The first step in using a goals-based strategic planning method is to develop a(n):
a. vision.
b. values statement.
c. mission statement.
d. organizational philosophy.
C
Using a goals-based strategic planning method, the first step is to develop a mission statement. The mission of any organization is its purpose, function, and reason for existing. Organizations exist to do something such as produce a product or deliver a service. For a health care organiza-tion, the mission relates to health care services—for example, client care, teaching, and research. The mission statement should be short, concise, and clear. The mission of the nursing department should mesh with the mission of the institution.
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What does the nurse explain that a ventricular septal defect will allow?
a. Blood to shunt left to right, causing increased pulmonary flow and no cyanosis b. Blood to shunt right to left, causing decreased pulmonary flow and cyanosis c. No shunting because of high pressure in the left ventricle d. Increased pressure in the left atrium, impeding circulation of oxygenated blood in the circulating volume
A nurse is caring for a patient who has been admitted with an exacerbation of chronic bronchiectasis. The nurse should expect to assess the patient for which of the following clinical manifestations?
A) Copious sputum production B) Pain on inspiration C) Pigeon chest D) Dry cough
A female patient presents to the emergency department with complaint of chest pain. Which findings would raise the nurse's suspicion that the chest pain is of cardiac origin?
1. The patient has 2+ edema in her ankles. 2. The patient has bilateral xanthomas. 3. The chest pain is described as a "burning" in the center of the chest that is worse when supine. 4. The patient has an S3 heart sound. 5. The patient has a dull humming sound just below the xiphoid process.
The nurse is reviewing the American Cancer Society (ACS) recommendations for breast cancer screening with a 50-year-old female client. The nurse should emphasize the recommendation for
a. breast examination by a health care professional semi-annually. b. breast self-examination (BSE) monthly. c. chest x-ray study yearly when the client is over age 40. d. mammography when a lump is detected.