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CNML Test Questions With
Correct Answers
DRGs |- |CORRECT |ANSWER✔✔-Diagnostic-Related |Groups: |payment |rate |based |on |specific |diagnoses Prospective |Payment |System |- |CORRECT |ANSWER✔✔-Used |by | Medicare-participating |hospitals: |pretreatment |diagnosis |billings | based |on |DRGs; |rate |decided |ahead |of |time |between |insurance | companies |and |hospitals Exclusive |Provider |- |CORRECT |ANSWER✔✔-Used |by |HMO's: | insurance |coverage |for |contracted |providers |or |institutions HMOs |- |CORRECT |ANSWER✔✔-Health |maintenance |organizations: | comprehensive |healthcare |to |people |who |pay |a |fee |for |a |fixed | period |of |time Capitation |- |CORRECT |ANSWER✔✔-Fixed |rate |paid |to |provider |per | member |per |month |for |healthcare |services; |set |fee |paid |by | insurance |company |per |month |for |all |the |patient |needs PPOs |- |CORRECT |ANSWER✔✔-Preferred |provider |organizations: | special |reduced |rate |for |services |when |customers |use |certain | providers |approved |by |the |insurance |company; |usually |fee-for- service
IPAs |- |CORRECT |ANSWER✔✔-Individual |provider |arrangements: | provide |care |in |their |offices |for |prepaid |plans; |coalition |of |physicians |who |serve |HMO |patients |and |third-party |patients Fulltime |FTE |Hours |- |CORRECT |ANSWER✔✔-2080 |hours |(1.0 |@ | 40 | hours |per |week) Capital |Expenses |- |CORRECT |ANSWER✔✔-Long-term |equipment |or | physical |purchases: |usually |over |$500-$1000 |that |will |last |years | and |depreciate |over |time |and |be |used |multiple |times Zero-Based |Budget |- |CORRECT |ANSWER✔✔-With |each |new |budget | (i.e. |fiscal |year), |it |is |determined |which |programs/areas |get |money; | no |historical |context |is |used; |may |rank |packages |and |then |only |fund |top-ranked |ones; |can |be |time-consuming |way |to |create |a |budget Variance |Calculation |& |Reminders |- |CORRECT |ANSWER✔✔-Variance |$ |/Budgeted |$ |X | 100 |= |% |difference; |contract |staff |on |separate |line | of |budget; |many |staff |sick |costs |more |than |a |few |staff |on |LOA Cost |of |Nursing |Services |Calculation |- |CORRECT |ANSWER✔✔-Nurse | Time |X |(Avg. |RN |Hourly |Rate |+ |Benefits |+ |Indirects) |= |Total |Nursing | Cost |per |DRG General |Nurse |Staffing |Calculation |- |CORRECT |ANSWER✔✔-# |of | RNs |needed |X |days |open |/ |# |days |worked |per |RN
For |example |- |for | 12 |hour |staff |and | 12 |workers |each |shift |you | multiply | 12 |staff |X | 2 |shifts |= | 24 |staff |X | 12 |hours |each |= | 288 |divided | by |midnight |census |of | 31 |= |NHPPD VBP |- |CORRECT |ANSWER✔✔-Value-based |purchasing: |how |CMS | determines |how |much |to |reimburse |a |hospital |for |care | (benchmarked |standards |and |how |they |are |meeting |it); |quality |of | care |& |following |best |practice |& |patient |experience Per |Diem |Rate |- |CORRECT |ANSWER✔✔-Negotiated |pay |for |services | by |insurance |companies |regardless |of |what |services |were |actually | completed; |per |day |admitted UOS |- |CORRECT |ANSWER✔✔-Unit |of |service: |patient |days |for | inpatient |nursing |but |could |be |visits |or |# |of |procedures |or |whatever | that |healthcare |organization |counts RVU |- |CORRECT |ANSWER✔✔-Relative |value |unit: |what |ancillary | services |might |use |to |add |up |their |UOS; |# |of |hi-flows |hooked |up |or | vents |started |for |RT., |for |example ALOS |Calculation |- |CORRECT |ANSWER✔✔-Average |length |of |stay |= |
|of |pt. |days |/ |# |of |discharges |(in |same |time |period)
CPUOS |- |CORRECT |ANSWER✔✔-Cost |per |unit |of |service |= |salaries |/ | UOS
Productivity |- |CORRECT |ANSWER✔✔-# |of |staff |hours |or |$'s |/ |# |of | UOS | RN |hours |/ |patients |in |beds |@ |midnight |(HOC) RN |salaries |/ |UOS Output |/ |input Amount |of |work |performed |by |a |set |# |of |staff Minimum |Staffing |- |CORRECT |ANSWER✔✔-Minimum |staff |needed |to |operate |unit |usually |determined |by |law, |hospital |policy, |and |pt | safety Breakeven |- |CORRECT |ANSWER✔✔-Needed |in |order |not |to |lose | money; |minimum |patients |needed |to |meet |budget |using |minimum | staffing; |can't |control |admissions |but |some |would |work |with |staffing |office |to |ensure |minimum |occupancy |occurred Medicare |- |CORRECT |ANSWER✔✔-Federal |program |that |helps |those |over |65, |those |on |dialysis/ESRD, |and |combines |with |state |run | Medicaid, |younger |people |who |are |permanently |disabled, |and | physician |residency |training
