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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?

A.

Implement an evidence-based plan of action.

B.

Establish a vision and mission statement for the impending change.

C.

Search the environment for its strengths, weaknesses, opportunities, and threats.

D.

Develop a strategy with an interdisciplinary team.

Answer and Explanation

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 D

Explanation

A. Establishing and revising the strategic vision and mission statement typically occurs earlier in the strategic planning process before environmental scanning and SWOT analysis are completed.

B. Compiling a list of strategic options is also an important step, but it generally follows the development of a plan that specifically addresses the findings from the SWOT analysis.

C. Evaluating the progress of the selected strategy occurs later in the process, after strategies have been implemented, making it an inappropriate next step at this point.

D. Developing a plan to address the SWOT analysis directly incorporates the findings from the environmental scan, ensuring that the identified strengths, weaknesses, opportunities, and threats inform future strategies and actions.

Correct Answer is B

Explanation

A. This statement involves critical thinking and interpretation of assessment findings, which should be performed by the RN.

B. Asking the LPN to verify the medications the client is taking is appropriate delegation since it involves a task that LPNs are qualified to perform and does not require complex decision-making.

C. Documenting the admission assessment should be completed by the RN, especially if it involves interpreting the findings.

D. Performing the initial assessment is a responsibility of the RN, as it requires comprehensive assessment skills and clinical judgment.

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