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CNL Certification Exam Glossary, Exams of Organization Behaviour

Virginia State University (VSU)Organization Behaviour

CNL Certification Exam Glossary

Typology: Exams

2023/2024

Available from 08/18/2024

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CNL Certification Exam Glossary
1.Accountable Care Organizations: Those organizations that, through
the Af- fordable Care Act, will only be rewarded for improving quality
and increasing cost savings. These are organizations in which
physicians and hospitals work together to improve outcomes and
share in cost savings.
2.Acuity: Level of intensity of care required by patients.
3.Advocacy: The act of expressing or defending the rights or causes of
another.
4.American Association of Colleges of Nursing (AACN): The national voice
for baccalaureate and graduate nursing education. AACN's educational
areas, re- search, federal advocacy, data collection, publications, and
special programs work to establish quality standards for nursing
education; assists deans and directors
to implement those standards; influence the nursing profession to
improve health care; and promote public support for professional
nursing education, research, and practice.
5.Autonomy: The right of individuals to make their own decisions based
on in- formed consent and the lack of coercion; personal freedom and
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CNL Certification Exam Glossary

  1. Accountable Care Organizations: Those organizations that, through the Af- fordable Care Act, will only be rewarded for improving quality and increasing cost savings. These are organizations in which physicians and hospitals work together to improve outcomes and share in cost savings.
  2. Acuity: Level of intensity of care required by patients.
  3. Advocacy: The act of expressing or defending the rights or causes of another.
  4. American Association of Colleges of Nursing (AACN): The national voice for baccalaureate and graduate nursing education. AACN's educational areas, re- search, federal advocacy, data collection, publications, and special programs work to establish quality standards for nursing education; assists deans and directors to implement those standards; influence the nursing profession to improve health care; and promote public support for professional nursing education, research, and practice.
  5. Autonomy: The right of individuals to make their own decisions based on in- formed consent and the lack of coercion; personal freedom and

self-determination.

  1. Background Statement: A brief scenario that provides the information neces- sary or useful in answering the question. This may also be called the case event.
  2. Beneficence: Supporting actions that promote good.
  3. Big Data: Refers to the volume, variety, and rapid accumulation of data, as well as to the analytics being used to evaluate that data for the discovery and communication of patterns within and between data. Also, an accumulation of data that is too large and complex for processing using traditional database management tools.
  4. Case Event: The heart of the multiple-choice question that provides the informa- tion that an individual needs to think about to answer the question. This may also be called the background statement.
  5. Case Mix: The mix (variety) of patients for whom care is delivered organized by specified characteristics (e.g., gender, diagnosis related group [DRG], payer).
  6. Chronic Illness or Disease: An illness or disease that has lasted 3 months or longer. They tend to become more common with age.
  7. Client Advocate: The CNL becomes competent at ensuring that

or she is able to understand the rationale for care and competently deliver this care to complex and diverse populations. The CNL provides care at the point of care with particular emphasis on health promotion and risk reduction services.

  1. CMS: The Centers for Medicare & Medicaid Services. The Health and Human Services Agency responsible for Medicare and parts of Medicaid. CMS is respon- sible for oversight of HIPAA administrative simplification transactions and code sets, health identifiers, and security standards. CMS also maintains the Healthcare Common Procedure Coding System (HCPCS) medical code set and the Medicare Remittance Advice Remark Codes administrative code set.
  2. Coaching: An ongoing two-way process in which the CNL can share knowledge and experience t help other nurses achieve desired professional goals.
  3. Code of Ethics: Formal statements that service to articulate the values and beliefs of a given discipline, serving as a standard for professional actions and reflecting the ethical principles shared by its members.
  4. Collaboration: The process of working with a group of

interdisciplinary providers in order to achieve a common goal.

  1. Commission on Nurse Certification (CNC): An autonomous arm of the AACN, governed by the CNC Board of Commissioners. CNC recognizes individuals who have demonstrated professional standards and knowledge through CNL certifica- tion. CNC promotes lifelong learning through CNL recertification.
  2. Communication: The transmission of feelings, attitudes, and ideas between people through the exchange of verbal and written words as well as physical behaviors and tone of voice.
  3. Complementary and Alternative Medicine (CAM): Nonpharmacological med- ical treatments that are not part of mainstream medicine use (e.g., aromatherapy, art therapy, massage, and acupuncture).
  4. Complexity Theory: Every complex system has a life of its own, and the theory considers the patterns of relationship in the system: how they are sustained, how they self-regulate and self-organize, and how outcomes emerge.

psychological appeal.

