Planning is intended to attain objectives in ever-changing, competitive settings. As a new manager, what is the most appropriate initial step in creating a strategic plan of action for a fall prevention program?
Formulate a strategy in collaboration with an interdisciplinary team.
Create a vision and mission statement for the upcoming challenge.
Analyze the environment to identify its strengths, weaknesses, opportunities, and threats.
Put into effect a plan of action that’s grounded in evidence.
The Correct Answer is C
Choice A Reason:
Formulating a strategy in collaboration with an interdisciplinary team is an important step in the planning process. However, it is not the initial step. Before developing a strategy, it is crucial to understand the current environment and context in which the program will be implemented. This understanding helps in creating a more effective and targeted strategy.
Choice B Reason:
Creating a vision and mission statement for the upcoming challenge is also a vital part of strategic planning. These statements provide direction and purpose for the program. However, they should be developed after a thorough analysis of the environment. This ensures that the vision and mission are aligned with the realities and needs of the organization and its stakeholders.
Choice C Reason:
Analyzing the environment to identify its strengths, weaknesses, opportunities, and threats (SWOT analysis) is the most appropriate initial step. This analysis provides a comprehensive understanding of the internal and external factors that can impact the success of the fall prevention program. By identifying these factors early on, the manager can develop a strategic plan that leverages strengths, addresses weaknesses, capitalizes on opportunities, and mitigates threats. This foundational step ensures that subsequent planning efforts are grounded in a realistic assessment of the current situation.
Choice D Reason:
Putting into effect a plan of action that’s grounded in evidence is essential for the success of any program. Evidence-based practices ensure that the interventions are effective and supported by research. However, implementing a plan should come after the initial steps of environmental analysis, strategy formulation, and vision and mission development. Skipping these preliminary steps can lead to a plan that is not well-aligned with the organization’s needs and context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason
This scenario exemplifies compromising because both parties make concessions to reach a mutually beneficial agreement. Dameeka wants to work the evening shift permanently, and Jose, the head nurse, agrees to this request on the condition that Dameeka assists in mentoring the evening staff on the new clinical information system. This arrangement allows both parties to achieve their goals while making necessary adjustments to accommodate each other’s needs.
Choice B Reason
This scenario demonstrates collaboration rather than compromising. Tim, the head nurse, involves the staff in the decision-making process by asking for their ideas on how to meet the technology goals and address their needs. Collaboration involves working together to find a solution that satisfies all parties, whereas compromising involves making concessions.
Choice C Reason
This scenario does not exemplify compromising. Rita, the head nurse, avoids conflict by coming to work after Tom leaves the unit. This approach does not involve any negotiation or mutual agreement but rather avoidance of the issue altogether.
Choice D Reason
This scenario illustrates avoidance and disengagement rather than compromising. Alicia, the head nurse on the cardiac step-down unit, begins to miss management meetings because Franklin dominates the meetings and decisions. There is no attempt to negotiate or reach a mutual agreement in this situation.
Correct Answer is C
Explanation
Choice A Reason:
Displaying the client’s medical diagnosis on a message board within the client’s room is a violation of patient privacy and confidentiality. According to the Health Insurance Portability and Accountability Act (HIPAA), patient information must be kept confidential and only shared with individuals directly involved in the patient’s care. Displaying such information publicly could lead to unauthorized access and breaches of confidentiality.
Choice B Reason:
Sharing her password with a new nurse during orientation to enable the new nurse to input her client’s vital signs is inappropriate. Password sharing is a significant security risk and violates hospital policies designed to protect patient information. Each healthcare worker should have their own login credentials to ensure accountability and maintain the integrity of the electronic health record system.
Choice C Reason:
Signing out of the computer system after recording a client’s intake and output measurements is an appropriate action. This practice ensures that patient information is secure and that the system is not left open for unauthorized access. It also helps maintain the accuracy and integrity of patient records by ensuring that only authorized personnel can make entries.
Choice D Reason:
Disposing of her nursing activity worksheet in a trash bin near the elevator at the conclusion of the shift is inappropriate. Nursing activity worksheets often contain sensitive patient information, and disposing of them in a public trash bin can lead to breaches of confidentiality. Proper disposal methods, such as shredding, should be used to ensure that patient information is securely destroyed.
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