CNL certification review
A team charter includes all except which of the following?
A. Clearly defined goals
B. Specific outcomes
C. Team member roles
D. Time allotted for each activity - Correct Answers-D. Rationale: A team charter is an essential
written agreement defining what the team is going to accomplish, how success will be
measured, and defining team member roles.
As a clinical nurse leader (CNL), you know a potential use of a patient's individual electronic
health record is its use in
A. Finding relevant evidence-based literature
B. Performing a root cause analysis
C. Implementing a best practice change
D. Reviewing unit practice trends - Correct Answers-B. Rationale: Each is a potential use of
healthcare information technology, but only the root cause analysis involves the use of a
patient's medical record.
Lateral integration is based on the understanding of which of the following?
A. Patient-specific healthcare needs
B. The interdependency of all healthcare disciplines
C. The variety of healthcare delivery settings
D. Changes in patient care needs over time - Correct Answers-B. Rationale: Lateral integration is
based on the understanding that all disciplines of healthcare are interdependent and essential
in providing complete care to the patient.
When performing ongoing assessment of a process or system, the clinical nurse leader (CNL)
should include all of the following, except:
A. Efficacy
B. Satisfaction
C. Efficiency
D. Ease of change - Correct Answers-D. Rationale: Ease of change may be considered; however
it should not prevent the CNL from taking action to improve a system or process that improves
,safety, efficacy, satisfaction, efficiency, or quality of care.
As a clinical nurse leader (CNL) on an acute care floor, you recognize the importance of lateral
integration. Which of the following examples of your role as a CNL illustrates the role of
ongoing evaluation in lateral integration?
A. Performing risk analysis to ensure client safety
B. Assessing the appropriateness and relevancy of current or newly emerging healthcare
information
C. Synthesizing data to find a common goal
D. Fostering rapport across professional boundaries - Correct Answers-B. Rationale: Assessing
new or current information is key to the process of ongoing evaluation. Performing a risk
analysis to ensure client safety is part of the early coordination stages. Synthesizing data is the
role of collaboration. Fostering rapport is a key aspect of communication.
As a clinical nurse leader (CNL) on an acute care floor, you recognize the importance of lateral
integration. Which of the following examples of your role as a CNL illustrates the role of
collaboration in lateral integration?
A. Monitoring the plan of care for specific patients and populations
B. Clearly delegating tasks and responsibilities within a team
C. Translating from discipline-specific language to a common message and goals
D. Keeping all members of the team informed of current status and process - Correct Answers-
C. Rationale: Translating the message to form a common goal exemplifies collaboration within a
team. Monitoring involves ongoing evaluation; clear delegation of tasks is an important aspect
of coordination; updating on status is clear communication.
Monitoring involves _____________ _______________. - Correct Answers-ongoing evaluation
clear delegation of tasks is an important aspect of _____________. - Correct Answers-
coordination
updating on status is clear _______________. - Correct Answers-communication
Performing a risk analysis to ensure client safety is part of the early _____________ stages. -
Correct Answers-coordination
In order to practice horizontal leadership, the clinical nurse leader (CNL) needs a "tool kit" of
skills. These include all except which of the following?
, A. Vertical integration
B. Use of feedback
C. Healthcare outcomes
D. Guiding EBP practice - Correct Answers-A. Rationale: Critical skills in order to practice
horizontal leadership include guiding evidence-based practice, healthcare outcomes, lateral
integration, use of feedback, coaching, and leading teams.
The clinical nurse leader (CNL) facilitates, coordinates, and oversees care provided by the
healthcare team. This best describes which of the following roles?
A. Risk anticipator
B. Lateral integrator
C. Team manager
D. Outcomes manager - Correct Answers-B. Rationale: Lateral integration of care involves the
CNL as the leader of care; overseeing care provided by the healthcare team; identifying
barriers; and working with the team to proactively manage potential problems.
Fostering rapport is a key aspect of _________________ - Correct Answers-communication
synthasizing data is ___________ - Correct Answers-collaboration
A male patient seen at your clinic says he has recently purchased a gym membership and
requests information about what types of exercises he should start with when beginning. As the
clinical nurse leader (CNL) for the clinic, you recognize this patient is most likely in which of
Prochaska and DiClemente's Transtheoretical Model for stages of change:
A. Contemplation
B. Preparation
C. Action
D. Maintenance - Correct Answers-B. Rationale: Based on Prochaska and DiClemente's
Transtheoretical Model, this patient is in the preparation stage; he has taken some steps
toward action showing he is seriously planning change in the near future through financial
commitment and research. He has not yet reached the action phase because he has not yet
modified the behavior
Irene is a clinical nurse leader (CNL) in a small community hospital. Irene was tasked with
leading an interdisciplinary team to improve the transition from emergency room (ER) to the
medical unit. During a meeting, the ER nurses and the medical unit nurses argue over the cause
of delays, blaming one another. The team is now disruptive and not focused on the goals of this
group. Which of the following should the CNL do first to resolve this conflict?