  1. Cultural Awareness: CNLs need to recognize their own individual values, be- liefs, and prejudices. CNLs should reflect on their own cultural practices.
  2. Cultural Competence: Conceptualized as the process in which CNLs continu- ously strive to achieve the skills, knowledge, and ability to work effectively with the cultural context of the patient.
  3. Cultural Interaction: CNLs will need to work with individuals from various cultural backgrounds to expand their understand and become more at ease and self-assured.
  4. Cultural Knowledge: CNLS should stay unbiased and find information concern- ing other cultures to establish educational underpinnings.
  5. Cultural Sensitivity: CNLS will need to understand and accept the individual's value and beliefs. The CNL will need to show presence, support, empathy, flexibility, and tolerance.
  6. Cultural Skills: CNLS need to demonstrate the ability communicate efficiently. Additionally, they should have the ability to identify, assess, and incorporate the values, beliefs, and cultural customs of the person under their care.
  1. Cyber Security: Measures taken to protect a computer or computer system against unauthorized access or attack.
  2. Dashboard: A graphic representation of essential information that highlights an organization's performance in a range of designated areas of quality.
  3. Developmental Tasks: A task that consistently occurs at a certain period in an individual's life.
  4. Diagnosis Related Group (DRG): Group used by Medicare and other payers to determine reimbursement to organizations and providers.
  5. Digital Divide: The social, economic, and educational inequalities between those who have access to computers and online resources and those who do not.
  6. Direct Costs: Costs that are directly related to the provision of a service; the cost can be specifically identified for an individual patient or activity.
  7. Distractors: Incorrect options listed as potential answers in the multiple-choice questions.
  8. Educator: The CNL uses appropriate teaching principles and strategies as well as current information, materials, and technologies to

rendered.

  1. Forming Stage: The first stage of team formation in which team members share common goals that are understood, clearly articulated, and championed by team members. The team members are seeking a safe and trusting environment, where they can feel comfortable expressing their ideas and concerns.
  2. Functional Assessment Tool: A tool utilized to assess an individual's ability to master activities of daily living.
  3. Gap Analysis: Evaluates the strengths and weaknesses of a team in relation to the required outcomes. Analysis is performed of disciplines represented and skills possessed by members to support any additions or deletions needed for successful outcomes.
  4. Gross Domestic Product (GDP): Market value of all goods and services pro- duced (created) within a country in a specific period.
  5. Health Care Informatics: The collection, classification, storage, retrieval, and dissemination of recorded health care knowledge using computer technology.
  6. Healthcare Information and Management System Society (HIMSS): A global nonprofit organization with a majority of its 44,000 individual

members working in health care; it promotes the optimal use of informational technology and manage- ment systems through its content expertise, professional development, research initiatives, and media vehicles.

  1. Health Care Literacy: The capacity to obtain, process, and understand basic health information to make appropriate health decisions.
  2. Health Policy: Generally denotes policy that impacts the health of individual, families, or communities through production, provision, and financing of health care services.
  3. Healthy People 2020: Identifies nationwide health improvement priorities and sets directions for health policy. The Health People initiative provides science-based 10 year national objectives for improving the health of all Americans (See www.healthpeople.gov).
  4. Health Information Exchanges (HIEs): Organizational or geographical entities that manage health information electronically across organizations or regions.
  5. Holistic Health: The integration of the physiological, psychological, and spiritual aspects of an individual's health.
  1. ICD9CM: International Classification of Diseases, Ninth Revision, Clinical Man- ifestations; used for documentation of diagnoses and procedures; in turn, used to assign a DRG and create patient charges.
  2. Indirect Costs: Costs of doing business are not directly related to a specific individual, such as heat, electricity, overhead, water, and some administrative per- sonnel.
  3. Individual Level of Prevention: The level which includes health care interven- tions like counselling on healthy lifestyles, such as dietary counselling for people at risk of colorectal cancer.
  4. Informatics Nurse Specialist (INS): Individual who must be able to understand and use the integrated knowledge of many elements including nursing science, information science, computer science, cognitive science, and others appropriate to specific issues.
  5. Information Manager: The CNL is proficient in using information systems and technology to improve health care outcomes.
  6. Institute of Medicine (IOM): Organization whose purpose is to provide national advice on issues relating to biomedical science, medicine, and health; its mission is to serve as an advisor to the national to improve health. It works outside the frame- work of the U.S. federal government

to provide independent guidance and analysis and relies on a volunteer workforce of scientists and other experts, operating under a formal peer review system. The institute aims to provide unbiased, evidence-based, and authoritative information and advice concerning health and science policy to policy makers, professionals, leaders in every sector of society, and the public at large.

