Adult-Gerontology CNS Test Leadership, Consultation, and Professional Practice

Question 1

Which CNS practice sphere focuses on direct patient care, clinical assessment, and individualized interventions?

Accepted Answer

Patient/client sphere

Answer

Educator sphere

Answer

Nurse and nursing practice sphere

Answer

Organization and system sphere

Question 2

Which consultation approach involves the CNS taking direct personal responsibility for the patient's care plan?

Accepted Answer

Direct consultation

Answer

Indirect consultation

Answer

Staff education

Answer

Systems advocacy

Question 3

Which leadership style is most effective when a CNS is mentoring a new graduate nurse in evidence-based practice?

Accepted Answer

Transformational leadership

Answer

Authoritarian leadership

Answer

Laissez-faire leadership

Answer

Transactional leadership

Question 4

A CNS identifies a system-wide problem with medication reconciliation. Which approach best represents systems-level change?

Accepted Answer

Developing a standardized protocol and implementing hospital-wide policy

Answer

Educating individual nurses one-on-one

Answer

Reporting incidents to the charge nurse

Answer

Documenting individual near-miss events

Question 5

Which ethical principle supports a patient's right to make informed decisions about their own care?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Justice

Answer

Nonmaleficence

Question 6

Outcome data shows a 15% increase in hospital-acquired pressure injuries. What is the CNS's first step?

Accepted Answer

Conduct a root cause analysis to identify contributing factors

Answer

Implement a new treatment protocol immediately

Answer

Report the data to administration and wait

Answer

Educate all staff with mandatory in-services immediately