ANSWERS|2025-2026 LATEST UPDATE
1. The adult-gerontology clinical nurse specialist and unit manager plan to implement a new
touch screen scanning system in the medical supply room. The touch screen costs $3,396. The
estimated revenue loss from chargeable supply items for the fiscal year is approximately
$30,000. Which concept is included in the jointly developed action plan?
A capital budget analysis of products
A cost-benefit analysis of products and services
A revenue expenditure analysis
An operational analysis of products A cost-benefit analysis of products and services
2. To support quality improvement initiatives, the adult-gerontology clinical nurse specialist
conducts a root cause analysis utilizing a Pareto chart for identifying the:
breakdowns and changes of the system over time.
buy-in of stakeholders, and the prioritization of improvement strategies.
key resistors to change, and an enhanced understanding of the problem.
principal variables affecting process, and the opportunities for improvement. principal
variables affecting process, and the opportunities for improvement.
3. The caregiver of a patient with Alzheimer's disease expresses feeling fatigued and stressed
about continuing to care for the patient at home. The adult-gerontology clinical nurse specialist
helps the caregiver to utilize resources that are available to meet his or her needs by:
consulting hospice for guidance on end-of-life care.
contacting the Alzheimer's Association to locate adult day care services.
providing a listing of sitters who care for older adult patients.
, recommending transfer to a long-term care facility for patients with Alzheimer's disease.
contacting the Alzheimer's Association to locate adult day care services.
4. Based on change theory, the adult adult-gerontology clinical nurse specialist who is starting a
new palliative care program in the organization promotes change and acceptance by:
avoiding the periodic, negative events between the driving and restraining forces.
equalizing the driving and restraining forces to stabilize the environment.
influencing the environment so that the driving forces outnumber the restraining forces.
stimulating the disequilibrium of the driving and restraining forces. influencing the
environment so that the driving forces outnumber the restraining forces.
5. An adult-gerontology clinical nurse specialist is treating a postoperative patient with
moderate dementia. The patient is striking out at staff during routine care. The clinical nurse
specialist:
evaluates for the use of physical restraints.
performs a comprehensive pain assessment.
prescribes a low dose sedative.
refers for a psychiatric consult. performs a comprehensive pain assessment.
6. An adult-gerontology clinical nurse specialist is leading an interdisciplinary group that is
developing a special care unit for persons who have dementia. During the second meeting, the
nurse manager becomes resistant to the idea and negative about its implementation. This is an
important project and the support of the manager will be needed. The clinical nurse specialist's
best response to the situation is to:
meet individually with the nurse manager to discuss the perceived resistance.
report the situation to the nursing director and ask for administrative intervention.