CNLs 5540 Exam 1 (King & O'Toole Ch. 5, 6, 7, 8, 9, 10, 11, 12, 13) Questions with Answers,100% CORRECT

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CNLs 5540 Exam 1 (King & O'Toole Ch. 5, 6, 7, 8, 9, 10, 11, 12, 13) Questions with Answers Which of the following defines horizontal leadership? - CORRECT ANSWER It is a philosophy of organizatio... nal leadership whereby the structure promotes equality and an "open-door policy." Explanation It allows team members to voice their opinions and to provide feedback freely. Clinical nurse leaders (CNLs) have shown a positive effect on numerous healthcare outcomes. Which of the following outcomes is least affected by CNLs? A Changing practice to be based on staff preference B Financial savings C Improvement in various quality processes D Increased patient and staff satisfaction - CORRECT ANSWER A Changing practice to be based on staff preference Explanation Evidence has demonstrated that CNLs have a positive effect on numerous outcomes. This includes increasing patient and staff satisfaction, financial savings, and quality processes. Which of the following is not considered a Change theory? A Lewin's Model B Transactional leadership theory C Kotter's Theory D D. Lippitt's Theory - CORRECT ANSWER B Transactional leadership theory Explanation Offering rewards to others in return for compliance is defined as transactional leadership theory. This involves motivating and directing followers by appealing to their own self-interests. A patient for whom you are caring is unable to maintain the ideal nutrition related to inadequate intake and knowledge deficit. You work with this patient to mutually plan and identify the objectives. The patient is made to understand the required changes in behavior so as to have the requisites met. Which of the following is operative here? A Complexity Theory B Change Theory C Orem's Self-Care D Leininger's Culture Care Diversity and Universality - CORRECT ANSWER C Orem's Self-Care Explanation Orem's Self-Care enables the planning of nursing care to be systemic, predictable, and purposeful. In the theory of self-care, Orem explains self-care as the activities carried out by individuals to maintain their own health. The following describes a horizontal organization: A One which allows managers to make decisions alone without the input of others B Top-down style of leadership whereby team members are not encouraged to question or provide feedback C One of decentralization of power and/or control, at least within specific departments D One that values the input of team members and peers, but the responsibility of making the final decision rests with the participative leader - CORRECT ANSWER C One of decentralization of power and/or control, at least within specific departments Explanation Horizontal organization is one of decentralization of power and/or control, at least within specific departments. The emphasis is placed on horizontal collaboration. 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 - CORRECT ANSWER A Vertical integration Explanation Critical skills in order to practice horizontal leadership include guiding evidence-based practice, healthcare outcomes, lateral integration, use of feedback, coaching, and leading teams. How does a clinical nurse leader (CNL) best promote a culture of safety? A The CNL evaluates various nursing interventions when applicable. B The CNL develops the skills to lead teams to reach the desired goal. C The CNL evaluates and assesses risks to patient safety and works within a team to design and implement systems that support safe patient care. D The CNL continues to act as a mentor in the design of care, as well as in the professional development of individual nurses. - CORRECT ANSWER C The CNL evaluates and assesses risks to patient safety and works within a team to design and implement systems that support safe patient care. Explanation To promote a culture of safety, the clinical nurse leader (CNL) learns how to evaluate and assess risks to patient safety and then works within the team to design and implement systems that support safe patient care. As a clinical nurse leader (CNL), you are assigned to be a team leader for a specific project within your microsystem. Which of the following is not considered a tool for success? A Establishing team ground rules B Creating conflict on sensitive issues prior to the meeting C Developing an agenda D Providing members with meeting-minutes - CORRECT ANSWER B Creating conflict on sensitive issues prior to the meeting Explanation Leader tools for success include agendas, meeting-minutes, as well as team ground rules for CNLs to use. Discussion-sensitive issues that create conflict are not an effective method for leading a team that will need to work collaboratively on a project. What best describes the difference between mentoring and coaching? A Mentoring involves a long-term relationship as compared to coaching which is short-term. B Coaching focuses on learning, more complex ways of thinking, and problem solving. C Mentoring evaluates team members and constructively criticizes team members' performances. D Coaching helps other nurses achieve desired professional goals. - CORRECT ANSWER A Mentoring involves a long-term relationship as compared to coaching which is short-term. Explanation Mentoring involves a long-term relationship oriented toward nurses who are focused on advancing clinically. Coaching involves evaluating team members and constructively criticizing team members' performances. The process of designing quality improvement requires the clinical nurse leader (CNL) to develop and lead a team of individuals toward what type of goal? A Short-term B Common C Time-oriented D Long-term - CORRECT ANSWER B Common Explanation The process of designing quality improvement requires the CNL to develop and lead a team of individuals toward a common goal. A patient for whom you are caring has a complicated medical history with a multitude of acute problems. As the clinical nurse leader (CNL), you ensure that everyone caring for that patient understands the entire plan of care. This is an example of which type of leadership or CNL role? A Horizontal leadership B Vertical leadership C Coordinator D Lateral integration - CORRECT ANSWER D Lateral integration Explanation The CNL lateral integrator role can be compared to that of the air traffic controller who has a balcony view of what is happening with the patient and healthcare team and system. What does the clinical nurse leader (CNL) use to guide decisions regarding care and leadership decisions as well