RN-BC Leadership Practice Questions (70 Flashcards)

Shared Governance. This model empowers interprofessional stakeholders to have a voice in decision-making. In informatics, this involves creating a multidisciplinary Informatics Steering Committee. Rationale: It fosters buy-in and ensures the system supports clinical workflows across various roles. Exam Tip: ANCC emphasizes collaborative decision-making over top-down leadership in informatics projects to ensure clinical relevance and user adoption.

Competing (Forcing). This is highly assertive and uncooperative, pursuing one's own concerns at the other person's expense. While often viewed negatively, Competing is essential in Informatics during emergencies or when vital issues like patient safety or legal compliance are at stake. ANCC Insight: The exam often tests your ability to recognize that Collaborating is not always the answer—safety overrides consensus.

To manage IT assets and projects as a suite of investments to maximize value while balancing risk and resource constraints. It ensures the organization isn't over-investing in one area (e.g., hardware) while neglecting another (e.g., data analytics or cybersecurity). It provides a macro-view of all initiatives.

Significant delay and high cost. In Waterfall, testing occurs late in the lifecycle (after implementation). If a fundamental error is found, the team may need to revert to the Design or even Requirements phase. ANCC Tip: This is the Waterfall Risk—the cost of change increases exponentially as the project progresses. Agile mitigates this through early, iterative testing.

Velocity. Velocity is the average amount of work (measured in story points or hours) a Scrum team completes during a single sprint. It is a critical tool for forecasting and capacity planning. Clinical Pearl: Velocity is unique to each specific team; it should never be used to compare different teams' performance or as a punitive productivity measure, as story point values are subjective to the team.