural variation among humans, focusing on social norms, values, and practices.
What is HIPAA?
The Health Insurance Portability and Accountability Act, a law that provides data privacy and
security provisions for safeguarding medical information.
What is primary prevention?
Measures taken to prevent diseases before they occur, such as vaccinations.
, What is secondary prevention?
Measures that detect and treat disease early to prevent more severe problems, such as screenings.
What is tertiary prevention?
Measures aimed at rehabilitation and management of disease after it has occurred.
What is high reliability in healthcare?
A commitment to consistently minimizing adverse events and improving safety in healthcare
settings.
What is an adverse event?
An incident that results in harm to a patient as a result of medical care.
What is a sentinel event?
An unexpected occurrence involving death or serious physical or psychological injury.
What is evidence-based practice?
A problem-solving approach to decision-making that integrates the best available evidence,
clinical expertise, and patient values.
What is a crucial conversation?
A discussion where stakes are high, opinions vary, and emotions run strong.
What is structured interdisciplinary bedside rounds (SIBR)?
A collaborative approach to patient care that involves multiple healthcare disciplines discussing
patient care at the bedside.
Policy: Key Concepts and Case Studies Exam
Questions and Correct Answers
CNL role demonstration
The CNL can best demonstrate their role when healthcare professionals seek collaboration on
care plans, but not when the bedside nurse asks for assistance with routine tasks.
Opioid epidemic involvement
As a CNL, you can impact healthcare policy by joining a city, county, or state opioid task force.
Best theory for healthcare environment
The best theory to understand a rapidly changing healthcare environment is Complexity Theory.
CMS quality care program
The CNL can have the most impact on Value-based purchasing (VBP) in the CMS quality care
program.
Myocardial infarction in women
Signs and symptoms of myocardial infarction in women may include fatigue, nausea without
vomiting, back pain, and shortness of breath.
Best research for evidence-based practice
The best research to use for evidence-based practice regarding early central line removal is a
systematic review that includes evidence-based clinical practice guidelines.
Quality improvement tool
,The Fishbone diagram is a quality improvement tool that assists teams in categorizing possible
root causes of a problem systematically.
Leading health indicators
Healthy People 2020 includes leading health indicators such as environmental quality, oral
health, and social determinants, but not financial status.
Advocacy for nursing profession
CNLs can advocate for nursing by participating in nursing organizations, education, and
legislative efforts, but not by discussing specific patient care with physicians.
Improving team communication
The best way to improve team communication is to initiate daily interprofessional rounds that
include a member of each discipline.
Definition of altruism
Altruism is defined as the concern for the welfare and well-being of others.
Preparing for EMR downtime
The first task to prepare for EMR downtime is to evaluate the process for using downtime forms
and develop an education plan for staff.
Necessary order for heroin overdose
For a patient with a heroin overdose, the most necessary order is withdrawal precautions.
Interdisciplinary approach in care
,In planning care for a patient like Mr. Hank, the CNL should include a clinical case manager,
social worker, dietician, physical therapist, RN, CNL, and MD.
Stages of group development
The stage of group development that requires the leader to facilitate discussion and respect
differences is called Norming.
What is cultural competence?
The ability to understand, communicate with, and effectively interact with people across
cultures.
What is cultural awareness?
The recognition and understanding of the differences and similarities between cultures.
What is cultural knowledge?
The understanding of cultural differences and the ability to apply that knowledge in practice.
What is cultural anthropology?
The study of cultural variation among humans, focusing on social norms, values, and practices.
What is HIPAA?
The Health Insurance Portability and Accountability Act, a law that provides data privacy and
security provisions for safeguarding medical information.
What is primary prevention?
Measures taken to prevent diseases before they occur, such as vaccinations.
, What is secondary prevention?
Measures that detect and treat disease early to prevent more severe problems, such as screenings.
What is tertiary prevention?
Measures aimed at rehabilitation and management of disease after it has occurred.
What is high reliability in healthcare?
A commitment to consistently minimizing adverse events and improving safety in healthcare
settings.
What is an adverse event?
An incident that results in harm to a patient as a result of medical care.
What is a sentinel event?
An unexpected occurrence involving death or serious physical or psychological injury.
What is evidence-based practice?
A problem-solving approach to decision-making that integrates the best available evidence,
clinical expertise, and patient values.
What is a crucial conversation?
A discussion where stakes are high, opinions vary, and emotions run strong.
What is structured interdisciplinary bedside rounds (SIBR)?
A collaborative approach to patient care that involves multiple healthcare disciplines discussing
patient care at the bedside.
