Clinic Nurse Leader 245 Questions with Verified Answers
Gap Analysis - CORRECT ANSWER Compares ACTUAL performance with POTENTIAL/desired performance
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Evaluates the strengths and weaknesses of the team in relation to required outcomes
A good tool for analysis to gain better understanding of the team's functioning
3 phases of knowledge transfer when using EBP - CORRECT ANSWER 1. Knowledge creation and distillation (research and recommendations for clinical practice)
2. Diffusion and Dissemination (distribute info to users, partner with organizations like professional nursing orgs)
3. Implementation and Institutionalization (end user adoption - health care systems adopt practices)
Examples of restraining forces in Lewin's Change theory - CORRECT ANSWER work against the driving forces to inhibit change
example: want to quit smoking but live with people who smoke so hard to quit in that living situation
Examples of driving forces for Lewin's change theory - CORRECT ANSWER factors that support change or push patient towards necessary changes
such as the drive to quit smoking to breathe easier
Peplau's Theory of Interpersonal Relations - CORRECT ANSWER focuses on relationship between patient and nurse
4 phases:
1. Orientation - seeks help through appts, treatment, etc. for RN to determine patients need for assistance
2. Identification - help identify who can help, set goals of care
3. Exploitation - receives care from rN
4. Resolution - care is completed
Total patient care. - CORRECT ANSWER One nurse is responsible for planning, organizing and delivery of care to a
particular client or group of clients during the assigned shift
Primary nursing - CORRECT ANSWER a method of care in which the same RN assigned to same patient over time; assumes 24 hour responsibility for planning, directing, and evaluating
client care from the time of admission through discharge
team nursing - CORRECT ANSWER a nursing care pattern; a team of nursing staff is led by an RN who decides the amount and kind of care each person needs - each member responsible for certain cares such as ADLs or meds
Each team member is able to contribute their own special expertise or skills caring for the client
Continuity of care may suffer if daily assignment of team varies and client is exposed to
many different caregivers.
relative risk - CORRECT ANSWER used when the study involves comparing the likelihood, or chance, of an event occurring between two groups
ratio of the absolute risk of a disease among the exposed group to the absolute risk of the disease among the unexposed group in an epidemiologic study
confidence interval - CORRECT ANSWER the range of values within which a population parameter is estimated to lie based on a random sample of the population.
The most common interval is the 95% confidence interval. It represents the range that one can be 95% confident that the population parameter lies.
confounding - CORRECT ANSWER distortion in the degree of association because researcher failed to control, or eliminate the confounding variable, damaging the internal validity of an experiment.
occurs when two variables are associated in such a way that their effects on a response variable cannot be distinguished from each other
internal validity - CORRECT ANSWER extent to which a piece of evidence supports a claim about cause and effect & degree to which the results of a study are not due to bias or confounding
External validity - CORRECT ANSWER the degree to which the results of the original study are applicable to a population other than the one initially targeted = generalizability
An oral glucose tolerance test (OGTT) measures - CORRECT ANSWER your blood sugar after you have gone at least eight hours without eating and two hours after you drink a glucose-containing beverage. This test can be used to diagnose diabetes or prediabetes.
Oral Glucose Tolerance Test (OGTT) result of 150 means what?
A. Based on a value greater than 140 mg/dL, the patient should have 3-hour 100-g OGTT
within 1 week.
B. The results are within normal limits and do not meet the threshold for the diagnosis of gestational diabetes.
C. A fasting blood sugar should be checked as soon as possible.
D. Based on this abnormal value, the 3-hour OGTT is not required. - CORRECT ANSWER A. Based on a value greater than 140 mg/dL, the patient should have 3-hour 100-g OGTT
within 1 week.
Rationale: If your blood glucose is higher than 140 mg/dL, the next step is the oral 3-hour glucose tolerance test. This test will determine if you have gestational diabetes.
After performing the literature review and developing a PICOT question, what should you do next before implementation?