Costs |in |a |Budget |- |CORRECT |ANSWER✔✔-Fixed, |variable |& |non- recurring |(like |installing |new |piece |of |equipment |or |100th | anniversary |party |for |the |hospital) Replacement |Factor |- |CORRECT |ANSWER✔✔-Adding |up |the |benefit | time |because |nurses |don't |actually |work | 2080 |hours |per |year; |add | this |to |the |total |FTE's HCAHPS |- |CORRECT |ANSWER✔✔-Hospital |Consumer |Assessment |of |Healthcare |Providers |and |Systems: |national |survey |asking |patients | how |their |stay |was National |Labor |Relations |Act |(NLRA) |- |CORRECT |ANSWER✔✔-(AKA: | Wagner |Act) |Passed |to |end |the |depression; |prevented |employers | from |cutting |wages; |lots |of |power |to |unions/employees; | 1974 | amendments |created |union |needs |to |give |notice |before |striking, |no | strikes |during |notice |time, |written |notice |to |employers |about |new | contract |need, |mediation |needs, |board |of |inquiry |to |settle |disputes, | and |allowed |employees |to |bow |out |of |joining; |created |unfair |labor | practices |against |employers |from |stopping |unions |or |discriminating |against |union |employees Rights |of |unions/workers Labor |Management |Relations |Act |- |CORRECT |ANSWER✔✔-(AKA: | Taft-Hartley |Act) |Listed |union |restrictions |to |even |out |rights | between |employees |and |employers |from |the |NLRA/Wagner |Act; | placed |restrictions |on |labor |organizations |like |forcing |employees |to | join |or |refusing |to |bargain; |created |code |of |contact |for |unions
Rights |of |management Civil |Rights |Act |of | 1964 |- |CORRECT |ANSWER✔✔-Prohibits | discrimination |against |race, |religion, |sex, |creed, |color, |gender, | national |origin Recognition |Phase |of |Negotiations |- |CORRECT |ANSWER✔✔-Need | 30% |of |nurses |to |sign |individualized |authorization |cards |before | labor |union |can |rep |them Decertification |- |CORRECT |ANSWER✔✔-Employees |elect |to |stop | using |the |union; |also |need |30% |of |the |vote |before |even |going |to |the | NLRB |to |start |the |process Hill-Burton |Act |- |CORRECT |ANSWER✔✔-Funding |given |to |healthcare | facilities |so |these |facilities |must |treat |any |patient |through |ED, | participate |in |CMS, |post |things |in |language |of |10% |of |population, | etc. Fair |Labor |Act |- |CORRECT |ANSWER✔✔-Federal |law |that |establishes | minimum |wage, |overtime |pay |eligibility, |and |child |labor |standards Shared |Governance |- |CORRECT |ANSWER✔✔-Accountability-based | governance |system |where |staff |nurses |have |a |voice |with |manager/leader |oversight; |collaboration |and |democratic |decision- making
- |Fair |and |Objective |Investigation: |all |parties |and |sides |interviewed |and |considered |
- |Proof: |facts |support |the |breaking |of |the |rule
- |Equal |Treatment: |treat |people |and |situations |and |rule-breaking |in |similar |ways |
- |Reasonable |Penalty: |discipline |should |match |the |severity |of |the | infraction; |can |be |more |lenient |with |employees |in |good |and/or |long | standing Autocratic/Authoritarian |Leadership |- |CORRECT |ANSWER✔✔-Take | charge; |effective |in |short |term |but |negatively |impacts |employee | morale; |directive, |critical, |and |punitive; |makes |decisions, |plans, | fosters |dependency Servant |Leadership |- |CORRECT |ANSWER✔✔-Serving |put |first; | holistic |approach |with |shared |decision-making Leader |- |CORRECT |ANSWER✔✔-Need |to |do |the |right |things, | challenged |by |change, |focus |on |purpose, |and |think |of |the |future; | guide |or |show |others Manager |- |CORRECT |ANSWER✔✔-Do |things |right, |challenged |by | continuity, |focus |on |the |present, |consider |schedules |and |evaluate | performance Democratic |Leadership |- |CORRECT |ANSWER✔✔-Maintain |less | control; |ask |questions |and |make |suggestions; |group |decision | making |and |problem |solving; |creates |independence; |not |as |efficient |as |autocratic
