Question 1

The reasons that nursing administrators sometimes do not plan in a systematic manner include

Accepted Answer

A)  lack of understanding of the planning process. 
B)  lack of knowledge regarding the internal and external operations of the organization. 
C)  not enough hours in the day for both day-to-day operations and planning. 
D)  delegation of the task to subordinates. 
A)  lack of understanding of the planning process. 
B)  lack of knowledge regarding the internal and external operations of the organization. 
C)  not enough hours in the day for both day-to-day operations and planning. 
D)  delegation of the task to subordinates. A

Question 2

The clinic nurse understands that the advantages of planning include

Accepted Answer

A)  assisting staff in critical thinking and improving decisions. 
B)  orienting people to react instead of act. 
C)  forcing managers to be financially efficient and effective. 
D)  focusing on activities, not results. 
A)  assisting staff in critical thinking and improving decisions. 
B)  orienting people to react instead of act. 
C)  forcing managers to be financially efficient and effective. 
D)  focusing on activities, not results. A

Question 3

The chief nursing officer has to write a strategic plan.The most difficult stage in the strategic planning process is

Accepted Answer

A)  assessment of the external and internal environment. 
B)  review of mission statement, goals, and objectives. 
C)  identification of strategies. 
D)  implementation of strategies. 
A)  assessment of the external and internal environment. 
B)  review of mission statement, goals, and objectives. 
C)  identification of strategies. 
D)  implementation of strategies. A

Question 4

After a year,staff members at Pacific Hospital are frustrated,and the implementation of evidence-informed practice has gone poorly.In responding to this situation,the strategic planning team at Pacific Hospital

Accepted Answer

A)  recommends that the mission, objectives, and goals of the hospital be reassessed. 
B)  revises the goal statements in the strategic plan. 
C)  consults an external team on preparation of materials on evidence-informed practice. 
D)  holds focus groups with staff to determine what kinds of issues, challenges, and obstacles have occurred in implementation. 
A)  recommends that the mission, objectives, and goals of the hospital be reassessed. 
B)  revises the goal statements in the strategic plan. 
C)  consults an external team on preparation of materials on evidence-informed practice. 
D)  holds focus groups with staff to determine what kinds of issues, challenges, and obstacles have occurred in implementation.

Question 5

Pacific Hospital's strategic planning team develops a process to include staff in development of the mission statement.Which of the following statements would indicate that staff members have been able to develop an effective mission statement?

Accepted Answer

A)  "Pacific Hospital will increase its sustainability by increasing revenue streams within the next three years. Revenue streams are important to our hospital and are a driving force in our sustainability in the face of insurer and government funding changes." 
B)  "Pacific Hospital has a desire to relate to its community to enable appropriate identification of programming needs by July 2016." 
C)  "Pacific Hospital will provide family-centred care to the community of Pacific Rim. It is committed to delivering a full spectrum of services that foster collaborative partnerships among clients, families, and the hospital, and it utilizes evidence-informed practice to guide planning and interventions. 
D)  To provide health promotion programs for school-aged children. 
A)  "Pacific Hospital will increase its sustainability by increasing revenue streams within the next three years. Revenue streams are important to our hospital and are a driving force in our sustainability in the face of insurer and government funding changes." 
B)  "Pacific Hospital has a desire to relate to its community to enable appropriate identification of programming needs by July 2016." 
C)  "Pacific Hospital will provide family-centred care to the community of Pacific Rim. It is committed to delivering a full spectrum of services that foster collaborative partnerships among clients, families, and the hospital, and it utilizes evidence-informed practice to guide planning and interventions. 
D)  To provide health promotion programs for school-aged children.

Question 6

The strategic planning process shares many similarities with which of the following?

Accepted Answer

A)  The mission statement 
B)  The nursing process 
C)  The goal-setting process 
D)  The writing of objectives 
A)  The mission statement 
B)  The nursing process 
C)  The goal-setting process 
D)  The writing of objectives

Question 7

Of the following types of environmental assessments,which is an example of a patient trend assessment?

Accepted Answer

A)  Economic forces and the escalating rates of health care costs 
B)  Input about current and future services 
C)  The numbers and types of health care providers 
D)  Availability of rehabilitative and home health care services 
A)  Economic forces and the escalating rates of health care costs 
B)  Input about current and future services 
C)  The numbers and types of health care providers 
D)  Availability of rehabilitative and home health care services

Question 8

The process of developing,negotiating,and formalizing the targets of an organization is

Accepted Answer

A)  objective development. 
B)  goal setting. 
C)  philosophy creation. 
D)  strategic planning. 
A)  objective development. 
B)  goal setting. 
C)  philosophy creation. 
D)  strategic planning.

Question 9

Which of the following represents a well-written objective?