A. Form a team of stakeholders
B. Develop a comparison group
C. Talk to the manager
D. Start the implementation process - CORRECT ANSWER A. Form a team of stakeholders
Rationale: After performing the literature review and developing a PICOT question, you should create a team of stakeholders to ensure the intervention has the appropriate resources to make the study successful.
Pt has a blood sugar of 58 with headache and blurry vision.
Which of the following interventions is appropriate for the nurse to tell the CNL?
A. The patient is experiencing hyperglycemia and should be given a protein snack.
B. The patient is experiencing hyperglycemia and should be given insulin and 1 cup of milk.
C. The patient is experiencing hypoglycemia and should be given insulin and 1 cup of orange juice. D. The patient is experiencing hypoglycemia and should be given 1 cup of skim milk. - CORRECT ANSWER D. The patient is experiencing hypoglycemia and should be given 1 cup of skim milk.
Rationale: The patient's fasting blood sugar is below 60 mm/dL and is symptomatic. She must be treated for hypoglycemia by drinking 1 cup of skim milk, or 1⁄2 cup of juice, or 1⁄2 cup of soft drink.
As a trial CNL, whose buy-in will be the most important in fully implementing the CNL role in the hospital?
A. The chief nursing officer (CNO)
B. The unit manager
C. The members of the interdisciplinary team
D. The staff affected by your outcomes - CORRECT ANSWER The chief nursing officer (CNO)
CNO will have the most influence in your hospital
Orem's self care deficit theory - CORRECT ANSWER The nurse's actions are directed toward assisting the patient to assume responsibility for self-care & based on the premise that all individuals are capable of self-care
1st step: identifying and prioritizing the client's unmet self-care needs (deficits).
2nd step: selecting methods of assisting the client to compensate for or overcome his self-care deficits.
Leininger's Culture Care Theory - CORRECT ANSWER Theory of cultural care diversity and universality -
Integrates patients' cultural traditions, values and beliefs into care plans
Care fits with or have beneficial meaning and health outcomes for people of different or similar culture backgrounds.
similar to transcultural nursing
(CPOE) Computerized physician order entry - CORRECT ANSWER Feature of the EHR that assures standardized, legible communication of the medical plan of care to other members of the healthcare team
Helps prevent errors
(HIE) health information exchange - CORRECT ANSWER Allows for multiple health care organizations serving a client to share health information across electronic networks , allows for timely access to client information for providers
Although have to be careful with protected health information/HIPAA
perceived conflict (felt conflict) - CORRECT ANSWER perceive that their situation is characterized by incompatibility and interdependence
mistrust, hostility, and fear; misunderstanding each other or jumping to conclusions based on limited information
Negotiating Conflict Style - CORRECT ANSWER Resolve the conflict through assertive give and take concessions
to deal or bargain with another - seeks agreement but not necessarily consensus; solution is rather permanent;
revenue budget - CORRECT ANSWER A budget that lists forecasted and actual revenues of the organization
A projection of expected income for a budget period based on volume and mix of patients, rates, and discounts.
Zero-based budgeting (ZBB) - CORRECT ANSWER a method of budgeting in which managers thoroughly reevaluate organizational activities to determine their true level of importance ( all expenses must be justified for each new period)
5 rights of delegation - CORRECT ANSWER 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision
accomodating conflict style - CORRECT ANSWER cooperating in that one side gives in to the other side
compromising conflict style - CORRECT ANSWER each side gives something up and gains something; group members concede some goals in order to achieve other more important goals
collaborating conflict style - CORRECT ANSWER seeks joint resolution w/ best solution for all - develop optimal outcomes
but does take a lot of time - requires commitment
Confronting - CORRECT ANSWER immediate and obvious movement to stop conflict at the very start
Does not allow conflict to take root; very powerful.
