CNL Exam with Accurate Solutions
Mandate for change - ANSWER-Drill down
CNL as clinician - ANSWER-A designer/coordinator/integrator/evaluator of care to
individuals, families, groups, communities, and populations.
Outcomes manager - ANSWER-The CNL regularly synthesizes data, information, and
knowledge to evaluate and achieve optimal client outcomes.
Client advocate - ANSWER-The CNL becomes competent at ensuring that clients,
families, and communities are well informed and included in care planning.
Educator - ANSWER-The CNL used appropriate teaching principles and strategies as
well as current information, materials, and technologies to teach clients, health care
professionals, and communities. Promote self-care and a maximal level of functioning
and wellness.
Information manager - ANSWER-Knowledge regarding research findings and health
information resources. The CNL is proficient in using information systems and
technology to improve health care outcomes. Assist clients in accessing, understanding,
evaluating, and applying health-related information.
Systems analyst/risk anticipator - ANSWER-Systems analyst: A CNL participates in a
system review and conducts a microsystem analysis, identifying a clinical issue with a
focus on a particular population.
Also to identify risks to client safety.
Team manager - ANSWER-The CNL properly delegates and manages the nursing team
resources and served as a leader in the interdisciplinary health care team.
Member of a profession - ANSWER-The CNL remains accountable for the ongoing
acquisition of knowledge and skills related to his or her profession and to effect change.
Lifelong learner - ANSWER-Recognizes the need for an actively pursues new
knowledge and skills as one's role and needs of the gesture care system evolves.
IOM suggests six goals for improvement: - ANSWER-1. Safe
2. Effective
3. Patient-centered
4. Timely
5. Efficient
,6. Equitable
Effective lateral integration requires - ANSWER-1. Communication
2. Collaboration
3. Coordination
4. Evaluation
Collaboration - ANSWER-Interdisciplinary process of problem solving that involves
shared responsibility for decision making as well as the execution of specific plans of
care while working toward a common goal.
RCA - ANSWER-A structured method used to analyze serious adverse events. Focuses
to identify underlying system problems (not individual).
FMEA - ANSWER-Conducted in an effort to help identify weak points in a process, to
prevent failures of a process/system and to reduce/prevent errors before it has a
chance to occur. "Near misses" are key opportunities.
Synergy model - ANSWER-Responsibility and accountability for outcomes is a shared
responsibility between the patient and the health care providers.
Hierarchy of evidence - ANSWER-1. Systematic review or meta analysis of randomized
controlled trials (RCTs) and evidence based clinical practice guidelines
2. One well designed RCT
3. Quasi-experimental study wo randomization
4. Well designed case-control and cohort studies
5. Systematic reviews of descriptive and/or qualitative studies
6. Single descriptive and/or qualitative studies
7. Expert opinion/expert committee reports.
5 stages of group development, Tuckman's Model - ANSWER-Forming
Storming
Norming
Performing
Adjourning/mourning
Hospital Quality Initiative - ANSWER-CMS advances national quality initiatives
National Database for Nursing Quality Indicators - ANSWER-Patient falls, pressure
ulcers, skill mix, nursing hours per patient day, RN survey, RN education and
certification, peds pain assessment cycle, peds IV infiltration rate, restraints, nurse
turnover, HAI (VAP, CLABSI, CAUTI)
National Quality Forum - ANSWER-Provides national leadership to establish national
priorities and goals for ensuring that health care delivery is safe, effective, patient
centered, timely, efficient, and equitable.
, 5 Ps - ANSWER-Purpose
Patients
Professionals
Processes
Patterns
Run chart - ANSWER-Tool to study variation and data over time
Gnatt chart - ANSWER-Bar chart that illustrates a project schedule. Illustrates
start/finish dates of the terminal elements and summary elements of a project.
Fishbone diagram - ANSWER-Cause/effect. Took to identify themes of clinical issues
(equipment, personnel, communication, etc). AKA ishikawa.
Human diversity - ANSWER-Understanding the ways cultural, ethnic, socioeconomic,
linguistic, religious, and lifestyle variations are expressed.
Chaos theory - ANSWER-Based on the principle that a system can maintain itself only if
change is occurring somewhere in the organization all the time. Chaos and change are
seen as means of survival.
Transformational leadership - ANSWER-Believes that leaders and followers motivate
each other toward the end goal of developing followers into leaders.
Transactional leadership - ANSWER-Focused on operations and uses disciplinary
power and incentives to motivate employees.
Operational definitions - ANSWER-Clearly define what is to be collected and avoid
confusion for those collecting the data. Also helps when interpreting data.
Process mapping - ANSWER-Tool to provide the team with an objective view of the
problem being investigated. This view will help everyone to determine the barriers to
transfer. Once the barriers are determined through process mapping, each barrier can
be broken down further to determine solutions.
Late majority - ANSWER-Needs the most support and will often be resistant. They
make up the largest majority of the group. They maintain a high degree of skepticism
and require a large amount of information before adopting change. They will adopt
change only in the late stages. Laggards historically will not adopt change.
Experimental research - ANSWER-Quantitative. Experimental research is quantitative
research, which is a formal, objective, rigorous, and systematic process for generating
information about the world. Experimental research is an objective, highly controlled
investigation for the purpose of predicting and controlling phenomena in nursing
practice.
