(solved 100%) Clinical nurse leader certification exam (CNL) Test Bank. Rated A+
(solved 100%) Clinical nurse leader certification exam (CNL) Test Bank. Rated A+ Document Content and Description Below The CNL role includes: a. client and community advocacy. b. evidence-based practice. c. oversite of care delivery and outcomes. d. all of the above - ☑☑a. client and community advocacy. W hich statement is true about practice settings for the CNL? a. The CNL role is designed for the acute-care hospital setting. b. CNLs practice in all healthcare settings. c. The design of the CNL curriculum is such that CNLs cannot move from one practice setting to another. d. The CNL's quality improvement and care coordination training is applicable only to acute-care settings. - ☑☑b. CNLs practice in all healthcare settings. The clinical nurse leader role is the first new nursing role in a. the last 5 years b. the last decade. c. 25 years. d. over 40 years. - ☑☑d. over 40 years. The first regular administration of the CNL Certification Examination occurred in a. 1993. b. 2002. c. 2007. d. 2012. - ☑☑c. 2007. For the CNL, the measure of quality practice a. is client care outcomes. b. has not yet been articulated by the AACN. c. nursing satisfaction. d. healthcare team member approval. - ☑☑a. is 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. a. 2.34 million b. 3 million c. 3.45 million d. over 8 million - ☑☑c. 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. a. 45% b. 60% c. 80% d. 95% - ☑☑c. 80% The CNL graduate education program assumes that a. the graduate does not meet the criteria for advanced practice registered nursing scope of practice. b. the education program culminates in a baccalaureate degree. c. the graduate is not eligible to matriculate to a doctoral program. d. graduates require additional education before being eligible to sit for the CNL Certification Examination. - ☑☑a. 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? a. 2 b. 5 c. 8 d. 15 - ☑☑b. 5 In what settings are CNLs currently practicing? a. Outpatient clinics b. School health c. Acute-care hospitals d. All of the above - ☑☑d. All of the above Nursing is discipline that a. is relationship-based. b. was evidence-based since its inception. c. is slightly outmoded. d. tends to shun problem solving. - ☑☑a. is relationship-based. With changes in the Affordable Care Act, ________ Americans will have access to health services. a. fewer b. all c. more d. the same number of - ☑☑c. more It could be said that nursing ________ the work of physicians. a. best complements b. goes against c. is unrelated to d. corrects - ☑☑a. best complements Which of the following is a CNL role? a. Leader b. Advocate c. Educator d. All of the above - ☑☑d. All of the above Accountability is a CNL a. core competency. b. role. c. professional value. d. both a and b, above - ☑☑c. professional value. The CNL role is involved in organizational improvements that are a. relationship based. b. outcome based. c. evidence based. d. both b and c, above - ☑☑d. both b and c, above In The Future of Nursing: Leading Change, Advancing Health, the Institute of Medicine a. specifically addresses the CNL role at 15 different points. b. is compatible with the CNL role. c. calls the CNL role "experimental." d. was written by CNLs. - ☑☑b. is compatible with the CNL role. In terms of practice setting, the CNL works in a. acute settings only. b. all practice settings. c. public health only. d. settings distant from clinical practice. - ☑☑b. all practice settings Core competencies of the CNL include a. communication. b. delegation. c. interpretation and analysis. d. all of the above - ☑☑d. all of the above The IOM report indicates that the nursing workforce should be: a. more educated. b. receiving the same education as today. c. less educated, to produce graduates more quickly in order to fill the nursing shortage. d. completely educated at the doctoral level. - ☑☑a. more educated. A partnership is between a. individuals only. b. groups only. c. cooperating parties with a common goal. d. legally recognized entities. - ☑☑c. cooperating parties with a common goal. Which is a CNL professional value? a. Defiance b. Altruism c. Rigidity d. Anonymity - ☑☑b. Altruism One type of assessment analyzes the ________ between