Accepted Answer

A)  "To reduce hospital-acquired infections and to implement procedures to reduce infections" 
B)  "To increase staff satisfaction and to decrease burnout" 
C)  "To increase the health of the community" 
D)  "To implement evidence-informed practice on nursing units, according to adoption of evidence-informed processes, by June 1, 2016" 
A)  "To reduce hospital-acquired infections and to implement procedures to reduce infections" 
B)  "To increase staff satisfaction and to decrease burnout" 
C)  "To increase the health of the community" 
D)  "To implement evidence-informed practice on nursing units, according to adoption of evidence-informed processes, by June 1, 2016"

Question 10

Northwestern Hospital has decided to implement peer review.As a clinical leader in the emergency department,you have overall responsibility for ensuring that this is in place by next month.The most important step in this process is to

Accepted Answer

A)  provide an educational session for staff on peer review. 
B)  revise the mission statement, objectives, and performance standards. 
C)  develop objectives and performance standards with employees. 
D)  implement objectives and performance standards. 
A)  provide an educational session for staff on peer review. 
B)  revise the mission statement, objectives, and performance standards. 
C)  develop objectives and performance standards with employees. 
D)  implement objectives and performance standards.

Question 11

Planning is a process designed to achieve goals in dynamic,competitive environments.What is the first step that you,as a new manager,will undertake to develop a strategic plan of action for a program about congestive heart failure?

Accepted Answer

A)  Search the environment to determine changes that may affect the organization. 
B)  Appraise the organization's strengths and weaknesses. 
C)  Identify the major opportunities for and threats to the organization. 
D)  Identify and evaluate the various strategies available to the organization. 
A)  Search the environment to determine changes that may affect the organization. 
B)  Appraise the organization's strengths and weaknesses. 
C)  Identify the major opportunities for and threats to the organization. 
D)  Identify and evaluate the various strategies available to the organization.

Question 12

In assessing the internal environment,the strategic planning team at Pacific Hospital discovers that 90% of staff members have no idea what the current mission statement means.This is probably related to

Accepted Answer

A)  the level of abstraction inherent in mission statements. 
B)  development of the statement by the administration team with no other staff involvement. 
C)  outdated goals and objectives contained in the mission statement. 
D)  failure to provide action statements within the mission statement. 
A)  the level of abstraction inherent in mission statements. 
B)  development of the statement by the administration team with no other staff involvement. 
C)  outdated goals and objectives contained in the mission statement. 
D)  failure to provide action statements within the mission statement.

Question 13

In establishing the strategic plan for effective use of evidence to guide nursing practice at Pacific Hospital,the nursing unit managers take the next step,which is the implementation.Implementation would probably involve

Accepted Answer

A)  revisiting the mission statement and objectives. 
B)  reevaluating external and internal factors affecting evidence-informed practice. 
C)  preparing a budget to support implementation. 
D)  developing unit-based objectives related to the plan. 
A)  revisiting the mission statement and objectives. 
B)  reevaluating external and internal factors affecting evidence-informed practice. 
C)  preparing a budget to support implementation. 
D)  developing unit-based objectives related to the plan.

Question 14

A clinic nurse developed objectives for a diabetic education program.Well-written objectives should be which of the following?

Accepted Answer

A) Reasonable 
B) Understandable and specific 
C) People oriented 
D) Manager oriented 
E) Means oriented
F)Measurable 
A) Reasonable 
B) Understandable and specific 
C) People oriented 
D) Manager oriented 
E) Means oriented
F)Measurable

Question 15

Which of the following reflects a characteristic of an organizational environmental assessment?

Accepted Answer

A)  It relates only to administration. 
B)  It is an informal evaluation of relationships. 
C)  It does not include the organizational climate. 
D)  It involves comparison of data against benchmarks. 
A)  It relates only to administration. 
B)  It is an informal evaluation of relationships. 
C)  It does not include the organizational climate. 
D)  It involves comparison of data against benchmarks.

Question 16

As a unit manager,you can promote goal commitment by

Accepted Answer

A)  using behaviour modification strategies. 
B)  putting rewards in place at the unit level for compliance. 
C)  providing detailed instructions to employees as to how to implement activities to achieve the goals. 
D)  including goal attainment in the performance evaluation of each staff nurse. 
A)  using behaviour modification strategies. 
B)  putting rewards in place at the unit level for compliance. 
C)  providing detailed instructions to employees as to how to implement activities to achieve the goals. 
D)  including goal attainment in the performance evaluation of each staff nurse.

Question 17

The executive team at Hospital XYZ develops a polished strategic plan that includes a mission statement,goals,objectives,and a business plan for various initiatives in the plan.The executive team ensured that the plan was communicated internally and externally.After 2 years,no significant progress has been made toward any of the goals.What has been omitted in the plan?

