Advocacy
The act of expressing or defending the rights or causes of another.
What is advocacy?
What leadership concept is used when actively mentoring the healthcare team? (2-word short answer)
What is horizontal leadership
The CNL facilitates the development of a formal rounding structure within a clinical microsystem whereby physicians, case managers, social workers, and staff RNs discuss the daily care plan for a group of patients. This form of information sharing is an example of:
Transactional leadership
Vertical leadership
Leadership theory
Interdisciplinary communication
A process in which the interdisciplinary team (and the client) shares decisions made for client care
What is collaboration?
Microsystem success is reliant on (select all that apply)
Leadership
The right staff
Patient focus
Salary
The central principles of advocacy.
What is the protection of patients' autonomy, acting on behalf of patients, advancement, and protection of the profession and social justice?
An organization's leadership structure should include? Choose all that apply.
Vertical leadership roles
Horizontal leadership roles
Diagonal leadership roles
A process by which information is exchanged between individuals through a common system of symbols, signs or behaviors.
What is communication?
What core competency was identified by the Institute of Medicine for all clinicians?
Knowing disease pathophysiology
Knowing the healthcare practice hierarchy
Using computers to chart
Working in teams with all healthcare clinicans
The CNL's leadership competency domain is enacted in an organization's
Macrosystem
Mesosystem
Minisystem
Microsystem
Examples of ways the CNL can protect patient autonomy.
What is to:
Ensure patients and families have information and understanding to make informed decisions
Ensure informed consent is accessible and consistent
Participate in the analysis of benefits and burdens of the treatment plan with consideration of the patient's cultural background
Facilitate interdisciplinary team's communication of treatment options to the patient and family.
Which of the following defines horizontal leadership?
Leadership style that depends on high levels of communication from management to meet goals
Management and team members set predetermined goals together, and employees agree to follow the direction and leadership of the manager to accomplish those goals.
Philosophy of organizational leadership whereby the structure promotes equality and an open-door policy
A team made up of individuals from at least 2 interdependent disciplines across a continuum of patients admission or experience
What is an interdisciplinary team?
Which of the following best describes collaboration?
The CNL develops an interdisciplinary team including patients to improve processes.
The CNL implements strategies to improve communication about new medications.
The CNL implements postdischarge phone calls for patients with CHF.
The group known as "maternal child health" has many subunits such as pediatrics, well baby nursery, NICU and maternity. This collection of units belong to which system?
Megasystem
Macrosystem
Microsystem
Mesosystem
Central principles of advocacy include all except which one of the following.
Protection of patients' autonomy
Acting on behalf of patients
Social justice
Determining plan of care for patients
Which of the following skills is not included when providing feedback?
Clearly stating what you plan to say
Avoiding giving advice
Avoiding generalizations
Using "you" statements rather than "I" statements
What are the 3 levels of interdisciplinary communication and collaborative determinants?
Global, local and individual
Macrosystem, mesosystem, and microsystem
Global, regional, and individual
Systematic, organnizational, and interactional
Which of the following best describes how the CNL exhibits collaboration?
The CNL informs the physician that the patient complains of 7/10 pain and has had no relief with the prescribed narcotics.
The CNL implements music therapy to help patients with acute postoperative pain.
The CNL reviews alternatives to pain management such as aromatherapy and guided imagery with the nursing staff.
The CNL partners with the patient, physician, and nurse to determine an effective pain regiment including medication and complementary therapies.
When assessing a new microsystem, the CNL will often use a tool known as the 5 Ps. The 5 Ps include:
Patients, providers, policies, patterns, prevention
Purpose, patients, providers, patterns, prevention
Patients, process, professionals, policies, patterns
Pupose, patients, process, patterns, professional.
Which of the following is an example of how the clinical nurse leader can work locally to identify and address health disparities and perceived discrimination in the healthcare system?
Engaging policy makers and elected officials to influence health policy at governmental levels nationally
Ensuring quality care through the development of evidence-based guidelines for care at the hospital
Coordinating care for all patients through referrals to others resources or services
Building partnerships with local community organizations.
How does the CNL best promote a culture of safety?
CNL evaluates various nursing interventions when applicable.
CNL develops skills to lead teams to reach the desired goal.
CNL continues to act as a mentor in the design of care, as well as in the professional development of individual nurses.
CNL evaluates and assesses risks to patient safety and works within a team to design and implement systems that support safe patient care.
The 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?
Develop a checklist for staff to utilize when performing purposeful hourly rounding.
Give the staff articles about the effectiveness of purposeful hourly rounding.
Develop a team to identify common barriers to purposeful hourly rounding.
Participate in a simulation exercise in which the staff performs purposeful hourly rounding.
James is a CNL working with CHF patients at the local clinic. James works with patients and interdisciplinary team to ensure safe, high quality, efficient, patient-centered care. Which of the following best describes what James is demonstrating?
Coordination
Communication
Evaluation
Collaboration
What is the essential component for designing the most efficient, population-based service?
Macrosystem
Mesosystem
Outpatient clinics
Microsystem