Planning is a process designed to achieve goals in dynamic, competitive environments. As a new manager, what is the first step you will undertake to develop a strategic plan of action for a congestive heart failure program?
Implement an evidence-based plan of action.
Establish a vision and mission statement for the impending change.
Search the environment for its strengths, weaknesses, opportunities, and threats.
Develop a strategy with an interdisciplinary team.
The Correct Answer is B
A. Implementing a plan without first establishing a clear vision and mission could lead to confusion and misalignment among team members regarding the goals of the program.
B. Establishing a vision and mission statement is crucial as it provides direction and purpose for the strategic planning process, guiding subsequent actions and decisions.
C. While assessing strengths, weaknesses, opportunities, and threats is important, it typically comes after defining the vision and mission to ensure that planning aligns with overall goals.
D. Collaborating with an interdisciplinary team to develop a strategy is essential but should occur after establishing a foundational vision and mission statement to ensure that everyone is aligned toward common objectives.
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Correct Answer is C
Explanation
A. The RN is responsible for the care provided but does not hold sole accountability, as overall accountability also lies with the charge nurse.
B. The RN holds responsibility and accountability for their assigned tasks but also shares accountability with the charge nurse for overall care.
C. The RN is accountable for their tasks, while the charge nurse retains overall responsibility for overseeing the patient's wellbeing in the context of team-based care.
D. Both responsibility and accountability are shared between the RN and the charge nurse, making this option incorrect.
Correct Answer is C
Explanation
A. This option suggests that the RN is solely responsible and accountable, which is not accurate in a team setting where oversight exists.
B. This option incorrectly places accountability solely with the charge nurse, whereas the RN also has accountability for the care provided to their assigned patients.
C. The RN assumes accountability for the specific tasks assigned to them while understanding that overall responsibility for patient safety and outcomes remains with the charge nurse. This reflects the collaborative nature of nursing practice.
D. This option suggests that the RN has neither responsibility nor accountability, which contradicts the professional role of a nurse who must always maintain a level of accountability for their actions and decisions regarding patient care.