107. Ongoing risk reduction and patient safety efforts are an important component of:
A. Quality improvement (QI)
B. Knowledge management
C. Change theory
D. Complexity theory
Give this one a try later!
, Answer A—Rationale: Ongoing risk reduction and patient safety monitoring
are components of QI.
113. With health care reform, the CNL recognizes that evidence-based practice (EBP)
is imperative. The CNL decided that her staff should be knowledgeable about health
care reform. She collaborated with the educator and administration team to educate
the staff about health care reform and pay for performance. What statement best
reflects the definition of pay for performance?
A. It is a voluntary program that encourages hospitals nationally to report quality
measures for heart attacks, heart failure, and pneumonia.', '
B. It is a national program in which physicians and hospitals receive more money if
their quality measures exceed certain benchmarks or if the measures improve year to
year.
C. It is a process that involves the surveillance of and intervention in clinical activities
of physicians for the purpose of controlling costs.
D. It is a Medicare program that began the physician quality reporting initiative.
Give this one a try later!
Answer B—Rationale: Pay for performance gained widespread acceptance
in health care; it goes one step above pay for reporting, as it requires
physicians or hospitals to report quality measures, in which they receive
more money if their quality measures exceed certain benchmarks or if the
measures improve year to year.
37. How can the CNL best provide and educate staff on giving culturally competent
care within the unit?
A. Educate staff on assessment questions/phrases in the most common secondary
language present in the community or seen within the hospital
B. Educate staff on varying cultural perceptions and beliefs surrounding the concept
of health
,C. Provide an in-service on accessing patient education and handouts in another
language
D. Ensure that nurses are assigned to the most culturally appropriate patients
currently on the unit
Give this one a try later!
Answer B—Rationale: Nurses should never attempt to use a family member
or their own limited ability for conversation in another language; a certified
medical interpreter should be used. An in-service on accessing education
in multiple languages would likely be very useful to staff, but is not as
good an intervention as education on cultural differences. Staffing and
patient assignment should not be based on only cultural associations;
individual preferences may also need to be considered.
169. The nurse manager of a regional home health services company allows the
employees to determine solutions for change, and always considers their opinions,
suggestions, and concerns. What type of leadership style is the manager
demonstrating?
A. Autocratic
B. Laissez-faire
C. Consultative
D. Democratic
Give this one a try later!
Answer D—Rationale: Democratic leadership involves the whole group in
the decision-making process.
133. The patient confides in you and states that she does not take her medications as
prescribed and does not go to her doctor's appointments due to lack of
transportation. As the CNL, you discuss your findings with the CCM, and place a
, financial counseling consult. The CCM orders a home safety evaluation, and a
medical-social worker provides bus passes and community resources. This is an
example of what key element of the CNL role?
A. Ongoing evaluation
B. Communication
C. Collaboration
D. Coordination
Give this one a try later!
Answer D—Rationale: Coordination requires intentional planning and
direction. The CNL is responsible for coordinating the flow of
communication, activities of the team members, and the services provided
to the patients.
101. Tara, a CNL on a pediatric medical-surgical unit, conducted a 5P assessment and
discovered that the discharge process was fragmented and parents were not satisfied
with the process. Tara created a team to develop a change in order to improve the
process. What model can Tara use to rapidly implement this change and test it to
determine effectiveness?
A. Plan-Do-Study-Act (PDSA)
B. Strengths, weaknesses, opportunities, and threats (SWOT) analysis
C. Fishbone diagram
D. Gap analysis
Give this one a try later!
Answer A—Rationale: PDSA is a model used to conduct rapid cyclical
review of a process change to encourage continuous and ongoing efforts
to improve.
A. Quality improvement (QI)
B. Knowledge management
C. Change theory
D. Complexity theory
Give this one a try later!
, Answer A—Rationale: Ongoing risk reduction and patient safety monitoring
are components of QI.
113. With health care reform, the CNL recognizes that evidence-based practice (EBP)
is imperative. The CNL decided that her staff should be knowledgeable about health
care reform. She collaborated with the educator and administration team to educate
the staff about health care reform and pay for performance. What statement best
reflects the definition of pay for performance?
A. It is a voluntary program that encourages hospitals nationally to report quality
measures for heart attacks, heart failure, and pneumonia.', '
B. It is a national program in which physicians and hospitals receive more money if
their quality measures exceed certain benchmarks or if the measures improve year to
year.
C. It is a process that involves the surveillance of and intervention in clinical activities
of physicians for the purpose of controlling costs.
D. It is a Medicare program that began the physician quality reporting initiative.
Give this one a try later!
Answer B—Rationale: Pay for performance gained widespread acceptance
in health care; it goes one step above pay for reporting, as it requires
physicians or hospitals to report quality measures, in which they receive
more money if their quality measures exceed certain benchmarks or if the
measures improve year to year.
37. How can the CNL best provide and educate staff on giving culturally competent
care within the unit?
A. Educate staff on assessment questions/phrases in the most common secondary
language present in the community or seen within the hospital
B. Educate staff on varying cultural perceptions and beliefs surrounding the concept
of health
,C. Provide an in-service on accessing patient education and handouts in another
language
D. Ensure that nurses are assigned to the most culturally appropriate patients
currently on the unit
Give this one a try later!
Answer B—Rationale: Nurses should never attempt to use a family member
or their own limited ability for conversation in another language; a certified
medical interpreter should be used. An in-service on accessing education
in multiple languages would likely be very useful to staff, but is not as
good an intervention as education on cultural differences. Staffing and
patient assignment should not be based on only cultural associations;
individual preferences may also need to be considered.
169. The nurse manager of a regional home health services company allows the
employees to determine solutions for change, and always considers their opinions,
suggestions, and concerns. What type of leadership style is the manager
demonstrating?
A. Autocratic
B. Laissez-faire
C. Consultative
D. Democratic
Give this one a try later!
Answer D—Rationale: Democratic leadership involves the whole group in
the decision-making process.
133. The patient confides in you and states that she does not take her medications as
prescribed and does not go to her doctor's appointments due to lack of
transportation. As the CNL, you discuss your findings with the CCM, and place a
, financial counseling consult. The CCM orders a home safety evaluation, and a
medical-social worker provides bus passes and community resources. This is an
example of what key element of the CNL role?
A. Ongoing evaluation
B. Communication
C. Collaboration
D. Coordination
Give this one a try later!
Answer D—Rationale: Coordination requires intentional planning and
direction. The CNL is responsible for coordinating the flow of
communication, activities of the team members, and the services provided
to the patients.
101. Tara, a CNL on a pediatric medical-surgical unit, conducted a 5P assessment and
discovered that the discharge process was fragmented and parents were not satisfied
with the process. Tara created a team to develop a change in order to improve the
process. What model can Tara use to rapidly implement this change and test it to
determine effectiveness?
A. Plan-Do-Study-Act (PDSA)
B. Strengths, weaknesses, opportunities, and threats (SWOT) analysis
C. Fishbone diagram
D. Gap analysis
Give this one a try later!
Answer A—Rationale: PDSA is a model used to conduct rapid cyclical
review of a process change to encourage continuous and ongoing efforts
to improve.