  1. Institutional Review Board (IRB): A committee that has been formally desig- nated to approve, monitor, and review biomedical and behavioral research involving humans at health care institutions.
  2. Interdependence: The interaction of staff that is characterized by trust, collabo- ration, willingness to help each other, appreciation of complementary roles, respect, and recognition that all contribute individually to a shared purpose.
  3. Interdisciplinary: Refers to nurses, physicians, midlevel providers, and all oth- ers associated with the medical care of a patient.
  4. Interdisciplinary Collaboration: Health care providers of different disciplines collaborating as colleagues to provide team focused patient care.
  5. Interdisciplinary Communication: Communication, in the sense of
  1. Leading Health Indicators: A small set of Health People 2020 objectives, which have been selected to communicate high priority health issues and actions that can be taken to address them.
  2. LEAN: A systematic method for the elimination of waste within a process.
  3. Length of Stay: Time spent (number of days) in an organization receiving healthcare services.
  4. Lifelong Learner: Recognizes the need for and actively purses new knowledge and skills as one's role and needs of the health care system evolves.
  5. Logos: Logical arguments or inquiring whether a speaker makes errors in logic.
  6. Macrosystems: Bigger system made of smaller systems (microsystems).
  7. Medicaid: A program sponsored by states and the federal government for low income and/or disabled individuals; services and payment are provided.
  8. Medical Home: A concept initially designed in 1969 and now used to coordinate medical care among multiple providers.
  1. Medicare: A government program related to Social Security for the elderly
  2. Member of a Profession: The CNL remains accountable for the ongoing acqui- sition of knowledge and skills related to his or her profession and to effect change in health care practice and outcomes in the profession.
  3. Mentoring: Mentoring involves a long-term relationship oriented toward nurses who are focused on advancing clinically.
  4. Microsystem: Smaller systems that are functional, frontline units that provide the most health care to the most people; it is the place where patients, families, and health care teams meet. These smaller system product quality, safety, and cost outcomes at the frontline of care.
  5. Modifiable Risk Factors: Factors that could be changed if the individual is willing to change through lifestyle, habits, and diet.
  6. Moral Stress: Most often occurs when faced with the situations in which two ethical principles compete.
  7. Mourning: Stage in a process in which team members have achieved the group's mission or goals that were set forth. This stage
  1. Ongoing Evaluation: The assessment of current processes, systems, and outcomes compared against identified metrics in order to meet changing needs and optimize efficiency, efficacy, safety, and quality of care.
  2. Options: All the potential answers presented with the question.
  3. Outcome: The end product of an action.
  4. Outcomes Manager: The CNL who regularly synthesizes data, information, and knowledge to evaluate and achieve optimal client outcomes.
  5. Palliative Care: Focuses on improving the symptoms, dignity, and quality of life for individuals who are suffering with a serious illness or disease.
  6. Pathos: The psychological or emotional element of communication that is often overlooked or misunderstood.
  7. Patient Focused Interventions: Those interventions that recognize the role of patients as active participants in the process of obtaining appropriate, effective, safe, and responsive health care.
  8. Patient Protection and Affordable Care Act (PPACA or ACA): Legislation with the intent to improve access, decrease waste and

costs, and support quality through process changes and improved outcomes.

  1. Patient Safety: The prevention of harm to patients. Emphasis is placed on the system of care delivery that (a) prevents errors; (b) learns from the errors that do occur; and (c) is built on a culture of safety that involves health care professionals, organizations, and patients.
  2. Patient Safety and Quality Improvement Act: Law enacted in 2005 to in- crease protection for those who report errors. The intention of this act is to encourage reporting of medical errors to enable health care professionals to become more aware of problems, trend issues, and work to make system and process changes quickly to avoid error recurrence.
  3. Performance Improvement: An atmosphere for learning and redesign that is support by the continuous monitoring of care, use of benchmarking, frequent tests of change, and a staff that has been empowered to innovate.
  4. Performance Results: Focuses on improving patient outcomes, reducing avoidable costs, streamlining delivery, using