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 ["A","C","D"]
Explanation
A. It is crucial that staff members perceive the change as beneficial; otherwise, they will resist adoption. Clear communication of the advantages of the new device can foster acceptance.
B. A successful change process often involves negotiation and collaboration, allowing staff to express concerns and participate in the transition, enhancing buy-in and ownership.
C. The relationship between the nurse manager and the staff significantly impacts the change process; a positive relationship can lead to greater trust and willingness to adapt.
D. Involving staff in identifying the problem for the change promotes ownership and commitment, making them more likely to embrace the new device.
E. While sharing ideas and reactions is beneficial, discouraging the expression of fears can lead to unresolved issues and resentment, which could hinder the change process. It is essential to create an environment where all feelings and concerns can be shared openly.
Correct Answer is D
Explanation
A. The PSDA ensures patients understand their rights but does not authorize family members to alter a living will when the patient is incapacitated.
B. A durable power of attorney can make healthcare decisions but cannot simply annul the living will without considering the patient's stated wishes.
C. Family members cannot change a living will arbitrarily, especially when the client is unconscious; the living will conveys the client's predetermined preferences.
D. The living will is a legal document that outlines the client's desires regarding lifesaving measures and must be followed, even if the client is unconscious.