current and desired states. a. partnership b. guilty individuals responsible for the difference c. gap d. equivalency - ☑☑c. gap 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 - ☑☑a. Increased population diversity CNL roles include a. data interpreter. b. care coordinator. c. communicator. d. all of the above - ☑☑d. all of the above Partnerships ________ interdependencies. a. reject b. represent the viable alternative to c. embrace d. avoid - ☑☑c. embrace Gap analysis is a(n) a. form of partnership. b. type of needs assessment. c. an alternative to partnership. d. none of the above - ☑☑b. type of needs assessment. In order for a partnership to move forward, ________ must be present. a. trust b. respect c. shared values d. all of the above - ☑☑d. all of the above A core competency of the CNL is a. business acumen. b. altruism. c. integrity. d. microsystems and gap analyst - ☑☑a. business acumen. The term "partnership" has origins in the: a. 6th century. b. 14th century. c. 19th century. d. 21st century. - ☑☑. 14th century. The first element in the McKinsey 7-S framework is a. style. b. superiority. c. structure. d. simplicity. - ☑☑c. structure. Measurable improvement with economic value is shown by a a. system readiness. b. business case. c. risk anticipation. d. strategic plan. - ☑☑b. business case. A core competency of the CNL is: a. communication. b. analysis. c. information management. d. all of the above - ☑☑d. all of the above Crucial to the success of the CNL role immersion are: a. operational control. b. creation of a scorecard. c. regularly scheduled meetings. d. all of the above - ☑☑d. all of the above A role of the CNL is a. risk taker. b. ethicist. c. risk anticipator. d. do-it-yourself person (no delegation). - ☑☑c. risk anticipator. Metrics must be ________ and produce the ________ gain. a. measurable, largest b. subjective, largest c. measurable, smallest d. hidden, unknown - ☑☑a. measurable, largest 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 - ☑☑a. choose them wisely. The chief nurse executive must have ________ for how the CNL will be immersed in the care delivery model. a. some idea, even if vague, b. a gut feeling but no defined idea c. a clear vision d. no plan - ☑☑c. a clear vision Professional values of the CNL include a. advocacy. b. ethics. c. accountability. d. all of the above - ☑☑d. all of the above In the McKinsey 7-S framework, a soft element is a. supervision. b. skills. c. secrecy. d. systems. - ☑☑b. skills. A purpose of the CNL Spread Plan was to a. integrate the CNL role into the patient care model. b. gradually phase out the CNL role. c. separate the CNL role from the patient care model. d. sever collaborative partnerships. - ☑☑a. integrate the CNL role into the patient care model. A ________ identifies communication needs for both internal and external stakeholders. a. measurable outcome b. microsystem c. communication plan d. value - ☑☑c. communication plan AIM stands for: a. Alternative Integral Management. b. Approach to Internal Methods. c. Academy for the Improvement of Microsystems. d. Academy for Important Matters. - ☑☑c. Academy for the Improvement of Microsystems. The Office of Nursing Services (ONS) of ________ launched its CNL Spread Plan in 2010. a. Ford Motor Company b. the VHA c. the Affordable Care Act d. the Centers for Disease Control and Prevention - ☑☑b. the VHA Roles of the CNL include: a. leadership. b. risk anticipation. c. evidence-based practice. d. all of the above - ☑☑d. all of the above The importance of approaching CNL implementation by first developing a ________ cannot be overemphasized. a. vision of the CNL role imposed from authorities outside the organization b. statement excluding stakeholders from the planning phase c. shared vision and understanding of the CNL role d. none of the above - ☑☑a. vision of the CNL role imposed from authorities outside the organization The CNL Spread Plan was designed to cover a ________ - year period. a. 1 b. 5 c. 10 d. 25 - ☑☑b. 5 Stakeholders were ________ the CNL Spread Plan. a. an important part of b. not involved in c. deliberately avoided in creating d. eventually eliminated from - ☑☑a. an important part of The professional values of a CNL include: a. collaboration. b. accountability. c. advocacy. d. all of