The nurse manager is planning a change to the nursing unit that requires all patients to receive health promotion education but knows that this may be diffi cult for what reason?

1 The regulations of the Patient Protection and Affordable Care Act of 2010 2 The need to focus on health promotion and disease prevention 3 Focus of fi nancial rewards for providing health care to the sick 4 The shift from a traditional to a futuristic planning approach AppendixLO1