Laissez-Faire |Leadership |- |CORRECT |ANSWER✔✔-No |control |or |plan; |nondirective; |uninvolved; |chaos |can |occur; |inefficient |and | unproductive Situational |Leadership |Theory |- |CORRECT |ANSWER✔✔-Leadership | approach |should |be |based |on |staff |level |of |development |with |the | task Competing |Values |Framework |- |CORRECT |ANSWER✔✔-Customize | leadership |style |by |putting |Leader |with |that |skill |on |that |project; | 4 | quadrants |of |competing |skills/focuses |that |leaders |need |to |master; | use |different |ones |in |different |situations Transactional |Leadership |- |CORRECT |ANSWER✔✔-Leader |sets |goals |for |employees |and |then |rewards; |task |oriented; |like |manager; | based |on |hierarchy Transformational |Leadership |- |CORRECT |ANSWER✔✔-Promotes | employee |development; |has |vision; |networks; |cooperative; | influence |change |and |promote |creativity; |provide |encouragement | and |support |self-management; |optimistic Gantt |Chart |- |CORRECT |ANSWER✔✔-The |relationship |of |work | planned/completed |on |axis |and |amount |of |time |on |the |other; |view | of |tasks |over |time; |good |way |to |track |a |project |or |work |scheduled |on |a |particular |day
Keys |to |Accountability |- |CORRECT |ANSWER✔✔-Leader |needs |to | understand |personal |values |and |align |with |hospital |values |and | make |this |clear |to |employees Emotional |Intelligence |- |CORRECT |ANSWER✔✔-Understanding | others, |showing |resilience, |and |demonstrating |strong | communication |skills Keys |to |Transforming |Institutions |- |CORRECT |ANSWER✔✔-Work |in | your |circle |of |influence; |surround |yourself |with |positive |people; | working |in |this |circle |to |affect |change |then |grows |your |circle Total |Quality |Movement |- |CORRECT |ANSWER✔✔-Deming's | 14 |Points |similar |to |SCH's |continuous |improvement |ideas; |also |consider |a | mission |in |staff's |hearts |so |quality |really |matters |from |the |start |and | a |safe, |open |environment Behavioral |Interview |- |CORRECT |ANSWER✔✔-Candidates |give | specific |examples |of |past |behavior; |best |predictor |of |future | behavior Situational |Interview |- |CORRECT |ANSWER✔✔-Mock |ups, |scenarios, | SIM |of |work |situations |fir |half |or |full |day Non-Directive |Interview |- |CORRECT |ANSWER✔✔-Winging |it |by | asking |questions |based |on |last |answer; |meandering; |applicant | leads |it; |tell |me |about |yourself
Stress |Interview |- |CORRECT |ANSWER✔✔-Create |anxiety |and | pressure |on |applicant; |aggressive; |needed |for |air |traffic |controller Interview |Modalities |- |CORRECT |ANSWER✔✔-Panel, |individual, |and | video Keys |to |Effective |Preceptor |Programs |- |CORRECT |ANSWER✔✔- Tracking |system |for |productivity |and |progress Skill |focused |and |culture/social |focused | Use |adult |learning |principles | Coaching |and |feedback | Weekly |check-ins Guidelines |for |assignments, |role |expectations, |support Keys |to |Monitor |& |Manage |Performance |- |CORRECT |ANSWER✔✔- Plan: |expectations |communicated Track: |ongoing |attention |to |performance Review: |formal |eval SMART(S) |Goals |- |CORRECT |ANSWER✔✔-Specific, |Measurable, | Attainable, |Realistic, |Timely, |(Strategically |Linked) Corrective |Action |Steps |- |CORRECT |ANSWER✔✔-Conference, |verbal |warning, |written |warning, |suspension, |termination
