Clinical Nurse Leader Exam 44 Questions with Verified Answers
Clinician - CORRECT ANSWER designer/coordinator/integrator/evaluator of care to
... [Show More] individuals, families, groups, communities, and populations; able to understand the rationale for care and competently deliver this care to an increasingly complex and diverse population in multiple environments
outcome manager - CORRECT ANSWER an individual who synthesizes data, information, and knowledge to evaluate and achieve optimal client outcomes
client advocate - CORRECT ANSWER an employee who is adept at ensuring that clients, families, and communities are well informed and included in care planning and is an informed leader for improving care
educator - CORRECT ANSWER uses appropriate teaching principles and strategies and current information, materials, and technologies to teach clients, groups, and other health care professionals under their supervision
information manager - CORRECT ANSWER an individual who is able to use information systems and technology that put knowledge at the point of care to improve health care outcomes
system analyst - CORRECT ANSWER participates in system review to improve quality of client care and delivery
risk anticipator - CORRECT ANSWER an individual who critically evaluates and anticipates risks to client safety with the aim of preventing medical error
team manager - CORRECT ANSWER able to properly delegate and manage the team resources (human and fiscal) and serve as a leader and partner in the interdisciplinary team
member of a profession - CORRECT ANSWER accountable for the ongoing acquisition of knowledge and skills to effect change in their practice and outcomes and in the profession
lifelong learner - CORRECT ANSWER The CNL recognizes the need for and actively pursues new knowledge and skills as one's role and the need of the health care system evolves
altruism - CORRECT ANSWER concern for the welfare and well being of others. in professional practice, altruism is reflected by the CNL's concern for the welfare of clients, other nurses, and other health care providers.
accountability - CORRECT ANSWER the right, power, and competence to act. includes the autonomy, authority, and control of one's actions and decisions
human dignity - CORRECT ANSWER respect for the inherent worth and uniqueness of individuals and populations. in professional practice, human dignity is reflected when the CNL values and respects all clients and colleagues
integrity - CORRECT ANSWER acting in accordance with an appropriate code of ethics and accepted standards of practice. Integrity is reflected in professional practice when the CNL is honest and provides care based on an ethical framework that is accepted within the profession
social justice - CORRECT ANSWER for the CNL, the value of social justice is particularly significant because it directly addresses disparities in health and health care. social justice is upholding moral, legal, and humanistic principles
macrosystem - CORRECT ANSWER an entire organization - hospital, with all of the departments interacting to provide optimal patient care
microsystem - CORRECT ANSWER group of professionals who work together on a regular basis to provide care to populations of patients on a specific unit. essential building blocks of the health care system. located on unit at the hospital, or a clinic, rehab unit, SNF, or anywhere else there are patients
mesosystem - CORRECT ANSWER mid level organizational structure. a nursing division - all nurses in a hospital belong the the mesosystem, all PT belong to a different mesosystem
lateral integration of care - CORRECT ANSWER there is a need for one clinician to manage care plans designed by various providers. The CNL works with all of the providers to create one, integrated plan of care; the center of the care is the patient, not the title of the provider
top-down leadership - CORRECT ANSWER organizational objectives, goals, and needs and resulting interventions, protocols, procedures, and workflow elements being crafted at the highest leadership level and transmitted down to the frontlines of staff without seeking their input in their design. often devoid of important details known to frontline staff but invisible to top leadership
bottom-up leadership - CORRECT ANSWER relies on the wisdom of those involved with the work, because they are most familiar of the work and its inefficiencies. lends itself to seeking frontline staff's meaningful input in the design of interventions, protocols, procedures, and workflow elements
system level issues - CORRECT ANSWER problems that occur due to the factors beyond one microsystem; an amalgam of factors throughout the macrosystem. ex: patient flow
outcomes - CORRECT ANSWER aka Nursing-Sensitive Indicators (NSIs): Clinical Quality Outcomes are patient conditions that are direct result of quality in structure, processes, and outcomes of nursing care. ex: if nurses don't perform sterile technique when inserting urinary cathetor, a UTI is likely
workflow - CORRECT ANSWER set of processes needed to be accomplished, set of people or other resources available to perform those processes, and the interactions among them
acuity - CORRECT ANSWER Level of intensity of care required by patients
Case Mix - CORRECT ANSWER The mix (variety) of patients for whom care is delivered organized by specific characteristics (e.g., gender, DRG, payer)
cost center - CORRECT ANSWER a microsystem responsible for providing services and monitoring the costs associated with such service provision
Diagnosis-related groups (DRGs) - CORRECT ANSWER group used by Medicare and other payers to determine reimbursement to organizations and providers
Direct costs - CORRECT ANSWER costs that are directly related to the provision of service; the cost can be specifically identified for an individual patient or activity (nurse caring for the patient, supplies used for the needed dressing, food provided, linen provided throughout the day)
Expenses - CORRECT ANSWER Dollars owed as a result of both services delivered and organizational costs incurred in the delivery
First-party payers - CORRECT ANSWER Individuals responsible for payment of services rendered
Gross domestic product - CORRECT ANSWER Market value of all goods and services produced (created) within a country in a specific period
ICD-10- CM - CORRECT ANSWER International Classification of Diseases, 10th Revision, Clinical Manifestations; used for documentation
FTE - CORRECT ANSWER full time equivalent based on a 40-hour week for 2,080 hours per year; expressed as a 1.0 or fraction thereof; a 0.5 FTE is one-half of 2,080 hours or coverage for 20 hours per week; an FTE is not an individual but a position with hours associated with it.
HCPPD - CORRECT ANSWER Hours of care per patient day; a numerical expression of care a type of patient receives in a 24-hour period
productivity - CORRECT ANSWER the work product of a unit or individual based on the amount of work required and the hours available to deliver that care
staffing matrix - CORRECT ANSWER the number of staff assigned to work on a given shift on a given day
Staffing mix - CORRECT ANSWER the mixture of licensed and unlicensed staff as well as the type of license; a staffing mix may be 70% licensed and 30% unlicensed, with 80% of the licensed staff being RNs and the remaining 20% possessing an LPN license
medical home - CORRECT ANSWER The medical home is best described as a model or philosophy of primary care that is patient-centered, comprehensive, team-based, coordinated, accessible, and focused on quality and safety. It has become a widely accepted model for how primary care should be organized and delivered throughout the health care system, and is a philosophy of health care delivery that encourages providers and care teams to meet patients where they are, from the most simple to the most complex conditions.
prospective payments - CORRECT ANSWER since 1994, prospective payments is a system wherein reimbursement to hospitals or other organizations is based on DRG or ambulatory patient classification (APC)
second party payers - CORRECT ANSWER Reimbursement method in which the agency providing the services also pays for the service.
third party payer - CORRECT ANSWER private or government insurance entities who pay for all or some of the services provided
medicare - CORRECT ANSWER a governmental program related to social security for the elderly
medicaid - CORRECT ANSWER A program sponsored by state and federal government for low-income and disabled individuals; services and payment are provided. [Show Less]