Conflict Management Strategies - CORRECT ANSWER Avoidance
Accommodation
Competing
Compromise
Collaboration
Negotiating
Confronting
Organizational conflict - CORRECT ANSWER One person or a group vs an organization
Example: competition for resources; Quality of patient care (nurse patient ratio) competing with COST
interpersonal conflict - CORRECT ANSWER conflict that occurs between two or more individuals or team to team
intrapersonal conflict - CORRECT ANSWER conflict that occurs within an individual
ex. should I call in sick and attend my daughter's birthday party- I asked for the day off and didn't get it
Overt behavior in conflict - CORRECT ANSWER Behavior that is directly observed - aggression, competition, debate, or problem solving.
covert behavior during a conflict - CORRECT ANSWER a response that is internal or hidden from view - scapegoating, avoiding or apathy
antecedent conflict conditions - CORRECT ANSWER increase in conflict, incompatible goals, role conflict, structural conflict, competition for resources, differences in values and beliefs.
phenomenlogical research - CORRECT ANSWER inductive descriptive approach used to describe an experience as it is lived by an individual
grounded theory research - CORRECT ANSWER discover the problems that exist in a social scene and the process that persons involved use to handle them - how people define reality and how their beliefs are related to actions
Change agent strategies - CORRECT ANSWER Power-coercive: applies power from authority, economic sanctions, or political clout (e.g. don't text and drive or you'll get a ticket)
Empirical-rational: assumes ppl are rational and will follow self-interest (e.g. don't text and drive or you will get hurt)
Normative-reeducative: assumes ppl act in accordance with social norms and values (e.g. don't text and drive - "everyone's doing it')
Justice - CORRECT ANSWER fairness
Values - CORRECT ANSWER the ideas, beliefs, and attitudes about what is important that help guide the way you live
Distributive Justice - CORRECT ANSWER perceived fairness of the amount and allocation of rewards/goods among individuals in a society
Bureaucratic leadership/Hierarchical leadership - CORRECT ANSWER Hierarchy of authority - strictly follows set of rules/policies, assumes individuals are motivated by external factors
Trusts neither followers or self to make decisions so relies on organizational policies and rules
Clinical Decision Support (CDS) - CORRECT ANSWER A set of patient-centered tools embedded within EHR software that can be used to improve patient safety, ensure that care conforms to published protocol for specific conditions, and reduce duplicate or unnecessary care and its associated costs
Such as pop up reminders or alerts for interacting drugs
address deficits in documentation; consider potential outcomes to their decision making, or as reminders to order screening tests
Allocation focus of a policy means - CORRECT ANSWER providing resources (income, services, goods) to ensure policy implementation
Regulatory intent of policies focuses on - CORRECT ANSWER prescribing and controlling behavior of particular population
autocratic leadership - CORRECT ANSWER leadership style that involves making managerial decisions without consulting others - leader makes all decisions and directs followers behavior
authoritative control over group, assumes individuals are motivated by external forces,
democratic leadership - CORRECT ANSWER A form of leadership in which the leader solicits input from subordinates - consider employees opinions, suggestions, and concerns, - involves the whole group in decision making
laissez-faire leadership - CORRECT ANSWER allows the group to function more or less on its own, leaders are hand off
Group members make own decisions - Lack of responsibility in leading
Question:
A staff nurse is curious about whether emptying the nasogastric (NG) suction canister is a task that can be delegated to a CNA. You, the CNL, guide her to what resource?
A. The unit charge nurse
B. Hospital policy/procedure manual
C. The State Board of Nursing Scope of Practice D. The Joint Commission website - CORRECT ANSWER The State Board of Nursing Scope of Practice
Rationale: The most reliable source for what tasks may be delegated is the individual state's scope of practice.
What p-value indicates a significant statistical finding in research? - CORRECT ANSWER Less than 0.05
Transtheoretical Model of Change - CORRECT ANSWER Prochaska and Diclemente's model
to conceptualize the process of intentional behavior change
Patients may spiral in and out of stages, forward and back
Question: During the policy formulation phase, all of the following are correct except:
A. Possible solutions are offered.
B. Political circumstances are considered.
C. A problem is identified.
D. Policy decisions are adjusted to accommodate changing circumstances or needs. - CORRECT ANSWER D. Policy decisions are adjusted to accommodate changing circumstances or needs.
