Clinical Nurse Leader Certification Exam Questions and Answers with Rationales 2024, Exams of Nursing

Download Clinical Nurse Leader Certification Exam Questions and Answers with Rationales 2024 and more Exams Nursing in PDF only on Docsity! 1/86 Patient satisfaction scores in the emergency department (ED) have shown a downward trend over the past three quarters. As a clinical nurse leader (CNL) in the ED, your focus is to: Create a script for the triage nurse in welcoming the patient Assign a volunteer to welcome patients to the hospital Write a letter of apology to each dissatisfied patient ANS C: Client care outcomes are a measure of quality practice. CNLs must know how to compare desired outcomes that will improve safety, effectiveness, timeliness, efficiency, quality, and the degree to which they are client centered. Clinical Nurse Leader Certification Exam Questions and Answers with Rationales 2024 Correct! 1 / 1 pts Question 1 Compare desired outcomes with national and state standards 2/86 A lack of compliance with deep vein thrombosis (DVT) prophylaxis has been identified in retrospective chart reviews of all ischemic stroke patients in your organization. As a CNL on the neurological unit, your primary goal will include: 1 / 1 pts Question 2 5/86 Question 5 1 / 1 pts Several near misses were identified by ICU nurses who had mistaken invasive lines for intravenous ports for medication administration. You have completed an analysis of the issue. Your recommendations include: A double-check system for medication administration To facilitate a critical incident reporting structure that fosters a “without blame” unit culture A visual signal on all ports not intended for intravenous drugs ANS D: The CNL should support the staff to identify all opportunities for improving safety in this situation Correct! ANS B: Assessment includes gathering information about the health status of the client and analyzing and synthesizing those making judgments about nursing interventions on the basis of findings, evaluation, and managing of individual care outcomes. All of the above 6/86 You are using failure mode and effect analysis (FMEA) to anticipate the risk of medication errors in the ICU related to invasive lines. You begin your FMEA analysis with: The effects of each failure The potential cause of each failure Specific defects and delays in the medication administration process ANS C: Utilizing tools for process improvement can provide new insights into routine practices. The result of a workflow diagram of a clinician illustrates an excessive amount of walking to obtain supplies. Reducing the waste of motion adds value-added time that ultimately benefits: 1 / 1 pts Question 7 Correct! 1 / 1 pts Question 6 Process mapping 7/86 Your team is looking at the delays in the discharge process. Your cause and effect diagram includes: A run chart 1 / 1 pts Question 8 Correct! The patient The clinician Documentation None of the above ANS A: Process improvement enhances patient safety and nursing time at the bedside for the patient and family. 10/86 The concept that an organization is in a continued state of change describes which organizational theory: systems theory classical theory contingency theory ANS D: The chaos theory is 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. Before beginning data collection, what is the primary key factor to determine? 1 / 1 pts Question 12 Correct! 1 / 1 pts Question 11 Chaos theory 11/86 As the CNL on a cardiothoracic step-down unit, what is the one recommendation you would make to decrease the chance of readmission of your patient population? Visiting nursing for all patients 1 / 1 pts Question 13 Personnel to collect data A secure database for holding data Correct! Operational definitions of data A user-friendly collection method ANS C: Operational definitions clearly define what is to be collected and avoid confusion for those collecting the data. Clear operational definitions also helps those who are interpreting the data. Failure to determine operational definitions may result in data that are inaccurate 12/86 After careful review of unit processes, you have determined that the self meal order program was introduced 3 months ago. With this program, patients have the ability to order meals when they are ready to eat rather than eating at predetermined times set by the hospital. This change has altered the timing of medications previously given with meals. What does the CNL do to improve the process? 1 / 1 pts Question 14 All follow-up appointments scheduled prior to patient discharge Pharmacy to visit with each patient prior to discharge home to review medications Correct! All patients should be enrolled in a cardiac rehabilitation program ANS D: All patients should be enrolled in a cardiac rehabilitation program to assist the patient with making permanent lifestyle changes required to improve their health, well- being, and success after their illness. Because these programs provide ongoing support, teaching, and monitoring of health, it is the best choice. 