ANSWERS | GRADED A+| PASS ON FIRST ATTEMPT | BRAND NEW
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.
1
,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).
2
,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)
3
, 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.
4
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.
1
,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).
2
,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)
3
, 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.
4