Rationale: Policy formulation is the development of effective and acceptable courses of action in order to address what has been placed on the policy agenda. This should include the following characteristics: (a) The problem is identified, (b) possible solutions are offered, (c) political circumstances are considered, and (d) policy makers, stakeholders, and legislative staff are involved.
servant leadership - CORRECT ANSWER focuses on increased service to others rather than to oneself
Leading originates from a desire to serve, leader emerges when others' needs take priority
focus on whether the least advantaged in society benefit from the leader's service
Question: You are a CNL on an oncology unit. Recently, there has been an increase in the number of catheter- associated urinary tract infections (CAUTIs) on your unit. After shadowing nurses and aides you observed a variety of practices, techniques, and expectations surrounding daily catheter care. Your hospital does not have a current policy or procedure regarding catheter care. As the CNL, what should you do next?
A. Review current evidence for catheter care practice and disseminate evidence to the staff
B. Form an interdisciplinary team meeting to evaluate current hospital catheter care policies
C. Create a rubric for educating patients and staff on catheter care
D. Discuss with the unit manager the clinical issue and create a set of evidence-based unit expectations and practices for the oncology unit. Evaluate the need to address this issue with a hospital-wide policy or procedure - CORRECT ANSWER Discuss with the unit manager the clinical issue and create a set of evidence-based unit expectations and practices for the oncology unit. Evaluate the need to address this issue with a hospital-wide policy or procedure
Rationale: The CNL should act to solve the clinical issue in the short term, and evaluate the need for a larger policy to address gaps in practice hospital-wide.
Hawthorne effect - CORRECT ANSWER A change in a subject's behavior caused simply by the awareness of being studied - people act as expected when
being watched, the act of research effects the outcome.
Neoclassical Theory - CORRECT ANSWER A modification of classical theory with human component
believe in cooperation and participation, tapping into
motivation of the individual
Classical Organizational Theory - CORRECT ANSWER An early approach to the study of management that focused on the most efficient way of structuring organizations - efficiency through design
What are different organizational theories? - CORRECT ANSWER 1. classical
2. neoclassical
3. systems theory
4. contingency theory
5. chaos theory
Contigency Theory - CORRECT ANSWER Dependent on environment; performance can be enhanced by matching an organizational structure to its environment
Optimal form of the organization is CONTIGENT upon the challenges
and circumstances of the environment
no one best way of leading, and that a leadership style that is effective in some situations may not be successful in others.
Question: What organizational theory is used with rapid, unpredictable, and constant change?
A. Systems theory
B. Chaos theory
C. Change theory
D. Traditional theory - CORRECT ANSWER Chaos theory
quasi-experiment - CORRECT ANSWER an experiment that estimates the causal impact of an intervention on target population WITHOUT random assignment
Can be used to include pre and post measures/surveys
Run chart - CORRECT ANSWER tool for tracking results over a period of time - Line graph of data plotted over time
Shows trends/patterns
Question: A CNL in the emergency department (ED) is auditing stroke patients' charts and the administration of tissue plasminogen activator (tPA) and notices that only 83% of patients who are eligible to receive tPA are receiving it. The CNL knows that the 83% administration rate is below the national benchmark. The CNL identifies that there is a time lag in MRI. The CNL creates a stroke team to develop a guideline implementation action plan to improve the process of timing of the MRI. What is the best tool utilized by the CNL in implementing change?
A. Research study
B. Meta-analysis
C. Plan-Do-Study-Act (PDSA) D. Standardize-Do-Study-Act - CORRECT ANSWER Plan-Do-Study-Act (PDSA)
Rationale: PDSA is a model for quickly and easily testing ideas that could lead to improvement, based on existing ideas, research, feedback, theory, reviews, audits, or evidence of what has worked elsewhere.