15/86 Over the past few weeks, nurses on the 30-bed medical unit have been complaining the MD orders related to oxygen do not match what the patient is receiving. Often the patient has more than one oxygen order at the same time. This leads to confusion for nursing and respiratory care staff and could harm the patient. How can the CNL improve the practice? 1 / 1 pts Question 17 Correct! 60-year-old s/p liver biopsy 56-year-old with pneumonia 72-year-old hip replacement impatiently waiting for discharge ANS B: Post-op liver biopsy patients have an increased risk of bleeding and need close monitoring after the procedure. The question does not indicate how recently the biopsy was done and therefore this is the best choice based on the information provided. 16/86 The hospital has a goal for patient transfers from ICU to be completed by 12 noon. Your unit has a very low percentage for meeting this hospital goal. How can you best address this problem as the CNL? 1 / 1 pts Question 18 Correct! Using the informatics team as support, create a hard stop in the computer that does not allow the physician to activate a new oxygen order without discontinuing the previous order Tell the nurses they need to remind the doctors to keep orders up to date and have the nurses review orders at rounds with the team Meet with the unit hospitalist to make a plan to address the problem Do nothing since CNLs cannot write patient care orders ANS A: Having the informatics team develop a hard stop in the computer will allow the patient to have only one active oxygen order at a time. It is imperative that nurses and CNLs work with informatics professionals in the design of safe care. 17/86 You are the CNL at an outpatient care clinic providing care to families in the area. You have noticed it is difficult to get families to bring their children in for their immunizations, and 1 / 1 pts Question 19 Tell the charge nurse to discharge patients in the morning Ask the manager to staff an extra nurse on day shift to be the discharge nurse Correct! Use process mapping to determine all the possible factors that contribute to patient discharge and what barriers there are to discharge Don’t worry about the number; your unit meets the other hospital goals, so it is okay to miss one ANS C: Process mapping is a 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. 20/86 When trying to implement a change in the outpatient family clinic, which group of staff should the CNL focus on more? Correct! Late majority 1 / 1 pts Question 22 “The patient needs to be seen by the psychology team for an evaluation” Correct! “The patient may be following their religious practices and we need to support this” “The patient is depressed from being in the hospital” ANS C: We need to support patients’ religious practices whenever possible in the hospital. Considering it is Saturday and this patient is Jewish means the patient is recognizing the Sabbath. This means the patient will not use any electrical devices or ask to use them. The staff would have to ask whether a patient wants the television on or the lights turned on/off, and so on. Patients will also not use the phone or call bell system during the Sabbath. Staff need to be sensitive to patient needs and try to accommodate cultural and spiritual practices whenever possible. 21/86 You Answered Early majority Laggards Innovators ANS A: The innovators and early majority are going to be supportive of change and become champions for the project. The laggards make up a minority portion of the group and will be the last to adopt change. However, the late majority, which makes up a large percentage of the group, is the percentage that will need the most support during a change and they will be resistant. As the CNL on a medical unit, which of the following interventions would you support to reduce the readmission rate on your unit? Keep patients one extra day to ensure they are prepared for discharge home Arrange for all patients to have at least 1 week of visiting nursing post discharge Review discharge instructions with the patient and one family member 0 / 1 pts Question 23 22/86 Which type of evidence would you prefer to review and share with a team when trying to support whether an evidence-based intervention should be implemented on your unit? uncontrolled investigation quasi experimental Correct! experimental qualitative 1 / 1 pts Question 24 Correct Answer Begin discharge planning and teaching on the day of admission ANS D: Using every opportunity to communicate to and educate the patient and family on their care and planning for discharge will better prepare the patient and family for returning home. 25/86 Who can function as an important ally to the CNL in engaging frontline staff in a major initiative? 