Exam 9: Planning for Community Change

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The nursing instructor has completed a session exploring the health impact pyramid with the class of nursing students. The instructor will determine the session is successful when the students correctly choose which changes in the environment will make the choice for a healthy behavior the default or easy choice? (Select all that apply.)

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A, B, D

The nurse evaluates the job descriptions of the community health workers who work with community health nurses and other members of the program team. Which responsibilities should the nurse discover in the job descriptions? (Select all that apply.)

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A, C, D

A nursing student is preparing a poster of various theories which are utilized in creating changes in the healthcare system. Which will best illustrate the systems theory?

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B

The nurse researches the role of nurse-managed health centers in the city. Which common characteristics of these centers should the nurse discover in this research? (Select all that apply.)

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The county public health department leadership desires to ensure they are providing the best care possible. When utilizing the health impact pyramid as a guide, which actions would exemplify clinical interventions by the clinic? (Select all that apply.)

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The nurse decided to approach local organizations for financial and in-kind support for a new community health initiative. Which local resources should the nurse prioritize? (Select all that apply.)

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A team of nursing students are preparing for a class project which will focus on social marketing. Which activities could the nursing students include in their project? (Select all that apply.)

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The nurse prepares community program objectives that are specific, measurable, achievable, relevant, and time bound (SMART) to help in planning interventions and establishing measurement systems to evaluate programs and outcomes. Which measurable objective should the nurse prioritize?

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The nurse examines the logic model and formal evaluation plan of a grant proposal on a community rabies program. Which requirements should be included in the plan to support accountability? (Select all that apply.)

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A public health nurse is preparing to conduct a force field analysis of local healthcare. Which factor is the nurse prioritizing in this process?

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The nurse is in charge of a local community program that uses a logic model as a planning and communication tool. Which key components should the nurse ensure to prioritize in this process? (Select all that apply.)

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The nurse is appraising the sources of funding for the local community health intervention program on smoking cessation. In the federal grant proposal, the nurse elaborates on all the various local organizations and private foundations that have pledged to support the program after initial funding from the grant ends. The nurse also points out the plan for ongoing fundraising efforts for the program for years to come. Which type of funding is the nurse attempting to organize?

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As an advocate for leukemia research, the nurse along with many others succeeded in urging the U.S. Congress to debate and vote on a bill that significantly increases federal funding for this research. Which system level would such an intervention address?

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A nursing supervisor is concerned about the lack of healthcare for some community members. Which aspects of Lewin's change theory should the supervisor implement to encourage the healthcare team to make the desired changes to improve the availability of healthcare? (Select all that apply.)

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The team of public health nurses is working to develop a plan which will evaluate a recent community-level intervention which they started. Which step should the nurses prioritize in developing this plan?

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A team of nurses are working to improve the available healthcare in their community. Which factors should the nurses focus on to meet the recommendations made by WHO's Commission on Social Determinants of Health (CSDH)? (Select all that apply.)

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After successfully implementing and managing a smoking cessation program in an inner-city neighborhood for 5 years, the group expands the efforts to include a nearby rural community. After a challenging first year, the nurse finds that with a few modifications the program is proving successful in the rural setting, as well. Which essential component of program design has been established by success in the rural community?

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The nurse is in the process of forming a coalition to support a community flu shot program. Which step should the nurse prioritize as part of this process? (Select all that apply.)

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The nurse researches whether the community would benefit from monthly blood pressure clinics. Which system level would such an intervention address?

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A nursing instructor is completing a class exploring the basic principles of starting various healthcare programs. The instructor will determine the class is successful after the students correctly choose which definition to best define program replication?

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