Mesosystem - CORRECT ANSWER Multiple similar microsystems in a division of the hospital
ethnographic research - CORRECT ANSWER the study of human behavior in its natural environment & promotes culturally sensitive care - obtain perspectives beyond own culture
What are some examples of how you increase EBP into unit practice? - CORRECT ANSWER -Ensure policies/procedures are based on recent literature
-Journal Clubs
-Nursing grand Rounds
Group think - CORRECT ANSWER the mode of thinking that occurs when the desire for harmony in a decision-making group overrides a realistic appraisal of alternatives
Conflict resolution phenomenon when group members try to decrease conflict by reaching consensus too early without all ideas/consequences discussed
Interferes with critical thinking
Pareto Chart - CORRECT ANSWER a bar chart on which factors are plotted to help identify top rates and guide a focus of primary issues - bar height reflects frequency or impact of causes (descending bars)
help identify the causes that are likely to have the greatest impact on the problem if addressed - guide the process of selecting key, high impact improvements
Some causes have a much greater effect on problem we want to address than others: "80% of the effects come from 20% of the causes"
Question: A professor is discussing the difference between quantitative and qualitative research. As a CNL student, you are aware that quantitative research is related to numeric data with statistical analysis, while qualitative research focuses on non-numeric forms of research. Which of the following is an example of a quantitative study?
A. Personal interviews
B. Randomized controlled trial (RCT)
C. Ethnography
D. Phenomenology - CORRECT ANSWER RCT
Rationale: RCT is a quantitative research process that is a true experiment; it is the strongest design to support cause-and-effect relationships, in which subjects are randomly selected.
Histogram Chart - CORRECT ANSWER graphical representation of data
Lewin's Change Model - CORRECT ANSWER 1. Unfreezing
2. Changing
3. Refreezing
Question: Quality improvement (QI), as a function of the CNL role, is related to which core role competency of the CNL?
A. Client advocacy
B. Clinician
C. Risk anticipator
D. Team manager - CORRECT ANSWER Risk anticipator
Rationale: QI is a direct function of risk anticipation
Flowchart - CORRECT ANSWER A diagram that shows step-by-step progression through a procedure or system
Maps out and helps visualize problem
Fishbone chart - CORRECT ANSWER used to aid in brainstorming and isolating the potential causes of a problem - Help identify root causes
Cause and effect diagram
Bounded Rationality Model - CORRECT ANSWER According to this decision making model, individuals knowingly limit their options to a manageable set and choose the first acceptable alternative without conducting an exhaustive search for alternatives
emphasizes limitations of rationality of the decision maker
Question: A group composed of unit-based council members was put on a task force to improve the discharge planning process because patients felt unprepared and rushed at discharge. A decision was made to create a discharge planning nurse position to educate patients the night before the discharge. Even though the new nurses did not like this solution, they deferred to the senior nurses of this group who were adamant about implementing this position. Which barrier to effective teamwork does this exemplify?
A. Physical threats
B. Groupthink
C. Team dysfunction - CORRECT ANSWER B. Groupthink
Rationale: Groupthink is a phenomenon that occurs when group members try to minimize conflict and reach consensus too early without fully vetting all ideas and consequences.
Delphi Technique - CORRECT ANSWER A decision-making technique in which group members do not meet face-to-face but respond to questions posed by the group leader systematically - ex. Survey monkey
Transtheoretical Model of Change parts - CORRECT ANSWER -Precontemplation
-Contemplation
-Preparation
-Action
-Maintenance
Pender's Health Promotion Model - CORRECT ANSWER health promotion activities to increase levels of well in that each person has unique personal characteristics/experiences that affect their choices of actions
they have 1. individual experiences/characteristics that effect choice of action, 2. behavior specific thoughts, and 3. different believed outcomes/perceived benefits of anticipated outcomes
Chaos Theory/Model - CORRECT ANSWER Rapid changes, frequent
The world is not orderly
must adapt and change, be flexible
Bioethical Decision Model - CORRECT ANSWER 10 step process in order to help with decisions in ethical dilemma
Includes reviewing the situation, gathering information, identifying ethical issues, look at moral positions, identifying actions with outcomes, then deciding on action, and evaluating results
Question: The CNL of the heart failure unit encourages the staff to earn advanced degrees, obtain certifications, and present and publish EBP projects. The CNL exhibits which type of leadership style?
