2024 CNML & NE-BC Exam With 160+ Questions & Correct Answers
What is the best leadership style for a nurse manager? - ANSWER-combination of transactional and transformational depending on the circumstance.
Describe Behavioral Interviewing. - ANSWER-Behavioral interviewing is a process of asking a set of structured questions based on how the candidate handled situations in the past, rather than asking hypothetical questions about the future. It is based on the assumption that past performance is a good indicator of future performance. An example would be: "Tell me about a time when you were forced to deal with a confrontational co-worker. How did you approach the situation?"
When is the best time to address performance issues? - ANSWER-Performance issues should be addressed as close as possible to when issues occur. Employees need to know what is expected of them through documented policies, procedures, and employee behavior guidelines. Performance issues should be measurable, clear, and documented when they happen or close to that time
What was the purpose of the National Labor Relations Act? - ANSWER-The National Labor Relations Act was developed in the 1930s to provide protection for workers to form, join, or assist labor unions; collectively bargain for higher wages and better working conditions; and it created for acceptable employer behavior during unionization events.
What is a SMART goal? - ANSWER-a goal that is Specific, Measurable, Achievable, Reasonable, Time-Framed
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What is Title VII of the Civil Rights Act of 1964? - ANSWER-it covers the issues that employees cannot be discriminated against based on race, color, religion, sex, or national origin
What is the Taft Hartley Act? - ANSWER-The Taft Hartley Act is also know as and/or covered by the Labor Management Relations Act and the Wagner Act, which covers unionization laws in individual states
What is the Medicare system? - ANSWER-The Medicare system provides health care coverage for citizens over 65; links in to state run Medicaid programs for the poor; and provides healthcare for patients with End Stage Renal Disease requiring dialysis or transplant.
What is EMTALA? - ANSWER-the Emergency Medical Treatment and Active Labor Act, a federal law passed in 1986 that requires hospitals and ambulance services to provide care to anyone needing emergency healthcare treatment regardless of citizenship, legal status, or ability to pay. There are provisions for additional reimbursement. The patients needing emergency treatment can only be discharged with their own informed consent or when their condition requires transfer to a hospital that is better equipped to administer the treatment. EMTALA applies to all hospitals that accept Medicare payments.
What is the most effective way to save money in a medical-surgical budget? - ANSWER-The most effective way to save money is to focus on finding creative ways to reduce the salary budget, as the salary budget is often 80% of the budget.Other cost saving measures are not as effective since they represent a smaller portion of the budget, but most organizations still avoid wasting supplies; eliminate food at educational sessions; reduce educations and travel budgets
What is a budget? - ANSWER-a plan for how to spend, monitor, and redistribute available money as needed.
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What are DRG's? - ANSWER-DRG's are diagnostic related groups of reimbursement rates based on specific diagnoses.
Define prospective payments. - ANSWER-Prospective payments are rates agreed upon in advance by insurance companies and the hospital.
Explain Per Diem. - ANSWER-Per diem are set rates of payment by the insurance company per day of admission in the hospital
What is Capitation? - ANSWER-a fee the insurance company pays per patient for a set period of time whether they are admitted to the hospital or use other medical services during that time
What is Productivity? - ANSWER-the amount of work performed by a set number of employees
What is Case Mix Index? - ANSWER-(CMI) is a system that classifies patients according to diagnosis, treatment, age, and other clinical/financial categories to develop a reimbursement rate
Where do supplemental nursing salaries appear in the budget? - ANSWER- Supplemental staff RN's from an agency usually appear in the budget as a contract expense item, not charged to salaries.
What is Zero Based Budgeting? - ANSWER-building a budget from scratch, with no preconceived assumptions
When an employee is out on long-term disability where is their salary changed? - ANSWER-Salaries for employees on long-term disability, are general charged to an insurance or central fund, not their unit based budget.
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