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Nursing
ACNS-BC
Adult Health Clinical Nurse Specialist Certification
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Question: 1
The Adult Health Clinical Nurse Specialist is participating in a system-wide quality improvement initiative. Which of the following performance measures would be most useful for evaluating the effectiveness of the initiative?
1. Patient satisfaction scores
ength of hospital stay urse-to-patient ratio
wer: B
anation: Medication administration errors would be the most useful ormance measure for evaluating the effectiveness of a system-wide qu ovement initiative. Medication errors are a critical safety concern in hcare, and reducing such errors is a key quality improvement goal. By toring medication administration errors, the effectiveness of the initia mproving patient safety and reducing errors can be assessed.
stion: 2
nical nurse specialist is conducting a research study to evaluate the tiveness of a new pain management intervention. Which research desi d be most appropriate for this study?
Medication administration errors
2. L
3. N
Ans Expl
perf ality
impr healt
moni tive
in i
Que
A cli
effec gn
woul
1. Quasi-experimental study
2. Case-control study
3. Randomized controlled trial
4. Cross-sectional study Answer: C
Explanation: A randomized controlled trial (RCT) is the most appropriate research design for evaluating the effectiveness of a new intervention. RCTs involve randomly assigning participants to either an intervention group or a control group and comparing the outcomes between the two groups. This design helps minimize bias and provides stronger evidence for establishing cause-and-effect relationships.
dult Health Clinical Nurse Specialist is implementing a new evidenc practice guideline for preventing healthcare-associated infections. W following barriers is most likely to hinder successful implementatio
ack of organizational support esistance from nursing staff imited access to relevant research nadequate funding for resources
wer: A
anation: Lack of organizational support is the most likely barrier to hi essful implementation of a new evidence-based practice guideline. nizational support is crucial for providing the necessary resources, structure, and culture that facilitate the adoption and implementation o ence-based practices. Without adequate support, it becomes challengin
Question: 3
The A e-
based hich
of the n?
1. L
2. R
3. L
4. I
Ans
Expl nder
succ Orga
infra f
evid g to
overcome other barriers and effectively implement the guideline.
Question: 4
In a large healthcare organization, the Adult Health Clinical Nurse Specialist is responsible for coordinating patient care across different departments and ensuring efficient communication. Which of the following strategies would be
most effective in improving interdepartmental collaboration?
1. Implementing a standardized electronic health record system
2. Providing additional training to department heads
3. Holding regular multidisciplinary team meetings
4. Assigning a nurse liaison to each department
wer: C
anation: Holding regular multidisciplinary team meetings allows sentatives from different departments to come together, share informa uss patient care plans, and address any issues or concerns. This promot tive communication, collaboration, and coordination among various hcare professionals, leading to improved patient outcomes.
stion: 5
dult Health Clinical Nurse Specialist is responsible for ensuring pliancewith regulatory standards and guidelines. Which of the followi atory bodies is responsible for accrediting healthcare organizations in ed States?
ational Institute for Occupational Safety and Health (NIOSH) enters for Medicare and Medicaid Services (CMS)
merican Nurses Credentialing Center (ANCC)
Ans Expl
repre tion,
disc es
effec healt
Que
The A
com ng
regul the
Unit
1. N
2. C
3. A
4. The Joint Commission (TJC) Answer: D
Explanation: The Joint Commission (TJC) is responsible for accrediting healthcare organizations in the United States. TJC sets standards and evaluates healthcare organizations to ensure they meet quality and safety requirements.
Accreditation by TJC is seen as a mark of excellence and demonstrates an organization's commitment to providing high-quality care.
Question: 6
roviding financial incentives for continuing education
ffering flexible work schedules for attending educational programs ncouraging participation in professional nursing organizations stablishing a shared governance structure for decision-making
wer: D
anation: Establishing a shared governance structure for decision-maki d be the most effective strategy in fostering a culture of continuous ing. Shared governance involves empowering nurses to actively parti cision-making processes that affect their practice and patient care. By ving nurses in decision-making, it promotes a sense of ownership, untability, and continuous learning within the organization.
stion: 7
dult Health Clinical Nurse Specialist is collaborating with a research
The Adult Health Clinical Nurse Specialist is responsible for promoting lifelong learning among nursing staff. Which of the following strategies would be most effective in fostering a culture of continuous learning?
1. P
2. O
3. E
4. E
Ans
Expl ng
woul
learn cipate
in de invol acco
Que
The A
team to investigate the impact of a new care delivery model on patient outcomes. Which of the following research methods would be most appropriate for this study?
1. Qualitative research
2. Descriptive research
3. Correlational research
Answer: D
ndent variable (patient outcomes). This design allows for control over ounding variables and enables the assessment of cause-and-effect onships.
stion: 8
dult Health Clinical Nurse Specialist is responsible for providing ership and guidance to nursing staff. Which of the following leadershi would be most appropriate for promoting staff empowerment and
ring a positive work environment?
utocratic leadership ransformational leadership aissez-faire leadership ransactional leadership
wer: B
Explanation: Experimental research would be the most appropriate research method for investigating the impact of a new care delivery model on patient outcomes. Experimental research involves manipulating an independent variable (in this case, the care delivery model) and measuring its effects on a depe
conf relati
Que
The A
lead p
styles foste
1. A
2. T
3. L
4. T
Ans
Explanation: Transformational leadership would be the most appropriate leadership style for promoting staff empowerment and fostering a positive work environment. Transformational leaders inspire and motivate their team members, encourage innovation and creativity, and promote individual growth and development. By creating a supportive and empowering work environment, transformational leaders enhance job satisfaction and promote high-quality
Question: 9
roviding access to relevant research articles ffering incentives for nurses who implement EBP
onducting regular EBP workshops and training sessions reating EBP mentorship programs for novice nurses
wer: C
anation: Conducting regular EBP workshops and training sessions wo e most effective way to promote EBP integration into clinical practice
These sessions provide nurses with the knowledge and skills necessary to ally appraise evidence, apply it to patient care, and evaluate outcomes ing ongoing education and support, nurses are more likely to embrace ncorporate it into their daily practice.
A clinical nurse specialist is developing an educational program for nurses on evidence-based practice (EBP). Which of the following would be the most effective way to promote EBP integration into clinical practice?
P
O
C
C
Ans
Expl uld
be th .
critic . By
offer EBP
and i

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