as to improve the quality of patient care in the microsystem? A Research B Patient satisfaction scores C healthcare outcomes D Evidence-based practice - CORRECT ANSWER D Evidence-based practice Explanation The CNL uses evidence-based practice to guide decisions regarding care and leadership decisions and to improve the quality of patient care in the microsystem. Which of the following skills is not included when providing feedback? A Clearly stating what you plan to say B Using "you" statements rather than "I" statements C Avoiding giving advice D Avoiding generalization - CORRECT ANSWER B Using "you" statements rather than "I" statements Explanation Giving and receiving feedback are part of horizontal leadership. Feedback should include the use of "I" statements rather than "you" statements. Which of the following is not an example of how the clinical nurse leader (CNL) uses effective communication? A Conveying clear and detailed messages B Active listening C Nonverbal communication D Assertiveness - CORRECT ANSWER A Conveying clear and detailed messages Explanation Effective communication includes verbal and nonverbal communication, active listening, assertiveness, conveying clear and simple messages, and being specific. Care provided by multiple interdependent and independent disciplines across a continuum of patient admission or experience is known as which of the following? A Horizontal leadership B Coaching C Mentoring D Lateral integration - CORRECT ANSWER D Lateral Integration Explanation Lateral integration is defined as the integration of care provided by multiple interdependent and independent disciplines across a continuum of patient admission or experience. What is the best way for the clinical nurse leader (CNL) to integrate evidence-based practice (EBP) into patient care? A Post EBP articles throughout the unit. B Ask staff members to research articles about EBP. C Use EBP principles to design care for individuals or populations. D Educate the staff on the definition of EBP and how it can be applied to practice. - CORRECT ANSWER D Educate the staff on the definition of EBP and how it can be applied to practice. Explanation In order for evidence-based practice (EBP) to be integrated into care, the CNL may need to educate the staff on the definition of EBP and how it can be applied to practice. With whom should the clinical nurse leader (CNL) collaborate in order to promote an environment of safety and ethical care? A Charge nurse B Nurse Manager C Administration, nurse manager, and nursing team D Staff members - CORRECT ANSWER C Administration, nurse manager, and nursing team Explanation The CNL collaborates with the administration and/or nurse manager as well as all members of the team (e.g., nurses, aides) to promote an environment of safety and ethical care. Which of the following best describes the essential critical listening concept of ethos? A Speaker credibility, expertness, and trustworthiness B Interactive engagement requiring full, focused attention C Logical arguments, valid inferences, and conclusions D Psychological appeal to needs and values of audience - CORRECT ANSWER A Speaker credibility, expertness, and trustworthiness Explanation Ethos refers to the credibility of the speaker including expertness and trustworthiness. James is a clinical nurse leader (CNL) working with congestive heart failure patients at the local community health clinic. James works with the patients and interdisciplinary team to ensure safe, high quality, efficient, patient-centered care. Which of the following best describes what James is demonstrating? A Coordination B Communication C Collaboration D Evaluation - CORRECT ANSWER C Collaboration Explanation Collaboration is a joint effort of a team with a common goal to improve patient outcomes. The clinical nurse leader (CNL) observes nursing staff not utilizing purposeful hourly rounding on a cardiac unit. Which of the following best describes how the CNL can increase communication utilizing purposeful hourly rounding with the staff? A Develop a checklist for staff to utilize when performing purposeful hourly rounding. B Participate in a simulation exercise in which the staff performs purposeful hourly rounding. C Give the staff articles about the effectiveness of purposeful hourly rounding. D Develop a team to identify common barriers to purposeful hourly rounding. - CORRECT ANSWER B Participate in a simulation exercise in which the staff performs purposeful hourly rounding. Explanation The CNL can increase communication and provide constructive feedback to staff during simulation exercises. 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 - CORRECT ANSWER B Lateral integrator Explanation 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. Nina is a new graduate nurse on a medical-surgical unit and is caring for an 84-year-old male with diabetes mellitus. Nina asks the clinical nurse leader (CNL) on the unit how best to educate the patient on insulin administration. Which of the following is the best suggestion by the CNL? A Show the patient a video of insulin administration. B Have the patient practice the use of insulin administration using saline. C Provide the patient with a link to a You-Tube video for further education after discharge. D Give the patient a diabetes survival skills packet to read. - CORRECT ANSWER B Have the patient practice the use of insulin administration using saline. Explanation The best way to communicate with the patient is in person. By utilizing demonstration, the nurse will be able to ensure the patient is correctly administering insulin and communicate any corrections. A 24-bed critical care unit has experienced an increase in ventilator-associated pneumonia (VAP) within the past year. The clinical nurse leader (CNL) is asked to facilitate a workgroup focused on developing a plan to prevent VAP. Which of the following best exhibits how the CNL promotes communication within the team? A Assigns each member a role, ensuring everyone understands his or her job. B Engages the team in shared decision making before finalizing a plan. C Shares clear goals, messages, and plans with the team throughout the process. D Synthesizes the input from the team to find common themes and goals. - CORRECT ANSWER C Shares clear goals, messages, and plans with the team throughout the process. Explanation The CNL communicates within a team by fostering the flow of information and serving as a translator. The CNL actively solicits input and shares information with the team. [Show More]

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