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

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-based practice.
d. Holds focus groups with staff to deter-mine what kinds of issues, challenges, and obstacles have occurred in implementa-tion.


D
On a consistent basis, the strategic plan is reviewed at all levels to determine whether the execu-tion of goals, objectives, and activities is on target. As stated, a sense of flexibility regarding the objectives is important to consider, and objectives may change as a result of legislation, budget changes, and change in structure or other environmental factors. Involving staff enables devel-opment of creative methods to ensure that necessary changes occur.

Nursing

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The nurse is using the HOPE tool when assessing a patient's spiritual needs. In which order should the nurse ask the patient the following questions?

1. Identify sources of strength 2. What specific actions conducted? 3. Does religion influence health care? 4. What is the role of religion in your life?

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Two components of each subsystem include choice and action. Johnson refers to choice as the individual's repertoire of alternative behaviors in a situation that will best meet the goal and attain the desired outcome

Indicate whether this statement is true or false.

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Identify the term used when an ethical situation arises in which there is a choice between two equally unfavorable alternatives

a. A tort b. Ethical antagonism c. Contraindication d. Ethical dilemma

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