VERIFIED ANSWERS | GRADED A+| PASS ON FIRST ATTEMPT |
*A new graduate nurse approaches you and states she needs help removing a PICC. Which
of the following is the best response when acting as a horizontal leader?*
a. remove the PICC yourself
b. tell her to find the policy and then remove the PICC
c. help jenny find the policy and review it with her. Coach her while she removed the PICC
and provide feedback.
d. help jenny find the policy and refer her to a nurse with 12 years of experience for
assistance. - ANSWER c. help jenny find the policy and review it with her. Coach her while
she removed the PICC and provide feedback
The clinical nurse leader (CNL) acts as a horizontal leader by helping the new
graduate nurse to learn through sharing knowledge and coaching, rather than doing the task
for the nurse.
*What organizational theory is used with rapid, unpredictable, and constant change?*
a. Systems theory
b. Chaos theory
c. Change theory
d. Traditional theory - ANSWER b. Chaos theory
Chaos theory is used to understand rapidly changing, unpredictable health care
environments.
1
,*a 65 YO AA male was admitted to your microsystem with hyperglycemia. The patient has a
history of HTN, gout, obesity, and smoking. The patient has a family history of DM and HTN.
Which statement by the patient demonstrates his understanding of modifiable risk factors
for DM?*
a. "As I get older, my risk for DM increases"
b. "I know that a family history of DM is a risk factor, so I will educate my children on DM
prevention."
c. "I will keep a record of all my blood sugars to take to my doctor's appointments."
d. I will attend a smoking cessation class, because I know smoking increases my risk for DM."
- ANSWER d. I will attend a smoking cessation class, because I know smoking increases
my risk for DM."
Modifiable risk factors are lifestyle factors that a person can alter in order to
prevent disease. Smoking cessation class is an intervention for modifying the risk factor of
smoking.
*Your hospital is currently trialing the integration of the clinical nurse leader (CNL) role. At
the end of the trial implementation period how can you, as the CNL, best illustrate the
effectiveness of your role during this trial?*
a. Refer to increased patient satisfaction scores over the course of the trial
b. Present data that demonstrates the effect of the CNL and outcomes achieved over the
course of the trial.
c. Present a list of projects and tasks completed over the course of the trial.
d. Refer to your performance review over the course of the trial. - ANSWER B
The CNL should present the effect and outcomes to illustrate the importance of the
integration of his or her role. Increased patient satisfaction is not necessarily directly related
to the CNL.
2
, Presentation of projects and tasks completed does not address measurable outcomes.
Performance review
of the individual does not indicate outcomes were affected.
*You are a CNL on an oncology unit. Recently, there has been an increase in the number of
CAUTIs on your unit. After shadowing nurses and aides you observed a variety of*
*practices, techniques, and expectations surrounding daily catheter care. Your hospital does
not have a current policy or procedure regarding catheter care. As the CNL, what should you
do next?*
a. review current evidence for catheter care practice and disseminate evidence to the staff
b.form an interdisciplinary team meeting to evaluate current hospital catheter care policies
c. create a rubric for educating patients and staff on catheter care
d. discuss with the unit manager the clinical issue and create a set of evidence-based unit
expectations and practices for the unit. evaluate the need to address this issue with a
hospital wide policy or procedure. - ANSWER d. discuss with the unit manager the clinical
issue and create a set of evidence-based unit expectations and practices for the unit.
evaluate the need to address this issue with a hospital wide policy or procedure.
CNLs should gather and disseminate evidence to solve clinical problems;
however, that should not be the initial step. Further review of hospital practices and policies
may come
after this issue is addressed. Creation of a rubric for educating patients and staff on catheter
care may
come after reviewing evidence. The CNL should act to solve the clinical issue in the short
term, and
evaluate the need for a larger policy to address gaps in practice hospital-wide.
