Chapter 18: Strategic Planning and Goal Setting
Waddell/Walton: Yoder-
Wise’s Leading and Managing in Canadian Nursing, Third Edition
MULTIPLE CHOICE
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 p
lan of action for a program about congestive heart failure?
Search the environment to determine changes that may affect the organization.
Appraise the organization‘s strengths and weaknesses.
Identify the major opportunities for and threats to the organization.
Identify and evaluate the various strategies available to the organization.
ANS: A
Assessment of the external environment is the first step in the strategic planning process.
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Nursing Process: Assessment
2. A community-
based pain management program is being planned for your region. As a coordinator o f
a home care agency, you have been requested to develop a conceptual framework, m i
ssion statement, philosophy, and objectives for the program. In what order will you pu
rsue this endeavour?
a. Objectives, philosophy, and mission statement.
b. Philosophy, objectives, and mission statement.
c. Philosophy, mission staNtemRent,IandGobBje.ctCivesM.
USNT
d. Mission statement, philosophy, and objectives.
ANS: D
The development of the mission statement is the first step in defining the purpose and di
r ection of the organization after an assessment has been completed.
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Nursing Process: Planning
Northwestern Hospital has decided to implement peer review. As a clinical leader in th
emergency department, you have overall responsibility for ensuring that this is in plac
by next month. The most important step in this process is to:
Provide an educational session for staff on peer review.
Revise the mission statement, objectives, and performance standards.
Develop objectives and performance standards with employees.
Implement objectives and performance standards.
ANS: A
Once a strategic plan has been developed, the next step is open communication and exec
ution of the specific plan, which, in this instance, is peer review.
DIF: Cognitive Level: Apply REF: Pages 327-
328, Table 18.1 TOP: Nursing Process: Implementation
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, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
The clinic nurse understands that the advantages of planning include:
Assisting staff in critical thinking and improving decisions.
Orienting people to react instead of act.
Forcing managers to be financially efficient and effective.
Focusing on activities, not results.
ANS: A
Effective planning means that everyone in the organization manages his or her own wor
k and sees how it relates to organizational goals. Being proactive means ―aggressive pl an
ning‖, which ensures that decisions are improved and are oriented toward organizatio nal
goals.
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As a nursing leadership student, you have had the opportunity to develop a palliative car
manual that will be used by the palliative care network (PCN) in your region for teachi
ng health care providers. The PCN has requested that you provide a prioritized strategic p
lan of action for the manual on a province-/territory-
wide basis. What is the first priority?
Motivate the target market.
Research the target market.
Communicate benefits to the target group.
Package the product.
ANS: B
To put a strategic plan intoNplaRce, iItisGneceBs.saCry tMo conduct an environmental assessment.
USNT O
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The chief nursing officer has to write a strategic plan. The most difficult stage in t
he strategic planning process is:
Assessment of the external and internal environment.
Review of mission statement, goals, and objectives.
Identification of strategies.
Implementation of strategies.
ANS: A
Determination of strengths, weaknesses, opportunities, and threats requires openness to
what is being said and observed and is critical for producing relevant responses in the lat
ter phases of strategic planning.
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The reasons that nursing administrators sometimes do not plan in a systematic man
n er include:
Lack of understanding of the planning process.
Lack of knowledge regarding the internal and external operations of the
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