CNL Exam
Mandate for change - Correct Answers-Drill down
CNL as clinician - Correct Answers-A designer/coordinator/integrator/evaluator of care to
individuals, families, groups, communities, and populations.
Outcomes manager - Correct Answers-The CNL regularly synthesizes data, information, and
knowledge to evaluate and achieve optimal client outcomes.
Client advocate - Correct Answers-The CNL becomes competent at ensuring that clients,
families, and communities are well informed and included in care planning.
Educator - Correct Answers-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 - Correct Answers-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 - Correct Answers-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 - Correct Answers-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 - Correct Answers-The CNL remains accountable for the ongoing
acquisition of knowledge and skills related to his or her profession and to effect change.
Lifelong learner - Correct Answers-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: - Correct Answers-1. Safe
2. Effective
,3. Patient-centered
4. Timely
5. Efficient
6. Equitable
Effective lateral integration requires - Correct Answers-1. Communication
2. Collaboration
3. Coordination
4. Evaluation
Collaboration - Correct Answers-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 - Correct Answers-A structured method used to analyze serious adverse events. Focuses to
identify underlying system problems (not individual).
FMEA - Correct Answers-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 - Correct Answers-Responsibility and accountability for outcomes is a shared
responsibility between the patient and the health care providers.
Hierarchy of evidence - Correct Answers-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 - Correct Answers-Forming
Storming
Norming
Performing
Adjourning/mourning
Hospital Quality Initiative - Correct Answers-CMS advances national quality initiatives
, National Database for Nursing Quality Indicators - Correct Answers-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 - Correct Answers-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 - Correct Answers-Purpose
Patients
Professionals
Processes
Patterns
Run chart - Correct Answers-Tool to study variation and data over time
Gnatt chart - Correct Answers-Bar chart that illustrates a project schedule. Illustrates
start/finish dates of the terminal elements and summary elements of a project.
Fishbone diagram - Correct Answers-Cause/effect. Took to identify themes of clinical issues
(equipment, personnel, communication, etc). AKA ishikawa.
Human diversity - Correct Answers-Understanding the ways cultural, ethnic, socioeconomic,
linguistic, religious, and lifestyle variations are expressed.
Chaos theory - Correct Answers-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 - Correct Answers-Believes that leaders and followers motivate
each other toward the end goal of developing followers into leaders.
Transactional leadership - Correct Answers-Focused on operations and uses disciplinary power
and incentives to motivate employees.
Operational definitions - Correct Answers-Clearly define what is to be collected and avoid
confusion for those collecting the data. Also helps when interpreting data.
Mandate for change - Correct Answers-Drill down
CNL as clinician - Correct Answers-A designer/coordinator/integrator/evaluator of care to
individuals, families, groups, communities, and populations.
Outcomes manager - Correct Answers-The CNL regularly synthesizes data, information, and
knowledge to evaluate and achieve optimal client outcomes.
Client advocate - Correct Answers-The CNL becomes competent at ensuring that clients,
families, and communities are well informed and included in care planning.
Educator - Correct Answers-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 - Correct Answers-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 - Correct Answers-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 - Correct Answers-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 - Correct Answers-The CNL remains accountable for the ongoing
acquisition of knowledge and skills related to his or her profession and to effect change.
Lifelong learner - Correct Answers-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: - Correct Answers-1. Safe
2. Effective
,3. Patient-centered
4. Timely
5. Efficient
6. Equitable
Effective lateral integration requires - Correct Answers-1. Communication
2. Collaboration
3. Coordination
4. Evaluation
Collaboration - Correct Answers-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 - Correct Answers-A structured method used to analyze serious adverse events. Focuses to
identify underlying system problems (not individual).
FMEA - Correct Answers-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 - Correct Answers-Responsibility and accountability for outcomes is a shared
responsibility between the patient and the health care providers.
Hierarchy of evidence - Correct Answers-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 - Correct Answers-Forming
Storming
Norming
Performing
Adjourning/mourning
Hospital Quality Initiative - Correct Answers-CMS advances national quality initiatives
, National Database for Nursing Quality Indicators - Correct Answers-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 - Correct Answers-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 - Correct Answers-Purpose
Patients
Professionals
Processes
Patterns
Run chart - Correct Answers-Tool to study variation and data over time
Gnatt chart - Correct Answers-Bar chart that illustrates a project schedule. Illustrates
start/finish dates of the terminal elements and summary elements of a project.
Fishbone diagram - Correct Answers-Cause/effect. Took to identify themes of clinical issues
(equipment, personnel, communication, etc). AKA ishikawa.
Human diversity - Correct Answers-Understanding the ways cultural, ethnic, socioeconomic,
linguistic, religious, and lifestyle variations are expressed.
Chaos theory - Correct Answers-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 - Correct Answers-Believes that leaders and followers motivate
each other toward the end goal of developing followers into leaders.
Transactional leadership - Correct Answers-Focused on operations and uses disciplinary power
and incentives to motivate employees.
Operational definitions - Correct Answers-Clearly define what is to be collected and avoid
confusion for those collecting the data. Also helps when interpreting data.