1 / 1 pts Question 28 To confirm a scope of practice question, the CNL should consult which administrative body guidelines: The Joint Commission Centers for Medicare and Medicaid Services Hospital Policy and Procedure Manual Correct! State Nursing Practice Act ANS D: Scope of practice is defined according to each individual state. The CNL must have a full understanding of licensure standards of practice according to role before delegation of tasks. 26/86 A team approach utilizing the integration of many different roles working toward common patient and family goals describes the objective of which type of team: 1 / 1 pts Question 29 Content expert Correct! Unit champion Initiative sponsor Senior leadership ANS B: Unit champions are individuals who work along frontline staff and have earned the respect and trust of their coworkers. Staff will follow their lead. The use of a physician champion is an especially useful strategy for engaging physicians in an initiative. Senior leadership and sponsors must also be engaged, especially financially, but are not as effective at the microsystem level as a unit champion. 27/86 Individual consults by many different health disciplines represent which type of approach: Correct! multidisciplinary Interdisciplinary 1 / 1 pts Question 30 Multidisciplinary team Correct! Interdisciplinary team Patient advocacy team Care coordination team ANS B: An interdisciplinary team is composed of many disciplines that all gather together at the same time to work toward a common patient and family goal, such as discharge coordination. 30/86 Question 33 1 / 1 pts What is the appropriate ending point of a root cause analysis (RCA)? When several possible reasons for the error have been identified When staff have identified what they think is the reason for the error Correct! When the list of causes is exhausted to no more possible causes The CNL can identify reasons for occurrence ANS A: The NDNQI (National Database of Nursing Quality Indicators) evaluates unit and hospital-specific nursing-sensitive data. NDNQI also provides benchmarks that can be used for comparison. 31/86 Question 34 1 / 1 pts When is an RCA performed? Prior to the initiation of a new treatment to anticipate possible problems During a process to evaluate ongoing problems As part of data analysis to understand why an intervention led to poor results ANS D: An RCA is performed as a way to gain insight into the factors that led to a serious safety event. It is a reactive activity with the intention of proactively designing solutions to processes that led to a problem. Correct! ANS C: When performing an RCA, the CNL must ask “why to saturation,” or until there are no more contributing root causes. This often consists of asking why five or more times. After a serious safety event has occurred 32/86 What is the purpose of a fishbone diagram? 1 / 1 pts Question 36 Correct Answe You Answered ANS: Complexity Theory is used to understand a rapidly changing, unpredictable healthcare environment. Leininger's Culture Care Diversity and Universality Theory Systems Theory Change Theory Complexity Theory r When CNLs are in school they learn that the best theory used to understand a rapidly changing, unpredictable healthcare environment is called? 0 / 1 pts Question 35 35/86 Question 39 1 / 1 pts One of the nurses on your unit was involved in a medication error. She revealed the error to both you and the nurse manager and documented the error in the online safety event reporting system. You meet with her and begin the process of identifying causes that led to this event, so the risk for future medication errors can be minimized. As evidenced by these actions, what is the culture of your hospital? A laissez-faire culture Correct! A just culture A punitive culture A structural culture D: The 30-day readmission rates are a key factor in CMS reimbursement rates to hospitals. A CNL should have a broad perspective of readmission rates across multiple settings. The CNL can then resource share with other areas to gain insight into best practices and pre-existing initiatives at the microsystem, hospital, state, and national levels. 36/86 Question 40 1 / 1 pts A patient on your unit is receiving an antibiotic and begins to develop a rash on their face, neck, and upper torso. You identify this to be a common adverse reaction to which antibiotic? Zosyn Levaquin Keflex Correct! Vancomycin ANS B: A just culture recognizes that humans are fallible, and errors may happen in systems that are flawed. A nonpunitive culture fosters patient safety principles, encouraging practitioners to report errors and near misses, which in turn enables organizations to address and correct flawed processes and systems. Errors that result from willfully negligent behavior are not a part of a just culture. 