the above - ☑☑d. all of the above The CNL is a(n) ________ with a practice focus on the ________. a. interim consultant, macrosystem b. point-of-care generalist, microsystem c. interim consultant, microsystem d. point-of-care specialist, macrosystem - ☑☑b. point-of-care generalist, microsystem ________ is often referred to as "lean thinking." a. Six sigma b. Communication c. Lean six sigma d. Organizational trust - ☑☑c. Lean six sigma Therapeutic use of self is an example of a CNL: a. professional value. b. core competency. c. role. d. all of the above - ☑☑b. core competency. Incorporating a "4-D" cycle, "AI" stands for a. appreciative inquiry. b. absolute integrity. c. artificial input. d. active inquiry. - ☑☑a. appreciative inquiry. ________ occurs when two or more values, beliefs, and opinions are incongruous and reconciliation of differences has not occurred. a. Increased productivity b. Appreciative inquiry c. Conflict d. Higher morale - ☑☑c. Conflict The interactive behaviors of individuals within the context of a group refers to ________. a. crucial conversations b. lean six sigma team c. group dynamics d. essential qualities - ☑☑c. group dynamics ________ is built on predictable behavior associated with keeping promises and being accountable, even when expectations are not achieved. a. Altruism b. Trust c. Communication d. Appreciative inquiry - ☑☑b. Trust CNL roles include a. clinician. b. member of a profession. c. outcome manager. d. all of the above - ☑☑d. all of the above ________ is often associated with empathy, patience, kindness, and concern for others. a. Conflict b. Warmth c. Genuineness d. Maturity - ☑☑b. Warmth High self-esteem, sense of self-worth, self-awareness, and confidence are the matrix of ________. a. assertiveness. b. miscommunication. c. bullying. d. personal agendas. - ☑☑a. assertiveness. ________ involves acknowledging and understanding personal strengths, attributes, shortcomings, and vulnerabilities. a. Acceptance b. Empathy c. Resignation d. Self-awareness - ☑☑d. Self-awareness Generally speaking, the nurse manager must demonstrate ________ competence. a. clinical b. administrative c. clinical nurse leader d. all-inclusive - ☑☑b. administrative CNL roles include a. leadership. b. design and implementation. c. life-long learner d. all of the above - ☑☑d. all of the above A major competency for nurse managers is: a. communication and relationship building. b. critical thinking. c. assessment. d. illness and disease management. - ☑☑a. communication and relationship building. Member of a profession, or professionalism, is a competency of: a. the CNL. b. the nurse manager. c. both the CNL and the nurse manager. d. neither the CNL nor the nurse manager. - ☑☑c. both the CNL and the nurse manager. A major competency for the CNL is: a. critical thinking. b. knowledge of the healthcare environment. c. business skills. d. all of the above - ☑☑a. critical thinking. As a rule, the clinical nurse leader must demonstrate ________ competence. a. administrative b. clinical c. every nurse leader d. both b and c, above - ☑☑b. clinical To be most effective, the CNL and the nurse manager should form a: a. somewhat uneasy partnership. b. team so that one can substitute for the other. c. creatively adversarial relationship. d. leadership dyad. - ☑☑d. leadership dyad. Global healthcare is a . competency of the a. CNL. b. nurse manager. c. both the CNL and the nurse manager. d. neither the CNL nor the nurse manager. - ☑☑a. CNL. A core competency of the CNL is risk: a. avoidance. b. elimination. c. anticipation. d. aversion. - ☑☑c. anticipation. CNL and nurse manager roles ________ each other. a. conflict with b. complement c. work against d. are identical to - ☑☑b. complement The CNL clinical immersion is a ________ hour concentrated practicum. a. 50-75 b. 100-200 c. 300-400 d. 500-750 - ☑☑c. 300-400 The first step in selecting a project plan would be a. seeking feedback. b. determining buy-in. c. completing an organization overview. d. listening. - ☑☑c. completing an organization overview. A preceptor is a(n) a. instructor. b. teacher. c. professor. d. any of the above - ☑☑d. any of the above The ________ is the only place that success comes before work. a. real world b. dictionary c. business world d. healthcare