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CNL Exam questions and answers. Latest update 2022. Graded A+, 99% approved pass rate

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Mandate for change - ✔✔Drill down CNL as clinician - ✔✔A designer/coordinator/integrator/evaluator of care to individuals, families, groups, communities, and populations. Outcomes manage... r - ✔✔The CNL regularly synthesizes data, information, and knowledge to evaluate and achieve optimal client outcomes. Client advocate - ✔✔The CNL becomes competent at ensuring that clients, families, and communities are well informed and included in care planning. Educator - ✔✔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 - ✔✔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 - ✔✔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. Team manager - ✔✔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 - ✔✔The CNL remains accountable for the ongoing acquisition of knowledge and skills related to his or her profession and to effect change. Lifelong learner - ✔✔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: - ✔✔1. Safe 2. Effective 3. Patient-centered 4. Timely 5. Efficient 6. Equitable Effective lateral integration requires - ✔✔1. Communication 2. Collaboration 3. Coordination 4. Evaluation Collaboration - ✔✔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 - ✔✔A structured method used to analyze serious adverse events. Focuses to identify underlying system problems (not individual). FMEA - ✔✔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 - ✔✔Responsibility and accountability for outcomes is a shared responsibility between the patient and the health care providers. Hierarchy of evidence - ✔✔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 - ✔✔Forming Storming Norming Performing Adjourning/mourning Hospital Quality Initiative - ✔✔CMS advances national quality initiatives National Database for Nursing Quality Indicators - ✔✔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) National Quality Forum - ✔✔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 - ✔✔Purpose Patients Professionals Processes Patterns Run chart - ✔✔Tool to study variation and data over time Gnatt chart - ✔✔Bar chart that illustrates a project schedule. Illustrates start/finish dates of the terminal elements and summary elements of a project. Fishbone diagram - ✔✔Cause/effect. Took to identify themes of clinical issues (equipment, personnel, communication, etc). AKA ishikawa. Human diversity - ✔✔Understanding the ways cultural, ethnic, socioeconomic, linguistic, religious, and lifestyle variations are expressed. Chaos theory - ✔✔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 - ✔✔Believes that leaders and followers motivate each other toward the end goal of developing followers into leaders. Transactional leadership - ✔✔Focused on operations and uses disciplinary power and incentives to motivate employees. Operational definitions - ✔✔Clearly define what is to be collected and avoid confusion for those collecting the data. Also helps when interpreting data. Process mapping - ✔✔Tool to provide the team with an objective view of the problem being investigated. This view will help everyone to determine the barriers to transfer. Once the barriers are determined through process mapping, each barrier can be broken down further to determine solutions. Late majority - ✔✔Needs the most support and will often be resistant. They make up the largest majority of the group. They maintain a high degree of skepticism and require a large amount of information before adopting change. They will adopt change only in the late stages. Laggards historically will not adopt change. Experimental research - ✔✔Quantitative. Experimental research is quantitative research, which is a formal, objective, rigorous, and systematic process for generating information about the world. Experimental research is an objective, highly controlled investigation for the purpose of predicting and controlling phenomena in nursing practice. Concept map - ✔✔Tool to show how a main idea branched out to break down into specific topics. High-level flowchart - ✔✔Picture of the separate steps of a process in sequential order. Cause/effect diagram - ✔✔Tool to help one identify all of the likely causes of the problems being faced. Fishbone diagram. AIR cycle - ✔✔Assessment Intervention Reassessment Compromise - ✔✔Sacrifice some while persuading others to give up part of theirs. Give a little, take a little. I win some. You win some. Collaboration - ✔✔All parties working together to design optimal outcomes using mutually agreed upon solutions. Accomodation - ✔✔To set aside your own personal needs because you want to please others in order to keep peace. Emphasis is on preserving the relationship. Competition - ✔✔Only concerned about their own needs. Good in emergencies. Use rank, position, and influence and state their position. Interdisciplinary team - ✔✔Composed of many disciplines that all gather together at the same time to work toward a common goal. Multidisciplinary team - ✔✔Composed of individual consults, occurring independently of each other. Typically, the disciplines do not meet to work toward a common goal. Special cause - ✔✔Occurs outside a stable process and is attributed to factors that are not commonly part of the process. Balancing measures - ✔✔Demonstrate whether improvement in one area is at the expense of another area. Confounding measures - ✔✔The ability to make assertions about the value of one parameter independent of the value of another. 5S - ✔✔Sort, set in order, shine, standardize, and sustain. To organize equipment, resulting in an orderly workplace. AKA lean technique. Scope creep - ✔✔Occurs when a group identified an additional problem that may need fixing. A project charter will help the team not to divert. PDSA - ✔✔Plan, do, study, act SDSA - ✔✔Standardize, do, study, act External validity - ✔✔Degree to which the results of the original study are applicable to a population other than the one initially targeted. Relative risk - ✔✔Comparison of the risk of a particular event for different groups of people. Usually used to estimate exposure to something that could affect health. Absolute risk - ✔✔Probability or chance that a person will have a medical event. Prevalence - ✔✔How often or how frequently a disease or condition occurs in a group of people. Incidence - ✔✔Measures the number of new cases in a particular area during a specific period of time. Operating budget - ✔✔Reflects the revenue and expenses for the nursing unit. Capital budget - ✔✔Large purchases that may be planned over long periods. Effective/therapeutic use of self - ✔✔Sharing personal feelings in order to gain insight to others personal experiences. Active listening and mutual respect. Advocacy - ✔✔To identify any health problems and working toward their improvement. Sentinel event - ✔✔An unexpected occurrence involving death or serious physical or psychological injury, or risk thereof. Inter quartile range - ✔✔25th and 75th percentile Variance - ✔✔A measure based on the deviations of individual scores from the mean. P value - ✔✔If the result is <.05, it is statistically significant. Good. T value - ✔✔Used to determine if two data sets are significantly different from each other. Orem's theory - ✔✔Patients should be self reliant in their care Leininger's theory - ✔✔Value practice of culturally competent care are able to effect positive changes. Systems theory - ✔✔Views the system holistically, recognizing that all parts of the system are interrelated. 5 elements of the theory: input, energy/materials (staff and patients), throughput, output, evaluation, and feedback. Lewin's theory - ✔✔Unfreezing, changing, refreezing Kotter's theory - ✔✔Change theory: 1. Create urgency 2. Form a Powerful Coalition 3. Create a Vision for Change 4. Communicate the Vision 5. Remove Obstacles 6. Create Short-Term Wins 7. Build on the Change 8. Anchor the Changes in Corporate Culture Phenomenological - ✔✔Study of the structures of experience and consciousness. Qualitative. Intradisciplinary team - ✔✔Single discipline, such as nursing. Pender's Health Promotion Model - ✔✔Health is a positive dynamic state not merely the absence of disease. Interpersonal influences can have a profound effect on clients' compliance with health promotion and preventive measures. Each person has unique personal characteristics and experiences that affect subsequent actions. Health belief model - ✔✔A model developed to [Show More]

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