FREE Clinical Nurse Leader MCQ Questions and Answers
The CNL promotes team members' development as leaders. One inexperienced team member claims that because she is not in management and has limited experience, she does not comprehend the necessity to build leadership qualities. Which of the following best answers the question?
The best response defines the importance of having leadership experience as "Leadership skills will help you be more effective when working with clients, other nurses, and unlicensed assistive personnel." Leadership is a process that leads to the individual having influence over others. Nurses of all levels of experience need leadership abilities, even if their immediate aim is not management because even a beginner nurse interacts with numerous people, including clients and other team members.
During a meeting, the CNL asks the team to brainstorm a problem and come up with many potential ideas to consider. This particular activity is an illustration of:
Divergent thinking enables the generation of a variety of distinct ideas, which are frequently produced during the brainstorming process, in which numerous potential solutions are put out and considered. Ideas should be presented impulsively and without bias. Convergent thinking that is more focused on rules may come next, during which thoughts are arranged and the best viable solution is determined. While convergent thinking concentrates on probability or the single optimal answer to a problem, divergent thinking concentrates on numerous possibilities.
The CNL is a member of a committee that advocates for nurse-to-patient ratios with the state legislature. Which of the following current nursing challenges could make using ratios difficult?
The lack of nurses is one of the biggest problems the nursing industry is now facing. Nurses are currently 46 years old on average, with about half being close to retirement. Even though more students want to enroll in nursing schools, space is frequently limited. Better client outcomes are reflected in reduced nurse-patient ratios, but the nursing crisis is causing some organizations to use more unlicensed helpers and is making nurses work longer hours.
The CNL oversees a team on the drug rehabilitation unit, participates in a community partnership, works with teenagers, tries to combat risk and predicting factors, and strengthens protective factors. Which of the following is a preventative measure against substance usage for a teen whose parents use drugs?
Knowledge of the dangers of substance misuse and unfavorable attitudes about usage are protective variables, as are social skills, self-assurance, and positive interactions with at least some adults. Poor reading and academic skills, early sexual activity, uncertainty about one's future plans, a hereditary inclination, a history of psychological and mental diseases, a history of violence, a lack of social skills, early behavioral issues, and associations with drug users are all predictive variables.
When the CNL is making rounds, she observes that team members are leaving extra towels, sheets, and washcloths in the clients' private rooms in case they become necessary at a later time. The CNL records the following during the team meeting:
Although it is typical practice to leave additional linen in clients' rooms to save team members the time it takes to go get linen, it is not a cost-effective practice. When patients are discharged, a large portion of the linen is likely to be left unused, and this additional linen must be sent to the laundry, increasing the cost of water, detergent, and disinfectant as well as the time required by staff to process the surplus linen and replenish linen supply cabinets.
When a patient with a fractured femur is admitted to the orthopedic unit, the intake examination also asks about the patient's social history, family history, nutrition, habits, and lifestyle, as well as their sexuality, spirituality, and health problems. Is this an illustration of a/an?
Holistic assessment: Emphasis is placed on acquiring a comprehensive understanding of a client's issues and worries as well as elements, including social history, that may have an impact on recovery. Assessment that is problem-focused: The goal is to gauge the severity of a problem that has previously been identified. Rapid evaluation of clients in life-threatening situations, such as suicide attempt, accident, MI, or stroke, is the emphasis of emergency assessment. Continuous assessment: The goal is to conduct another evaluation at a later time to see if any changes have been made.
The CNL on a geriatric unit notices that a newly graduated nurse avoids talking to or connecting with family members of patients who are dying while delivering patient care. The nurse was turning a patient when the client's daughter started weeping; instead of looking at her or speaking to her, the nurse left the room quickly. Which strategy is the BEST for the CNL to employ?
Insecure and unsure of how to react or be supportive, new graduates may experience because they frequently have little to no experience caring for patients who are dying or working with their families. The best course of action in this situation is for the CNL to role-play with the nurse. The nurse can rehearse short remarks to comfort the family and should be aware of the value of thanking them. A warm blanket, pillow, or cup of coffee are good examples of services the nurse may find easier to provide as a method to demonstrate support.