CQI |- |CORRECT |ANSWER✔✔-continuous |quality |improvement |with | lots |of |ideas |on |the |table |and |using |data |that |test/refine |process; | incremental |improvement PDC(S)A |- |CORRECT |ANSWER✔✔-Plan, |do, |check |(study), |act; | control |and |continuous |improvement DMAIC |- |CORRECT |ANSWER✔✔-Data-driven |improvement |cycle; | 5 | phases |for |problem |solving; |define, |measure, |analyze, |improv, | control Six-Sigma |- |CORRECT |ANSWER✔✔-Minimizes |variation |and |reduces |error |rates |by |getting |rid |of |defects Histogram |- |CORRECT |ANSWER✔✔-Bell |curve |graph |showing | where/when |most |issues |occur Scatter |Diagram |- |CORRECT |ANSWER✔✔-Compares |two |variables | and |their |relationship |(staffing |# |to |fall |rate) |(errors |and |new |staff); | helps |determine |negative/positive |causation |when |determining |the | relationship |between |two |variables Control |Chart |- |CORRECT |ANSWER✔✔-Upper |and |lower |limits |and | where |data |falls; |tracking |BSI's |and |other |quality |indicators Serious |Reportable |Events |- |CORRECT |ANSWER✔✔-Sentinel |events; |must |report |to |governing |body |and |track/show |improvements
RCA |- |CORRECT |ANSWER✔✔-Root |cause |analysis: |ask |why | 5 |times; | process |to |define |the |most |basic |fundamental |causal |factor |so |it |can |be |corrected |to |prevent |future |errors Group |Think |- |CORRECT |ANSWER✔✔-Groups |agree |to |do |something |because |they |assume |others |want |to Fishbone |Diagram |- |CORRECT |ANSWER✔✔-Cause |and |effect; |ask | why | 5 |times; |identify |different |areas |of |cause |and |list |issues |did |that |area Pareto |Chart |- |CORRECT |ANSWER✔✔-Bar |graph |showing |highest | frequency |to |lowest |from |left |to |right; |helps |focus |on |biggest |issue | or |cause |to |tackle Staffing |and |Joint |Conmission |- |CORRECT |ANSWER✔✔-Does |not |set | staffing |standards; |staffing |should |support |safety, |quality, |and | adequate |RN |staff; |meet |your |own |standards Benner's |Stages |of |Nursing |Development |- |CORRECT |ANSWER✔✔- Novice, |Advanced |Beginner, |Competent, |Proficient, |Expert Communication |and |Errors |- |CORRECT |ANSWER✔✔-80% |of |patient | errors |are |related |to |communication Negative |Employees |- |CORRECT |ANSWER✔✔-Involve |them |on |task | forces |and |Shared |Gov |so |their |voice |can |be |heard |and |focus |on | solutions
Words |Absorbed |with |Communication |- |CORRECT |ANSWER✔✔-Only | 7% |of |communication |is |the |words! Running |Effective |Meetings |- |CORRECT |ANSWER✔✔-Determine | what |should |be |face-to-face; |have |a |value-added |agenda; |keep |it | short |if |not |a |lot |on |the |agenda; |get |employee |input |on |agenda | items; |specific |items; |stick |to |time Optimists |and |Change |- |CORRECT |ANSWER✔✔-They |reframe | change |events |as |opportunities |to |try |something |new, |rebuild, |or | understand |that |they |have |succeeded |in |the |past |so |will |again Bridges' |Ending |Phase |of |Change |- |CORRECT |ANSWER✔✔- Something |new |is |coming |so |staff |mourn |what |they |will |leave | behind; |managers |should |spend |time |listening |and |give |info |to |staff | as |they |adjust Bridges' |Beginning |Phase |of |Change |- |CORRECT |ANSWER✔✔-Just | go |out |and |start! Bridges' |Neutral |Zone |of |Change |- |CORRECT |ANSWER✔✔-Staff | anxieties |rise, |motivation |falls, |old |weaknesses |emerge; | communication |suffers Effective |Teams |- |CORRECT |ANSWER✔✔-Based |on |trust, |embrace | conflict, |committed, |accountable, |and |pay |attention |to |results
Disruptive |Innovators |- |CORRECT |ANSWER✔✔-Staff |who |introduce | new |ideas, |products, |or |processes |for |improvement |but |disrupt | current |flow/equilibrium Keys |to |Rapid |Change |- |CORRECT |ANSWER✔✔-Can |you |put |some | changes |off? Create |a |transition |team Keys |to |Morale |Issues |- |CORRECT |ANSWER✔✔-Get |Shared | Governance; |ask |employees; |walking |rounds |with |staff |(walking | rounds |or |rounding |for |outcomes) Stages |of |Team |Conflict |- |CORRECT |ANSWER✔✔-Forming, |storming, | norming, |and |performing Disaster |Training |- |CORRECT |ANSWER✔✔-Staff |at |front-line |need |to | know |how |to |deal |with |crisis |in |the |moment Stages |of |Situational |Leadership |- |CORRECT |ANSWER✔✔-Directing, | Coaching, |Supporting, |and |Delegating Occupational |Safety |& |Health |Administration |(OSHA) |- |CORRECT | ANSWER✔✔-Develops |standards, |creates |regulations, |inspects |for | compliance, |and |cite |noncompliance |of |work |healthy |& |safety; | federal |agency; |work |places |must |keep |records |of |illnesses/accidents |& |report |them