37/86 Correct! ANS D: A meta-analysis includes an analysis of multiple studies on that topic. Meta-analysis Case study Experimenta Nonexperimental When conducting a literature review, the publication that would provide a comprehensive summary of research on that topic would be: 1 / 1 pts Question 41 1 / 1 pts Question 42 ANS: Vancomycin. The development fo a rash on the face, neck, and upper torso is characteristic of Red Man Syndrome, a serious adverse reaction to vancomycin. 40/86 An elderly patient is admitted to your unit with a diagnosis of urinary tract infection. Which of the following is generally not a symptom of a urinary tract infection in the elderly? Confusion Disorientation Agitation Correct! Decrease appetite 1 / 1 pts Question 45 Correct! Are the nurses expressing an interest in evidence-based practice? Are the librarians available to assist nurses with evidence-based practice research? Are computers readily accessible to staff? ANS B: The organization is assessing environmental readiness, not interest. 41/86 Question 46 1 / 1 pts You are considering using a new type of Foley catheter in your setting when the sales representative mentions a study that the manufacturer conducted that showed a reduction of catheter-associated infections with the use of the new device. Which type of study would be most convincing of this new product’s potential value: Case study Expert opinion Nonrandomized controlled trial ANS B: This type of study would provide the highest level of evidence. Correct! ANS: Confusion, disorientation, and agitation are all symptoms of urinary tract infection in the elderly. Randomized controlled trial 42/86 In an effort to reduce central line infections, you have done some research and found evidence- based guidelines that you would like to implement at your organization. Your next step would be to: Gather data regarding central line infection rates at your institution Run a PDSA of the new guidelines Share what you have found with the manager ANS B: The team needs to be involved in the whole change process. 1 / 1 pts Question 48 Correct! 1 / 1 pts Question 47 Convene a team meeting to discuss the problem and impact of central line infections 45/86 Your hospital has just completed a study comparing outcomes in rehospitalization rates for CHF patients who either received predischarge teaching from an APRN with those who received 1 / 1 pts Question 51 A patient who has been diagnosed with colon cancer remarks that since his diagnosis, many people he knows have mentioned someone they know who has colon cancer. Most of these people live nearby. The patient asks you if colon cancer rates in the area have been increasing recently. The patient is asking about what type of measure: Correct! Incidence Prevalence Mortality Correlation ANS A: This would measure the number of new cases of colon cancer in the area during a specific period. 46/86 The CNL has the potential to be a powerful catalytic role that advances patient - and - family- centered care in a constantly changing healthcare arena. What key messages helps support this? 1 / 1 pts Question 52 predischarge teaching from an RN. In the analysis of data, what resulting p-value would indicate that the intervention had a significant result? Correct! <.05 <0.8 <.10 <.22 ANS A: A value less than 0.05 is a significant statistical finding in research. 47/86 A patient admitted to the hospital in hypertensive crisis is now receiving care at what level of prevention: Primary Secondary Correct! Tertiary None of these 1 / 1 pts Question 53 Participating as partial partners with physicians and other health professionals, in redesigning health care in the United States Practicing at a minimum level of education Effectively planning for workforce development through improved information infrastructure only Correct! Achieving a high level of education and practicing to the full extent of it 50/86 Medicaid covers which population: Employed Underinsured Unemployed ANS D: Medicaid is a publicly funded insurance provided to the poor and disabled in each state. Currently Medicare is moving from a fee-for-service model to a: 1 / 1 pts Question 57 Correct! 1 / 1 pts Question 56 Poor and disabled 51/86 Which most demonstrates advocacy toward a patient? Led interdisciplinary rounds on a group of patients Correct! Consulted a diabetic instructor for a patient who was found to have an HgB A1C of 13.1 1 / 1 pts Question 58 Managed care model Correct! Pay-for-performance model Private insurance model Advantage care model ANS B: Increasingly Medicare is adjusting reimbursement rates to providers on the basis of their patient outcomes. 52/86 A Korean patient is admitted who speaks little English. An example of culturally competent care is: Finding a nurse who speaks some Korean Transferring that patient to a floor that has a Korean-speaking secretary Calling the patient’s family to see if they speak any English Correct! Obtaining a Korean translator 1 / 1 pts Question 59 Met with the trauma team of physicians to update patient plans of care Conducted an in-service with the nursing staff on how to reduce falls for the unit ANS B: This is an example of a specific action by the CNL to improve care on a particular patient. 