A. Relational leadership
B. Transactional leadership
C. Situational leadership
D. Transformational leadership - CORRECT ANSWER Transformational Leadership
Rationale: A transformational leader motivates others to higher performance.
Relational (Connective) Leadership - CORRECT ANSWER A leadership style that values collaboration and teamwork; interpersonal skills are used to promote collegiality in achieving organizational goals
Create positive relationships within the organization
Situational Leadership Theory - CORRECT ANSWER a leadership contingency theory that focuses on followers' readiness; adjust style to fit developmental level of followers trying to influence
Fidelity - CORRECT ANSWER principle of keeping one's promise or word
veracity - CORRECT ANSWER obligation to tell the truth
According to the Diffusion of Innovation theory what 2 groups should you focus on when you want to have successful support for a change? - CORRECT ANSWER Focus on the early and late majority adopters to support change for success as majority of the general population tends to fall in the middle categories
Non-maleficence - CORRECT ANSWER doing no harm
beneficence - CORRECT ANSWER to do good to others
Steps of Diffusion of innovation theory - CORRECT ANSWER 1. Knowledge (exposure to innovation, they lack information)
2. Persuasion (interested in innovation and seeks information about it)
3. Decision (advantages vs disadvantages, accept or reject)
4. Implementation (usefulness of intervention)
5. Confirmation (either continue to use or not)
Diffusion of Innovation Theory - CORRECT ANSWER Roger's theory - explain how a new idea or product gains acceptance and diffuses/spreads through a specific population or subset of an organization.
Some people are more apt to adopt the innovation than others - initial rejection does not necessarily mean
the change will never be adopted
Includes: innovators, early adopters, early majority, late majority, laggards
Looks like a bell curve in that majority of the general population tends to fall in the middle categories
NDNQI (National Database of Nursing Quality Indicators) - CORRECT ANSWER Helps give benchmarks and hospital specific measurements of nursing indicators
Falls (with and without injury)
Pressure ulcers
RN surveys/satisfaction, pain assessment
Restraints
Nurse turnover
HAI (VAPs, CLABSIs, CAUTIs)
MORAL model - CORRECT ANSWER helps make ethical decisions
M: massage the dilemma - identify and define issues, consider opinions of others and their value system
O: outline the options - examine all options fully, make a list of pros and cons
R: resolve the dilemma, review issues/options, apply ethical principles to each option, decide best option
A: act on chosen option, actual implementation
L: look back and evaluate entire process
Refreezing - CORRECT ANSWER 3rd step of lewin's change model
establishing change as the new habit
Moving - CORRECT ANSWER The second step in Lewin's change model, in which new attitudes, values, and behaviors are substituted for old ones
Question: A small group has been formed on the medical-surgical unit to implement change. Team members also have struggles over decision making and clarity of purpose. What stage of the Tuckman and Jensen's model is represented by members communicating their feelings but still viewing themselves as individuals rather than part of the team?
A. Performing
B. Norming
C. Forming
D. Storming - CORRECT ANSWER Storming
Rationale: The storming phase is where competition and conflict are at their highest.
Leadership behavioral theory - CORRECT ANSWER Based upon belief that leaders can be made and can learn to be successful leaders through teaching and observation
Leadership trait theory - CORRECT ANSWER Based on the assumption that leaders are born with certain traits and characteristics (inherited character traits suited to leadership) that make them ideal leaders
Belief people are born leaders or not
Horizontal leadership - CORRECT ANSWER Leadership focus on collaboration and equality within group, everyone involved in objectives and protocols
Vertical Leadership - CORRECT ANSWER top down style leadership
organizational objectives, protocols, etc. are crafted at highest leadership level and transmitted down without seeking others input in design
Unfreezing - CORRECT ANSWER first step of Lewin's change model - finding a method to let go of old pattern that was counterproductive in some way
Motivating others and encouraging buy in (time for assessing and motivating)
Sentinel event - CORRECT ANSWER Unintended event that results in SIGNIFICANT harm, physical or psychological to patient
6 aims of quality care by the IOM - CORRECT ANSWER 1. safe,
2. timely,
3. patient centered, 4. effective,
5. efficient
6. and equitable
8 steps of Quality Improvement - CORRECT ANSWER 1. Establish clear aim/purpose
2. Review the literature
3. Examine resources
4. Map current processes
5. Analyze root cause
6. Appropriate tools selected for analysis
7. Measures and metrics selected to measure success of initiative
8. Rapid Cyclical Review of plan, data, interventions, and outcomes
Question: Failure mode-effect analysis is best used as follows:
A. In response to a critical or sentinel event
B. Prior to a process implementation or change C. As part of a random audit process
D. In response to malfunctioning tools or equipment - CORRECT ANSWER B. Prior to a process implementation or change
Rationale: The purpose of a failure mode-effect analysis is to anticipate potential problems; by virtue, this is best conducted prior to a process implementation.
