CNL certification review. (answered + rationales)
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
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
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
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
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
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
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 _____________ _______________.
ongoing evaluation
clear delegation of tasks is an important aspect of _____________.
coordination
updating on status is clear _______________.
communication
Performing a risk analysis to ensure client safety is part of the early _____________
stages.
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
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
, 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 _________________
communication
synthasizing data is ___________
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
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. Define the problem.
B. Develop plan of action.
C. Evaluate underlying causes.
D. Determine an approach.
A. Rationale: The first step in problem solving is to define the problem.
Diane is a 43-year-old female who has been readmitted three times in the past 6
months with chronic obstructive pulmonary disease (COPD) exacerbations. Diane has
been described as noncompliant with taking her medications and she continues to
smoke half a pack of cigarettes daily. Which of the following best describes the first
critical step when developing a plan of care for Diane?
A. Refer Diane to a smoking cessation class.
B. Coordinate with respiratory therapy to teach Diane correct technique for inhalers.
C. Auscultate Diane's lungs to evaluate for wheezing.
D. Ask Diane what she feels is causing her to come back to the hospital.
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
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
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
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
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
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
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 _____________ _______________.
ongoing evaluation
clear delegation of tasks is an important aspect of _____________.
coordination
updating on status is clear _______________.
communication
Performing a risk analysis to ensure client safety is part of the early _____________
stages.
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
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
, 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 _________________
communication
synthasizing data is ___________
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
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. Define the problem.
B. Develop plan of action.
C. Evaluate underlying causes.
D. Determine an approach.
A. Rationale: The first step in problem solving is to define the problem.
Diane is a 43-year-old female who has been readmitted three times in the past 6
months with chronic obstructive pulmonary disease (COPD) exacerbations. Diane has
been described as noncompliant with taking her medications and she continues to
smoke half a pack of cigarettes daily. Which of the following best describes the first
critical step when developing a plan of care for Diane?
A. Refer Diane to a smoking cessation class.
B. Coordinate with respiratory therapy to teach Diane correct technique for inhalers.
C. Auscultate Diane's lungs to evaluate for wheezing.
D. Ask Diane what she feels is causing her to come back to the hospital.