55/86 Question 62 0 / 1 pts One of your patients, a widow, is reaching end of life. The physician has adamantly suggested to the patient’s family to plan for death and to make the decision to remove life support, as he feels it is futile at this point and most likely causing more agony to the patient. The patient has three children, and they cannot agree on a decision. The oldest daughter feels that they should abide by the doctor, as he knows best. The middle child does not agree with “killing” his mother. The youngest child just wants to be with her mother and cannot make a decision. You decide the best thing to do now is hold a patient-care conference. Whom do you invite? Correct Answer The family, the team of physicians, the primary nurse, the case manager, the chaplain, an ethics committee member, and the social worker ANS C: Correcting processes that yield errors and negative outcomes for patients is a critical duty of the CNL. 56/86 You are the CNL on a busy medical–surgical unit. One of your patients, Mr. Thompson, a Type 2 diabetic, has been on your unit for 5 days following a right foot amputation due to necrosis. He has been on IV antibiotics and has now been afebrile for 24 hours. Mr. Thompson, 67 years old, lives alone, but his son lives two miles away and says he will be 1 / 1 pts Question 63 The family, the team of physicians, the primary nurse, the nurse manager, the chaplain, the respiratory therapist, and the nutritionist You Answered The team of physicians, the primary nurse, the nurse manager, the case manager, the chaplain, an ethics committee member, and the social worker The team of physicians, the primary nurse, the chaplain, the respiratory therapist, and the nutritionist ANS A: The family/patient is a necessity for a patient-care conference; the team of physicians will be able to talk about the patient’s prognosis and medical care; the primary nurse can address how the patient is responding/doing on a daily basis; the case manager and social worker can help the family with funeral/end-of-life planning; the chaplain can be a support to the family and even the staff; and an ethics committee member can ensure that an ethical decision is being made. 57/86 Question 64 1 / 1 pts able to check on his dad at least daily once he is discharged home. In preparation for discharge, you realize Mr. Thompson will need someone to assist him with his dressing changes and to check his vital signs for several days. You think he will also need outpatient physical therapy. You discuss with the physician your thoughts on discharging Mr. Thompson home with home health. The physician agrees with your plan of care, so you consult the case manager to set up home health and outpatient physical therapy. You also consult with the physical therapist for recommendations on home needs. You assist with making follow- up appointments for Mr. Thompson. Mr. Thompson is able to be discharged home the next day. This is an example of which CNL role? Correct! Lateral integration of care Risk anticipation Management and use of client-care and information technology Clinical decision making ANS A: Lateral integration of care involves the delivering and coordination of care using a multidisciplinary approach. 60/86 Question 66 1 / 1 pts As the CNL on a medical–surgical unit, you are asked to participate in a root cause analysis of a group of sentinel events that have occurred recently throughout the hospital. Your team determines that a lack of effective communication in emergent situations is the root problem. Now what? Correct! Lead the team in researching evidence-based practice improvements to implement a better way of communicating during emergencies Submit your findings to the administration that assigned you this task Share the findings with the units that had these sentinel events and instruct them to come up with better, research-based communication techniques Take the findings directly to the individuals involved in the sentinel events and show them what they need to improve to prevent these adverse outcomes 61/86 Question 67 1 / 1 pts What is the best way for the CNL to analyze systems and outcome datasets to anticipate individual client risk and improve quality care? Perform a root cause analysis of all postoperative patients who have been readmitted to your unit within the last year Correct! Perform a FMEA. Utilize the Complexity Theory to make the needed changes to the defective systems Perform a PDSA. ANS A: Once you discover what the problem is, a solution needs to be created. This is something that should be nonpunitive and benefit the whole hospital. Focusing on individuals will not be beneficial to the big picture. 