*A 50 YO F with stage 3 COPD presents tot he ED with increased SOB. Based on these lab
results, what is the acid-base disorder*
pH 7.25
PaCO2 50 mmHg
3
*A new graduate nurse approaches you and states she needs help removing a PICC. Which
of the following is the best response when acting as a horizontal leader?*
a. remove the PICC yourself
b. tell her to find the policy and then remove the PICC
c. help jenny find the policy and review it with her. Coach her while she removed the PICC
and provide feedback.
d. help jenny find the policy and refer her to a nurse with 12 years of experience for
assistance. - ANSWER c. help jenny find the policy and review it with her. Coach her while
she removed the PICC and provide feedback
The clinical nurse leader (CNL) acts as a horizontal leader by helping the new
graduate nurse to learn through sharing knowledge and coaching, rather than doing the task
for the nurse.
*What organizational theory is used with rapid, unpredictable, and constant change?*
a. Systems theory
b. Chaos theory
c. Change theory
d. Traditional theory - ANSWER b. Chaos theory
Chaos theory is used to understand rapidly changing, unpredictable health care
environments.
1
,*a 65 YO AA male was admitted to your microsystem with hyperglycemia. The patient has a
history of HTN, gout, obesity, and smoking. The patient has a family history of DM and HTN.
Which statement by the patient demonstrates his understanding of modifiable risk factors
for DM?*
a. "As I get older, my risk for DM increases"
b. "I know that a family history of DM is a risk factor, so I will educate my children on DM
prevention."
c. "I will keep a record of all my blood sugars to take to my doctor's appointments."
d. I will attend a smoking cessation class, because I know smoking increases my risk for DM."
- ANSWER d. I will attend a smoking cessation class, because I know smoking increases
my risk for DM."
Modifiable risk factors are lifestyle factors that a person can alter in order to
prevent disease. Smoking cessation class is an intervention for modifying the risk factor of
smoking.
*Your hospital is currently trialing the integration of the clinical nurse leader (CNL) role. At
the end of the trial implementation period how can you, as the CNL, best illustrate the
effectiveness of your role during this trial?*
a. Refer to increased patient satisfaction scores over the course of the trial
b. Present data that demonstrates the effect of the CNL and outcomes achieved over the
course of the trial.
c. Present a list of projects and tasks completed over the course of the trial.
d. Refer to your performance review over the course of the trial. - ANSWER B
The CNL should present the effect and outcomes to illustrate the importance of the
integration of his or her role. Increased patient satisfaction is not necessarily directly related
to the CNL.
2
, Presentation of projects and tasks completed does not address measurable outcomes.
Performance review
of the individual does not indicate outcomes were affected.
*You are a CNL on an oncology unit. Recently, there has been an increase in the number of
CAUTIs on your unit. After shadowing nurses and aides you observed a variety of*
*practices, techniques, and expectations surrounding daily catheter care. Your hospital does
not have a current policy or procedure regarding catheter care. As the CNL, what should you
do next?*
a. review current evidence for catheter care practice and disseminate evidence to the staff
b.form an interdisciplinary team meeting to evaluate current hospital catheter care policies
c. create a rubric for educating patients and staff on catheter care
d. discuss with the unit manager the clinical issue and create a set of evidence-based unit
expectations and practices for the unit. evaluate the need to address this issue with a
hospital wide policy or procedure. - ANSWER d. discuss with the unit manager the clinical
issue and create a set of evidence-based unit expectations and practices for the unit.
evaluate the need to address this issue with a hospital wide policy or procedure.
CNLs should gather and disseminate evidence to solve clinical problems;
however, that should not be the initial step. Further review of hospital practices and policies
may come
after this issue is addressed. Creation of a rubric for educating patients and staff on catheter
care may
come after reviewing evidence. The CNL should act to solve the clinical issue in the short
term, and
evaluate the need for a larger policy to address gaps in practice hospital-wide.
*A 50 YO F with stage 3 COPD presents tot he ED with increased SOB. Based on these lab
results, what is the acid-base disorder*
pH 7.25
PaCO2 50 mmHg
3
