Clinical Nurse Leader Exam 56 Questions with Verified Answers,100% CORRECT

Clinical Nurse Leader Exam 56 Questions with Verified Answers clinician - CORRECT ANSWER designer/coordinator/integrator/evaluator of care to 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. Types of bargaining - CORRECT ANSWER Distributive=one side wins, the other loses, Zero-sum or win-lose bargaining; and Integrative is win-win where both sides attempt to arrive at a mutually acceptable solution; Productivity, depends on productivity, skills and knowledge; composite=union negotiates for both salary and standards, and may want input into work norms and environmental hazards. nursing fixed or variable? - CORRECT ANSWER nursing costs may be fixed if FTE hours remain the same, but variable if they vary according to census. Altruism - CORRECT ANSWER concern or advocating for the welfare of clients and staff and demonstrating understanding for others beliefs and values Integrity - CORRECT ANSWER carrying out practice in an ethical manner and according to standards of practice Social Justice - CORRECT ANSWER ensuring patients are treated in accordance with the laws and regarding access to care in a fair manner and without discrimination Human dignity - CORRECT ANSWER is showing respect for the individual and populations, respecting privacy and confidentiality and providing cultural competence care. Divergent thinking - CORRECT ANSWER Alows a number of diverse ideas generated, often through a brainstorming process in which various possible ideas are proposed and discussed convergent thinking - CORRECT ANSWER a type of critical thinking in which one evaluates existing possible solutions to a problem to choose the best one; rule oriented focuses on probabilities, to reach one best solution functional organizational form - CORRECT ANSWER divides departments by discipline (nurses, PTs lab personnel) with each department developing it's own hierarchical structure, policies and procedures. Parallel Organizational Structure - CORRECT ANSWER some services are shared across functional departments such as HR and RRTs program organizational structure - CORRECT ANSWER disciplines are integrated and departments formed with an integrated focus, such as women health or rehabilitation, Matrix Organization - CORRECT ANSWER An organization composed of dual reporting relationships in which some managers report to two superiors—a functional and program forms overlap