62/86 Question 68 1 / 1 pts Sam is a homeless 59-year-old male admitted with CHF. He arrives alone and crying. His vitals are BP 173/96, HR 83, O2 86%, and temperature 98.9°F. During your assessment, you notice multiple bruises and lacerations. His clothes are torn and soiled. According to Maslow’s Hierarchy of Needs, what should you do first? Inquire about his bruises and lacerations Call the social worker regarding shelter placement Ask why he is crying Correct! Apply oxygen ANS B: A FMEA is proactive and anticipates potential risks rather than looking back on events that have happened that need to be changed. 65/86 Question 71 1 / 1 pts Julie, a CNL, hears that another hospital does hourly rounding and thinks this is a great idea to reduce falls on her unit. She meets with her interdisciplinary team and they decide to try this on their unit. She informs the rest of the staff and makes a start date. What did Julie forget to do? Correct! Look at the latest evidence/literature review Ask her nurse manager Ask other units if they do hourly rounding Get data from the other hospital ANS A: When making a change, it is important to look at the EBP by performing a literature review and then decide whether there is sufficient evidence to make the change or whether there is not much literature on the topic to collect data to see if the change is effective. 66/86 Carey, a CNL, thinks utilizing volunteers in a microsystem will benefit the staff and the patients. She performs a literature review and does not find much literature evaluating volunteers being effective in a health care setting. She decides to go ahead and implement a volunteer program and collects data to see whether this is an effective change. Should Carey have implemented this? No, there was no evidence volunteers would be beneficial Yes, if there is no literature on a topic, data should be collected to evaluate the change to see whether it is effective Yes, it is always good to try something new As a member or leader of a team, a CNL remembers essential qualities of the CNL role and therapeutic use of self, genuineness, warmth, empathy, maturity, and self-awareness. These qualities support the CNL role in: 1 / 1 pts Question 73 Correct! 1 / 1 pts Question 72 67/86 What is the first essential key to implementing a change in a microsystem? Correct! A clear vision of what outcomes are to be accomplished 1 / 1 pts Question 74 Leading the interprofessional team to align the unit goals with hospital goals Education of staff nurses in the microsystem on the importance of these qualities Working with the team to develop policies and procedures Correct! Establishing trust and promoting interprofessional communication within the team The essential qualities of a CNL support establishing trust and promoting communication within interprofessional teams, as well as coordinating of care. Those qualities are not necessary for developing policies and procedures, educating nurses, or aligning goals. 70/86 Which of the following is not part of the PDSA change model? 1 / 1 pts Question 78 Question 77 1 / 1 pts Advocacy can be a challenging role for the CNL, as sometimes a patient or the healthcare proxy makes a decision with which the CNL does not agree. If a well-informed decision is made to refuse or stop care, the CNL should: Try to talk the patient/proxy into continuing treatment Select a trusted religious leader to visit and assist the patient/proxy to change the decision Move the patient to another microsystem because the CNL does not agree with the decision Correct! Support the right of the patient/proxy to refuse care ANS: Advocacy includes all nurses and interprofessional team members appropriately communicating the treatment options to the patients and families/proxies. This includes the right to accept, refuse, or terminate treatment, and the team members then providing support once the decision is made. 71/86 Your unit has recently had an increase in fall rates. When you compare what other units in your department are doing, you identify that each unit is using a different fall risk assessment tool. You research each tool and identify which one has the strongest evidence-based research in preventing patient falls. This tool is later standardized throughout the hospital. What is this an example of? Correct! Applying tools for risk analysis Patient advocacy Benefit-risk analysis Demonstrating accountability for the delivery of high-quality care 1 / 1 pts Question 79 Plan Correct! Assess Do Study ANS B: The PDSA change model consists of plan, do, study, and act. 72/86 Question 80 1 / 1 pts Your geriatric unit shows the highest average restraint episode duration in the hospital. You have been asked to lead an improvement project to reduce duration. What would be your first step? obtain national restraint episode duration benchmark data conduct a literature search to obtain current best practices for geriatric patients