A team charter includes all except which of the following?
A. Clearly defined goals
B. Specific outcomes
C. Team member roles
D. Time allotted for each activity - Correct Answers-D. Rationale: A team charter is an essential
written agreement defining what the team is going to accomplish, how success will be
measured, and defining team member roles.
As a clinical nurse leader (CNL), you know a potential use of a patient's individual electronic
health record is its use in
A. Finding relevant evidence-based literature
B. Performing a root cause analysis
C. Implementing a best practice change
D. Reviewing unit practice trends - Correct Answers-B. Rationale: Each is a potential use of
healthcare information technology, but only the root cause analysis involves the use of a
patient's medical record.
Lateral integration is based on the understanding of which of the following?
A. Patient-specific healthcare needs
B. The interdependency of all healthcare disciplines
C. The variety of healthcare delivery settings
D. Changes in patient care needs over time - Correct Answers-B. Rationale: Lateral integration is
based on the understanding that all disciplines of healthcare are interdependent and essential
in providing complete care to the patient.
When performing ongoing assessment of a process or system, the clinical nurse leader (CNL)
should include all of the following, except:
A. Efficacy
B. Satisfaction
C. Efficiency
D. Ease of change - Correct Answers-D. Rationale: Ease of change may be considered; however
it should not prevent the CNL from taking action to improve a system or process that improves
,safety, efficacy, satisfaction, efficiency, or quality of care.
As a clinical nurse leader (CNL) on an acute care floor, you recognize the importance of lateral
integration. Which of the following examples of your role as a CNL illustrates the role of
ongoing evaluation in lateral integration?
A. Performing risk analysis to ensure client safety
B. Assessing the appropriateness and relevancy of current or newly emerging healthcare
information
C. Synthesizing data to find a common goal
D. Fostering rapport across professional boundaries - Correct Answers-B. Rationale: Assessing
new or current information is key to the process of ongoing evaluation. Performing a risk
analysis to ensure client safety is part of the early coordination stages. Synthesizing data is the
role of collaboration. Fostering rapport is a key aspect of communication.
As a clinical nurse leader (CNL) on an acute care floor, you recognize the importance of lateral
integration. Which of the following examples of your role as a CNL illustrates the role of
collaboration in lateral integration?
A. Monitoring the plan of care for specific patients and populations
B. Clearly delegating tasks and responsibilities within a team
C. Translating from discipline-specific language to a common message and goals
D. Keeping all members of the team informed of current status and process - Correct Answers-
C. Rationale: Translating the message to form a common goal exemplifies collaboration within a
team. Monitoring involves ongoing evaluation; clear delegation of tasks is an important aspect
of coordination; updating on status is clear communication.
Monitoring involves _____________ _______________. - Correct Answers-ongoing evaluation
clear delegation of tasks is an important aspect of _____________. - Correct Answers-
coordination
updating on status is clear _______________. - Correct Answers-communication
Performing a risk analysis to ensure client safety is part of the early _____________ stages. -
Correct Answers-coordination
In order to practice horizontal leadership, the clinical nurse leader (CNL) needs a "tool kit" of
skills. These include all except which of the following?
, A. Vertical integration
B. Use of feedback
C. Healthcare outcomes
D. Guiding EBP practice - Correct Answers-A. Rationale: Critical skills in order to practice
horizontal leadership include guiding evidence-based practice, healthcare outcomes, lateral
integration, use of feedback, coaching, and leading teams.
The clinical nurse leader (CNL) facilitates, coordinates, and oversees care provided by the
healthcare team. This best describes which of the following roles?
A. Risk anticipator
B. Lateral integrator
C. Team manager
D. Outcomes manager - Correct Answers-B. Rationale: Lateral integration of care involves the
CNL as the leader of care; overseeing care provided by the healthcare team; identifying
barriers; and working with the team to proactively manage potential problems.
Fostering rapport is a key aspect of _________________ - Correct Answers-communication
synthasizing data is ___________ - Correct Answers-collaboration
A male patient seen at your clinic says he has recently purchased a gym membership and
requests information about what types of exercises he should start with when beginning. As the
clinical nurse leader (CNL) for the clinic, you recognize this patient is most likely in which of
Prochaska and DiClemente's Transtheoretical Model for stages of change:
A. Contemplation
B. Preparation
C. Action
D. Maintenance - Correct Answers-B. Rationale: Based on Prochaska and DiClemente's
Transtheoretical Model, this patient is in the preparation stage; he has taken some steps
toward action showing he is seriously planning change in the near future through financial
commitment and research. He has not yet reached the action phase because he has not yet
modified the behavior
Irene is a clinical nurse leader (CNL) in a small community hospital. Irene was tasked with
leading an interdisciplinary team to improve the transition from emergency room (ER) to the
medical unit. During a meeting, the ER nurses and the medical unit nurses argue over the cause
of delays, blaming one another. The team is now disruptive and not focused on the goals of this
group. Which of the following should the CNL do first to resolve this conflict?