profession - ☑☑b. dictionary The final step of project plan selection would be a. listening. b. conducing thorough literature research. c. seeking feedback. d. determining buy-in. - ☑☑d. determining buy-in. The individual who observes, listens, learns, engages, and transforms in the immersion process is the a. preceptee. b. counselor. c. preceptor. d. client. - ☑☑a. preceptee. The preceptee is a a. teacher. b. student. c. professor. d. nurse manager. - ☑☑b. student. In a clinical immersion, the ________ has the responsibility of assuming accountability for the learning process. a. preceptee b. advocate c. preceptor d. observer - ☑☑a. preceptee CNL professional values include a. integrity. b. human dignity. c. advocacy. d. all of the above - ☑☑d. all of the above Requisites for ensuring successful immersions between schools of nursing and healthcare settings include a. collaborative partnerships and agreements. b. thoughtful planning and pairing of preceptor and preceptee. c. both a and b, above d. random assignment of preceptees to preceptors. - ☑☑c. both a and b, above The ________ drives the advisory council's organization and development. a. consultant b. leader c. facilitator d. lawyer - ☑☑b. leader The first important step in setting up an advisory council is developing a a. membership. b. facilitator. c. charter. d. group of interprofessional stakeholders. - ☑☑c. charter. Annual assessment of the council should be made by the ________. a. leader b. newest council member c. outside consulting firm chosen by the facilitator d. auditor - ☑☑a. leader CNL professional values include a. critical thinking. b. membership in a profession. c. integrity. d. all of the above - ☑☑d. all of the above An advisory council can provide both the authority and influence for a. organizational change. b. keeping faculty, students, and other stakeholders separate. c. defeating organizational change. d. eliminating subcommittees. - ☑☑a. organizational change. A charter a. formally establishes a council. b. identifies a council's goals. c. both a and b, above d. recruits members. - ☑☑c. both a and b, above Facilitators are part of ________ advisory councils. a. all b. some c. dysfunctional d. no - ☑☑b. some A role of the CNL is a. consultant. b. group leader. c. professional leader. d. all of the above - ☑☑d. all of the above Involving interprofessional stakeholders to facilitate meetings can help promote the CNL role: a. beyond the nursing domains. b. to council members. c. within the nursing domains. d. in the charter. - ☑☑a. beyond the nursing domains. The responsibilities of members of an advisory council include: a. planning programs. b. marketing. c. communication. d. all of the above - ☑☑d. all of the above The Joint Commission says that high-reliability organizations need to focus on: a. costs. b. mindfulness and perfection. c. audits. d. none of the above - ☑☑b. mindfulness and perfection. Financial stewardship is a ________ of the CNL. a. core competency b. professional value c. role d. factor outside the scope - ☑☑b. professional value HROs have a(n) a. preoccupation with success. b. aversion to expertise. c. preoccupation with failure. d. insensitivity to operations. - ☑☑c. preoccupation with failure. Roles of the CNL include a. catalyst. b. data analysis. c. integrity. d. all of the above - ☑☑a. catalyst. As assumption of the AACN for preparing the CNL is that: a. practice is at the microsystems level. b. client-centered practice is intra- and interdisciplinary. c. information will maximize self-care and client decision-making. d. all of the above - ☑☑d. all of the above In the five-step model of EBM/EBP of Sackett and colleagues, the first step is to: a. ask the question. b. acquire the evidence. c. assess the patient. d. apply. - ☑☑c. assess the patient. The healthcare economic model is undergoing a transition from a focus on ________ to a focus on ________. a. volume, high-value outcomes. b. value, cost c. EBP, cost-containment d. quality, quantity - ☑☑a. volume, high-value outcomes. CNL core competencies include a. data analysis. b. critical thinking. c. ethical decision-making. d. all of the above - ☑☑d. all of the above A microsystem is defined as the ________ unit on the frontline o
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