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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A Reason:

“I will begin once the client’s insurance company approves discharge coverage.” This statement indicates a misunderstanding of the discharge planning process. Discharge planning should not be contingent upon insurance approval. While insurance coverage is an important aspect of discharge planning, it should not dictate when the planning process begins. Effective discharge planning starts early to ensure a smooth transition and continuity of care for the patient.

Choice B Reason:

“I will begin 48 hours before the client’s discharge.” Starting discharge planning 48 hours before discharge is too late. Discharge planning is a comprehensive process that involves assessing the patient’s needs, coordinating with various healthcare providers, and arranging for post-discharge care. Beginning the process only 48 hours before discharge does not allow sufficient time to address all necessary aspects of the patient’s care and can lead to rushed and incomplete planning.

Choice C Reason:

“I will begin upon the client’s admission to the facility.” This statement demonstrates a correct understanding of when to initiate discharge planning. Starting discharge planning at the time of admission ensures that the patient’s needs are identified early, and appropriate arrangements can be made for their care after discharge. This proactive approach helps in preventing delays and complications, ensuring a seamless transition from hospital to home or another care setting.

Choice D Reason:

“I will begin once the client’s discharge order is written.” Waiting until the discharge order is written to start planning is too late. By this time, there may not be enough time to arrange for necessary services, equipment, or follow-up care. Effective discharge planning requires early initiation to ensure that all aspects of the patient’s post-discharge needs are addressed in a timely manner.

A. “Critical pathways ensure cost-effective outcomes at a reduced cost.” B. “Critical pathways result in better care outcomes.” C. “Critical pathways must be followed in the prescribed order to meet optimal outcomes.” D. “Critical pathways are utilized to guide health promotion activities.” E. “Individual healthcare providers create critical pathways to guide the care they offer to their patients.”

Correct Answer is B

Explanation

Choice A Reason:

“Critical pathways ensure cost-effective outcomes at a reduced cost.” While critical pathways can help in managing costs by standardizing care and reducing unnecessary variations, the primary focus is on improving patient outcomes. Cost-effectiveness is a benefit, but it is not the main purpose of critical pathways.

Choice B Reason:

“Critical pathways result in better care outcomes.” This statement accurately reflects the primary goal of critical pathways. These pathways are designed to standardize care processes, reduce variability, and ensure that patients receive evidence-based care. By following critical pathways, healthcare providers can improve the quality of care, enhance patient outcomes, and ensure consistency in treatment.

Choice C Reason:

“Critical pathways must be followed in the prescribed order to meet optimal outcomes.” While it is important to follow critical pathways to achieve the desired outcomes, there should be some flexibility to accommodate individual patient needs. Strict adherence without considering patient-specific factors can lead to suboptimal care. Critical pathways provide a framework, but clinical judgment is essential to tailor care to each patient.

Choice D Reason:

“Critical pathways are utilized to guide health promotion activities.” Critical pathways are primarily used to manage clinical care processes and ensure that patients receive standardized, evidence-based treatment. While they can include elements of health promotion, their main focus is on managing specific clinical conditions and improving patient outcomes.

Choice E Reason:

“Individual healthcare providers create critical pathways to guide the care they offer to their patients.” Critical pathways are typically developed by multidisciplinary teams, including physicians, nurses, and other healthcare professionals. They are based on best practices and evidence-based guidelines. Individual providers may contribute to the development of critical pathways, but they are not created by a single provider.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A new graduate nurse is devising a discharge plan. Which of the following statements made by the nurse demonstrates the nurse’s comprehension of when to initiate discharge planning?

Correct Answer is C

Explanation

A charge nurse is educating a newly licensed nurse regarding the utilization of critical pathways. What should the charge nurse incorporate?

Correct Answer is B

Explanation

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