Mandate for change - ANSWER-Drill down
CNL as clinician - ANSWER-A designer/coordinator/integrator/evaluator of care to
individuals, families, groups, communities, and populations.
Outcomes manager - ANSWER-The CNL regularly synthesizes data, information, and
knowledge to evaluate and achieve optimal client outcomes.
Client advocate - ANSWER-The CNL becomes competent at ensuring that clients,
families, and communities are well informed and included in care planning.
Educator - ANSWER-The CNL used appropriate teaching principles and strategies as
well as current information, materials, and technologies to teach clients, health care
professionals, and communities. Promote self-care and a maximal level of functioning
and wellness.
Information manager - ANSWER-Knowledge regarding research findings and health
information resources. The CNL is proficient in using information systems and
technology to improve health care outcomes. Assist clients in accessing, understanding,
evaluating, and applying health-related information.
Systems analyst/risk anticipator - ANSWER-Systems analyst: A CNL participates in a
system review and conducts a microsystem analysis, identifying a clinical issue with a
focus on a particular population.
Also to identify risks to client safety.
Team manager - ANSWER-The CNL properly delegates and manages the nursing team
resources and served as a leader in the interdisciplinary health care team.
Member of a profession - ANSWER-The CNL remains accountable for the ongoing
acquisition of knowledge and skills related to his or her profession and to effect change.
Lifelong learner - ANSWER-Recognizes the need for an actively pursues new
knowledge and skills as one's role and needs of the gesture care system evolves.
IOM suggests six goals for improvement: - ANSWER-1. Safe
2. Effective
3. Patient-centered
4. Timely
5. Efficient
,6. Equitable
Effective lateral integration requires - ANSWER-1. Communication
2. Collaboration
3. Coordination
4. Evaluation
Collaboration - ANSWER-Interdisciplinary process of problem solving that involves
shared responsibility for decision making as well as the execution of specific plans of
care while working toward a common goal.
RCA - ANSWER-A structured method used to analyze serious adverse events. Focuses
to identify underlying system problems (not individual).
FMEA - ANSWER-Conducted in an effort to help identify weak points in a process, to
prevent failures of a process/system and to reduce/prevent errors before it has a
chance to occur. "Near misses" are key opportunities.
Synergy model - ANSWER-Responsibility and accountability for outcomes is a shared
responsibility between the patient and the health care providers.
Hierarchy of evidence - ANSWER-1. Systematic review or meta analysis of randomized
controlled trials (RCTs) and evidence based clinical practice guidelines
2. One well designed RCT
3. Quasi-experimental study wo randomization
4. Well designed case-control and cohort studies
5. Systematic reviews of descriptive and/or qualitative studies
6. Single descriptive and/or qualitative studies
7. Expert opinion/expert committee reports.
5 stages of group development, Tuckman's Model - ANSWER-Forming
Storming
Norming
Performing
Adjourning/mourning
Hospital Quality Initiative - ANSWER-CMS advances national quality initiatives
National Database for Nursing Quality Indicators - ANSWER-Patient falls, pressure
ulcers, skill mix, nursing hours per patient day, RN survey, RN education and
certification, peds pain assessment cycle, peds IV infiltration rate, restraints, nurse
turnover, HAI (VAP, CLABSI, CAUTI)
National Quality Forum - ANSWER-Provides national leadership to establish national
priorities and goals for ensuring that health care delivery is safe, effective, patient
centered, timely, efficient, and equitable.
, 5 Ps - ANSWER-Purpose
Patients
Professionals
Processes
Patterns
Run chart - ANSWER-Tool to study variation and data over time
Gnatt chart - ANSWER-Bar chart that illustrates a project schedule. Illustrates
start/finish dates of the terminal elements and summary elements of a project.
Fishbone diagram - ANSWER-Cause/effect. Took to identify themes of clinical issues
(equipment, personnel, communication, etc). AKA ishikawa.
Human diversity - ANSWER-Understanding the ways cultural, ethnic, socioeconomic,
linguistic, religious, and lifestyle variations are expressed.
Chaos theory - ANSWER-Based on the principle that a system can maintain itself only if
change is occurring somewhere in the organization all the time. Chaos and change are
seen as means of survival.
Transformational leadership - ANSWER-Believes that leaders and followers motivate
each other toward the end goal of developing followers into leaders.
Transactional leadership - ANSWER-Focused on operations and uses disciplinary
power and incentives to motivate employees.
Operational definitions - ANSWER-Clearly define what is to be collected and avoid
confusion for those collecting the data. Also helps when interpreting data.
Process mapping - ANSWER-Tool to provide the team with an objective view of the
problem being investigated. This view will help everyone to determine the barriers to
transfer. Once the barriers are determined through process mapping, each barrier can
be broken down further to determine solutions.
Late majority - ANSWER-Needs the most support and will often be resistant. They
make up the largest majority of the group. They maintain a high degree of skepticism
and require a large amount of information before adopting change. They will adopt
change only in the late stages. Laggards historically will not adopt change.
Experimental research - ANSWER-Quantitative. Experimental research is quantitative
research, which is a formal, objective, rigorous, and systematic process for generating
information about the world. Experimental research is an objective, highly controlled
investigation for the purpose of predicting and controlling phenomena in nursing
practice.
