Deck 12: Planning, Implementing, and Evaluating Communitypublic Health Programs

Question 1

Which source of information would be least appropriate for the nurse to investigate when attempting to determine the importance of an issue for a community-based intervention?

A) Special interest groups
B) Client's concern
C) State health department
D) Local community priorities

Answer 1

Client's concern

Question 2

A community health nurse is attempting to identify a target group for a program using geographic information system (GIS). Which type of information would the nurse be able to obtain?

A) Family status
B) Past interventions used
C) Previous health problems
D) Areas needing more study

Answer 2

Family status

Question 3

A community health nurse has just moved to a community. Which might be good ways for this community health nurse to research group and community health problems? Select all that apply.

A) Interview health professionals in the agency and other agencies to determine the needs.
B) Read about it in a national magazine.
C) Refer to the geographic information system (GIS) data for the community.
D) It is not necessary for the community health nurse to do so.
E) It is best for the community health nurse to just pitch in and work to solve the problems of the community.

Answer 3

Interview health professionals in the agency and other agencies to determine the needs.
Refer to the geographic information system (GIS) data for the community.

Question 4

Which change strategies would be most effective in maximizing the cooperation of the target population? Select all that apply.

A) Using only one strategy that the nurse is most familiar with
B) Knowing that as a nurse, the nurse knows more about the health topic than their audience
C) Employing multiple strategies to promote health, prevent disease, and ensure a safe environment for populations
D) Learning about the target population's beliefs regarding the health topic
E) Focusing on health promotion and not disease prevention

Question 5

A community health nurse has identified the target population and is determining an appropriate intervention. Which action would be most important for the nurse to take next?

A) Develop an intervention based on the nurse's previous experiences.
B) Review the literature for research on previously attempted interventions.
C) Access the National Center for Health Statistics Web site for data.
D) Learn about the target population's beliefs and ideas.

Question 6

The community health nurse is making an effort to ensure success of a proposed community intervention program. Which would the nurse include?

A) Formal leaders
B) Advisory group
C) Target population
D) Local knowledge

Question 7

Which intervention targeting health problems is most likely to be effective?

A) Teaching about prenatal care to a group of men in a men's homeless shelter
B) Teaching about prenatal care in a home for unwed mothers
C) Teaching about prenatal care to a group of cub scouts
D) Teaching about prenatal care to a group of senior citizens

Question 8

In order to evaluate a health program, which should the community health nurse focus on when planning the program?

A) Measurement of goal attainment
B) Creation of objectives that are specific, measurable, attainable, relevant, and timely
C) Client satisfaction
D) Measurement of consistency with standards

Question 9

A review of factors influencing a population's behavior related to childhood obesity reveals several reinforcing factors. Which factor would the community health nurse identify?

A) Children's belief that they like to be similar to other children of the same age
B) Children's view of themselves as becoming independent from adults
C) Offering of incentives to students' modeling positive food choices
D) Proposed monitoring of children's behavioral changes by the local PTA

Question 10

Which of these behaviors is most likely changeable?

A) Smoking cessation among a group of people who have smoked for 20 or more years
B) Smoking cessation at a work place where smoking is common and deeply imbedded
C) Smoking cessation in a school for students who have only recently started smoking
D) Smoking cessation in a public environment where cigarettes are openly sold and persons are allowed to smoke

Question 11

Which of enabling factor would influence behavior change?

A) Attitudes of the target population
B) Knowledge of the family of the target population
C) Availability of resources
D) Values of the authority figures

Question 12

When the community health nurse is examining barriers to successful behavioral change, the nurse identifies that there are no laws in the community that prohibit smoking in public areas, which leads to increased smoking and increased risks to health related to secondhand smoke. The nurse believes that a possible solution is to advocate for a citywide ban on smoking in public locations. Which type of factor is affecting the behavior in the community?

A) Enabling factors
B) Predisposing factors
C) Reinforcing factors
D) Unrelated factors

Question 13

Several quality management models are helpful in measuring and improving the quality of care. They are designed differently but are developed to enhance caregiving. Which model focuses on National Public Health Improvement initiatives?

A) CDC's model
B) Donabedian model
C) Omaha System model
D) QSEN project

Question 14

A community health nurse is assisting with the evaluation of outcomes of a program. The client's response to care is being measured quantitatively. The nurse identifies this as:

A) benchmarking.
B) quality indicators.
C) process.
D) structure.

Question 15

When participating in quality improvement activities, in which would the community health nurse would be least likely to engage?

A) Daily prioritizing of care needs for a caseload of clients
B) Completing necessary documentation efficiently
C) Seeking supervision for a difficult client case
D) Reviewing organizational personnel

Question 16

A community health nurse is engaged in the process aspect of quality management when the nurse is taking which action?

A) Contribute to the revision of standards.
B) Ensure an adequate amount of resources.
C) Determine additional sources of funding.
D) Review services provided for client needs.

