Clinical Nurse Specialist Clinical Nurse Specialist Patient Education & Health Promotion 3

Question 1

A CNS is leading a population health initiative to reduce readmissions in heart failure patients. Which discharge intervention has the strongest evidence for reducing 30-day readmission?

Accepted Answer

Implement structured telephone follow-up within 48–72 hours post-discharge

Answer

Post-discharge telephone follow-up within 48–72 hours enables early identification of deterioration and is associated with reduced heart failure readmissions.

Question 2

When evaluating patient education outcomes, a CNS distinguishes between process and outcome measures. Which of the following is an outcome measure?

Accepted Answer

Percentage of patients who demonstrated correct inhaler technique at discharge

Answer

Outcome measures assess the result of an intervention (e.g., correct skill demonstration), while process measures track activities performed during care delivery.

Question 3

A CNS promotes preventive health screenings on a medical unit. Which screening is recommended by the USPSTF for all adults aged 50–75 years regardless of symptoms?

Accepted Answer

Colorectal cancer screening

Answer

The USPSTF recommends colorectal cancer screening for average-risk adults aged 45–75 years using stool-based tests, sigmoidoscopy, or colonoscopy.

Question 4

A CNS is evaluating a health promotion program using the RE-AIM framework. What does the 'A' in RE-AIM stand for?

Accepted Answer

Adoption

Answer

In the RE-AIM framework, 'A' stands for Adoption, referring to the proportion of settings and staff who implement the intervention.

Question 5

A CNS is integrating self-efficacy theory into a weight management program. Which intervention most directly enhances patient self-efficacy?

Accepted Answer

Facilitating mastery experiences through achievable short-term goals

Answer

Bandura's self-efficacy theory identifies mastery experience (successfully accomplishing tasks) as the most powerful source of self-efficacy.

Clinical Nurse Specialist Practice Test

Clinical Nurse Specialist Practice Test

Clinical Nurse Specialist Clinical Nurse Specialist Patient Education & Health Promotion 3