What are the 5 Ps of microsystem assessment? - CORRECT ANSWER Patients (characteristics)
Professionals (who delivers care)
Purpose (mission of setting)
Processes (for delivering care)
Patterns
Complexity theory - CORRECT ANSWER belief that system self regulates and all things are connected.
Rapidly changing, & unpredictable health care environment = expect the unexpected
Focus on continual improvement
roots in Chaos Model and quantum physics
AKA quantum leadership?
Complexity theory has developed from the field of:
A. Nursing
B. Business
C. Industry
D. Quantum Physics - CORRECT ANSWER Quantum Physics - chaos theory
Quantum leadership - CORRECT ANSWER States that leaders must work together with subordinates to identify common goals and empower staff to make decisions for organizational productivity to occur
based off chaos theory - getting employees involved in decision making, is outcomes based, and appreciates that
the world is fluid and constantly changing.
Public Policy Formation Phases - CORRECT ANSWER 1. Issue identification and agenda setting
2. Policy formation
3. Policy adoption
4. Policy Implementation
5. Policy Evaluation
6. Policy revision/amendment
Logos - CORRECT ANSWER logical arguments - Thorough analysis: EBP, ensuring attention to detail
Pathos - CORRECT ANSWER psychological appeal - emotions, needs, values
Life long learner - CORRECT ANSWER CNLs role to pursue knowledge/skills
Member of profession role - CORRECT ANSWER CNLs role accountable for ongoing skills/knowledge of profession, network, learning activities each year, etc.
Question: The diabetes liaison on an adult medical-surgical unit informed the team that the unit was only 45% compliant with checking blood sugars within 15 minutes after a hypoglycemic event. The team decided to implement a process change to ensure the blood sugar recheck is completed within 15 minutes. The change was implemented and there was an increase to 85% compliance of hypoglycemic rechecks. What is the next step for the team in the PDSA cycle?
A. Plan
B. Do
C. Study
D. Act - CORRECT ANSWER Act
Rationale: After analysis of the results of the trial (also known as study), the team will then act by devising the next steps based on the analysis.
Healthy People 2020 - CORRECT ANSWER A set of disease prevention and health promotion objectives to meet to improve health of all Americans
published by the US department of Health and Human Services (USDHHS) - 10 year national objectives
3 key beliefs for a person to take a health related action when utilizing the Health Belief Model - CORRECT ANSWER 1. person feels that a negative health condition could be avoided by doing new action
2. Have a positive expectation that by following new action, they will avoid a negative health condition
3. Believe that they can successfully take that new health action
Health Belief Model - CORRECT ANSWER model for explaining how beliefs may influence behaviors focused on perceived susceptibility, severity, benefits, barriers, cues to action/readiness, and self efficacy
Helps for motivating people to take positive health actions for those that use the desire to avoid a negative health consequence as the primary motivation (such as exercising to avoid an MI or condoms to avoid HIV)
Question: The CNL has been requested to assist with end-of-life care decision making for an elderly homeless patient who has no family; he was deemed incompetent and is now unresponsive. The best decision- making guide that the CNL could use in this situation is:
A. Plan-Do-Study-Act (PDSA)
B. Autonomy model
C. Orem's self-care theory
D. MORAL model - CORRECT ANSWER MORAL model [Show Less]