in restraints speak with staff and leadership of other units with lower restrain episode durations A unit assessment should be performed first. This allows the CNL to see current process and how this compares to best practices found in the literature and other units. Correct! ANS A: Researching and presenting evidence-based data to apply tools for prevention of falls (risk analysis). conduct a full assessment of your unit, including all restraint-related data and processes 75/86 You are working with a team to reduce patient waiting time for transport to diagnostic imaging. An effective goal would be to: Decrease waiting time during the evening shift Increase monthly patient satisfaction 1 / 1 pts Question 85 You are trying to reduce admission time to your unit from the emergency department. You have completed several PDSA cycles and have reduced the time by 21 minutes. But in the most recent PDSA, the time actually increased by 6 minutes. What stage of the PDSA cycle should the team go to in order to plan the next steps? Act Plan Do Correct! Study The information at this stage should tell you where the barriers are. 76/86 Correct! Motivate nursing staff Lead, guide, and direct other nursing staff to provided patient-centered care Primarily train new nursing graduates primarily the skill of evidence-based practice Create another layer of accountability within the microsystem The CNL role was developed to: 1 / 1 pts Question 86 1 / 1 pts Question 87 Improve communication between the ED and DI departments Correct! Decrease waiting time for diagnostic imaging by 5% Improvement goals must be specific and measurable. The team must have clear measurable results to indicate whether an implementation resulted in improvement. 77/86 Which of the following is not a part of the epidemiological triad? Correct! Disease Host Environment Agent 1 / 1 pts Question 88 What can variation in practice procedures lead to? A sense of autonomy Ideas for different ways to provide patient care Correct! Errors Patient satisfaction Educator is considered a CNL role, not a competency. 80/86 What type of study would not be included in evidence-based practice if the nurses were looking for quantitative research? meta-analysis experiemental quasi-experimental 1 / 1 pts Question 92 You are trying to get literature on using music to relieve pain. One research article uses methods you forget how to interpret. You should: not use this article google the methods to try and figure it out look at the conclusion and just use that information Correct! ask a mentor to assist you, so you understand the data it might be a valid study so it is important to ask for assistance with understanding the data. Having mentors is important throughout your career 81/86 You Answered Correct Answe all of the above r evidence based practice rounds evidence based practice poster presentations skill building workshops Strategies for advancing evidence based practice in health care settings include: 0 / 1 pts Question 93 1 / 1 pts Question 94 Correct! phenomenological phenomenological studies are qualitative and are not directly included in in evidence based practice :( 82/86 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 Tuckerman and Jensen's model is represented by members communicating their feelings, but still viewing themselves as individuals rather than part of the team? Correct! Storming The storming phase is where competition and conflict are at their highest. Performing 1 / 1 pts Question 95 A client is ordered 35 milligrams of Codeine phosphate by subcutaneous injection. 50 milligrams in 1 milliliter of liquid for SC Injection is available. How many milliliters will you administer? 1.5 mls Correct! 0.7 mls 0.5 mls 10 mls 85/86 Correct! Revenue Operating budget Cash flow budget Capital budget involves large dollar amounts and long-term investments like equipment. Capital budget You are a CL working in a very busy 980-bed tertiary hospital. The hospital only has one MRI machine. This often causes delays in patient care. You write a proposal for the administrative team to advocate for more MRI scanners. If the proposal is approved, the money will come out of which budget? 1 / 1 pts Question 99 Advocacy CNL role integration Leadership 86/86 Quiz Score: 96 out of 100 Correct! Cool extremities and weak peripheral pulses Heart murmur and distended veins Shortness of breath on exertion Right-sided heart failure leads to congestion of systemic capillaries. This generates excess fluid accumulation in the body and usually affects the dependent parts of the body first. Peripheral edema A nurse approaches you and expresses her knowledge deficit regarding the difference between signs and symptoms of left- and right-sided heart failure. You explain the physiology between the two types of failure and identify which of the following has a primary symptom of right-sided heart failure? 1 / 1 pts Question 100