Accepted Answer

A)  Consumer input planning 
B)  Clear communication 
C)  Integrated financial planning 
D)  Consideration of customer input 
A)  Consumer input planning 
B)  Clear communication 
C)  Integrated financial planning 
D)  Consideration of customer input

Question 18

To conduct assessment of the internal environment,the strategic planning team for Pacific Hospital

Accepted Answer

A)  invites community members and staff of the hospital to an evening focus group session. 
B)  discusses what it sees as the primary threats and opportunities in demographic shifts affecting the hospital. 
C)  invites all levels of staff to focus groups on the effectiveness of the hospital environment, including information systems and staffing. 
D)  asks the board to provide a summary of major opportunities for the future. 
A)  invites community members and staff of the hospital to an evening focus group session. 
B)  discusses what it sees as the primary threats and opportunities in demographic shifts affecting the hospital. 
C)  invites all levels of staff to focus groups on the effectiveness of the hospital environment, including information systems and staffing. 
D)  asks the board to provide a summary of major opportunities for the future.

Question 19

A community-based pain management program is being planned for your region.As a coordinator of a home care agency,you have been requested to develop a conceptual framework,mission statement,philosophy,and objectives for the program.In what order will you pursue this endeavour?

Accepted Answer

A)  Objectives, philosophy, and mission statement 
B)  Philosophy, objectives, and mission statement 
C)  Philosophy, mission statement, and objectives 
D)  Mission statement, philosophy, and objectives 
A)  Objectives, philosophy, and mission statement 
B)  Philosophy, objectives, and mission statement 
C)  Philosophy, mission statement, and objectives 
D)  Mission statement, philosophy, and objectives

Question 20

Construction of properly worded and written objectives most often begin with which word?

Accepted Answer

A)  "Illustrate" 
B)  "Demonstrate" 
C)  "To" 
D)  "Develop" 
A)  "Illustrate" 
B)  "Demonstrate" 
C)  "To" 
D)  "Develop"

Exam 17: Strategic Planning and Goal Setting

The reasons that nursing administrators sometimes do not plan in a systematic manner include

The clinic nurse understands that the advantages of planning include

The chief nursing officer has to write a strategic plan.The most difficult stage in the strategic planning process is

After a year,staff members at Pacific Hospital are frustrated,and the implementation of evidence-informed practice has gone poorly.In responding to this situation,the strategic planning team at Pacific Hospital

Pacific Hospital's strategic planning team develops a process to include staff in development of the mission statement.Which of the following statements would indicate that staff members have been able to develop an effective mission statement?

The strategic planning process shares many similarities with which of the following?

Of the following types of environmental assessments,which is an example of a patient trend assessment?

The process of developing,negotiating,and formalizing the targets of an organization is

Which of the following represents a well-written objective?

Northwestern Hospital has decided to implement peer review.As a clinical leader in the emergency department,you have overall responsibility for ensuring that this is in place by next month.The most important step in this process is to

Planning is a process designed to achieve goals in dynamic,competitive environments.What is the first step that you,as a new manager,will undertake to develop a strategic plan of action for a program about congestive heart failure?

In assessing the internal environment,the strategic planning team at Pacific Hospital discovers that 90% of staff members have no idea what the current mission statement means.This is probably related to

In establishing the strategic plan for effective use of evidence to guide nursing practice at Pacific Hospital,the nursing unit managers take the next step,which is the implementation.Implementation would probably involve

A clinic nurse developed objectives for a diabetic education program.Well-written objectives should be which of the following?

Which of the following reflects a characteristic of an organizational environmental assessment?

As a unit manager,you can promote goal commitment by

To conduct assessment of the internal environment,the strategic planning team for Pacific Hospital

A community-based pain management program is being planned for your region.As a coordinator of a home care agency,you have been requested to develop a conceptual framework,mission statement,philosophy,and objectives for the program.In what order will you pursue this endeavour?

Construction of properly worded and written objectives most often begin with which word?

Leading, Managing, and Following

Patient Focus

Developing the Role of Leader

Developing the Role of Manager

Legal Issues

Ethical Issues

Making Decisions and Solving Problems

Health Care Organizations

Understanding and Designing Organizational Structures

Cultural Diversity in Health Care

Power,Politics,and Influence

Caring,Communicating and Managing With Technology

Managing Costs and Budgets

Care Delivery Strategies

Staffing and Scheduling

Selecting, developing, and Evaluating Staff

Leading Change

Building Teams Through Communication and Partnerships

Collective Nursing Advocacy

Managing Quality and Risk

Translating Research Into Practice

Understanding and Resolving Conflict

Managing Personalpersonnel Problems

Workplace Violence and Incivility

Practising and Leading in Interdisciplinary Settings

Role Transition

Self-Management: Stress and Time

Managing Your Career

Thriving for the Future

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