Question 17

After teaching a group of students about the various models used in program evaluation, the instructor determines that the students have understood the teaching when they state which model as the most basic?

A) CDC model
B) Donabedian model
C) Quality and Safety Education for Nurses
D) Omaha System model

Question 18

A community health nurse who is part of a committee that is deciding on which model to use for program evaluation reviews the Omaha System model. The nurse needs additional review of this model after identifying which as an aspect for rating outcomes?

A) Client's knowledge
B) Client's behavior
C) Client's status
D) Client's ownership of the problem

Question 19

One community health agency has developed a clinical pathway that has proved useful with clients with heart failure. After review, another community health agency providing care to similar clients decides to implement that pathway. Which does this reflect?

A) Structure
B) Process
C) Outcomes
D) Benchmarking

Question 20

A group of students are reviewing material in preparation for test on program evaluation models. The students demonstrate understanding of the material when they identify which model as dynamic with interventions focusing on structure, process, and outcome?

A) Donabedian model
B) QSEN project
C) CDC model
D) Quality Practice Setting Attributes model

Question 21

When devising a social marketing strategy for a community health issue, which concept is being integrated when the selection of one option inherently requires giving up on another option?

A) Self-interest
B) Competition
C) Consumer orientation
D) Exchange

Question 22

A community health nurse is seeking seed money to set up a health promotion program for pregnant adolescents. The nurse would seek which type of grant?

A) Planning
B) Start-up
C) Management
D) Facility

Question 23

When composing a letter of inquiry, which information would a community health nurse include?

A) Names and academic credentials of all the personnel who will be involved in implementing the program
B) An extensive literature review of the evidence that supports the planned interventions
C) Other funding sources for the project or program (prospective and committed)
D) Lengthy description of the organization

Question 24

As the community health nurse engages in the process of seeking grant funding, the nurse ensures that the appropriate steps are followed. Place the following in their proper sequence.
1) Contact funders.
2) Acquire proposal guidelines.
3) Define the project.
4) Identify the proper funding source.
5) Be aware of submission deadline.

A) 4, 5, 1, 2, 3
B) 3, 4, 1, 2, 5
C) 3, 1, 2, 4, 5
D) 2, 3, 4, 1, 5

Question 25

The community health nurse is discussing the causal pathway framework with a nursing student while assessing the local community. Which statement made by the students indicates the correct application of planning backward?

A) Impact, outcomes, outputs, activities, and input
B) Input, activities, outputs, outcomes, and impact
C) Activities, outputs, impacts, outcomes, and input
D) Outcomes, outputs, outcomes, and activities

Question 26

The community health nurse is discussing the causal pathway framework with a nursing student while assessing the local community. Which statement made by the students indicates the correct application of implementation?

A) Impact, Outcomes, Outputs, Activities, and Input
B) Input, Activities, Outputs, Outcomes, and Impact
C) Activities, Outputs, Impacts, Outcomes, and Input
D) Outcomes, Outputs, Outcomes, and Activities

Question 27

The community health nurse is discussing the usage of the SMART acronym when developing outcomes. Which statement made by the student nurse indicates a need for further teaching?

A) "S stands for developing short-term outcomes for communities."
B) "M stands for developing outcomes that are measurable."
C) "A stands for developing outcomes that are attainable."
D) "R stands for developing outcomes that are relevant."

Question 28

The community health nurse is discussing the usage of the SMART acronym when developing outcomes. Which statement made by the student nurse indicates a need for further teaching?

A) "S stands for developing specific outcomes for communities."
B) "M stands for developing outcomes that are measurable."
C) "A stands for developing outcomes that are action oriented."
D) "R stands for developing outcomes that are relevant."

Question 29

The community health nurse is evaluating if the project that was designed and implemented had the desired effect. Which part of the program plan's pathway logic model should the nurse refer to during this evaluation?

A) Activities
B) Outcomes
C) Outputs
D) Impact

Question 30

A nurse is preparing a behavior change program for adolescent teens and immunizations. Which is a reinforcing factor that will impact the program development?

A) Belief that immunizations will protect them from communicable diseases
B) Understanding how adolescent teens are impacted by their peers and teachers
C) Available health resources such as free immunization clinics
D) Knowledge related to how immunizations provide herd immunity

Question 31

The community health nurse is using a logic model to illustrate a community wellness program for children. Which activities must the nurse include in the process before outcomes can be assessed? Select all that apply.

A) Inputs
B) Impacts
C) Short- term outcomes
D) Long- term outcomes
E) Activities
F) Outputs

Question 32

The nurse is assessing the knowledge, skills, and attitudes associated with the competence of a nursing student engaged in public health nursing by which of the following?

A) The nursing care focus on the population as the center of care
B) The nursing student performing tasks in isolation from other team members
C) The nursing student using research as the direct means to provide population-based care
D) The nursing care that is focused on problems in the community and ways to assist in finding grant money to decrease the problems