Deck 17: Evaluation of Nursing Care With Communities

Question 1

Which of the following factors can consumers easily evaluate?

A)Appropriateness of the selected intervention
B)Interpersonal skill of caregivers
C)Quality of the care provided
D)Effectiveness of the program

Answer 1

Interpersonal skill of caregivers

Question 2

Which of the following personal beliefs best demonstrates the meaning of self-efficacy?

A)"You are capable of continued growth and development."
B)"You are responsible for your own health and well-being."
C)"You can improve your own health and well-being by using imagery."
D)"You can influence your environment and circumstances."

Answer 2

"You can influence your environment and circumstances."

Question 3

The nurse wanted to determine the community's level of self-esteem and well-being.Which of the following would be the most effective way to systematically and accurately determine the satisfaction level?

A)Asking every community member,"What is your level of self-esteem?"
B)Asking the employing agency's director,who lives in the community,about satisfaction level
C)Distributing self-esteem scales to a random sample of community members
D)Observing the clients currently using certain community-based services

Answer 3

Distributing self-esteem scales to a random sample of community members

Question 4

Stakeholders are defined as persons who

A)Have expectations about care to be delivered.
B)Have loaned money to the agency.
C)Helped write the legislation for health care agency funding.
D)Own stock in the agency.

Question 5

What is the purpose of outcome attainment?

A)Answering the question "Were goals achieved?"
B)Clarifying whether agency funds were appropriately expended
C)Determining quantity of care given
D)Measurement of community living outcomes

Question 6

A nurse is determining the quality of care that is provided.Which of the following factors would the nurse examine?

A)Adequacy and appropriateness
B)Agency mission statements
C)Cost-benefit ratios
D)Personal feelings about the care

Question 7

A nurse is planning to examine program outcomes.Which of the following would be the most important question to ask?

A)Was the agency adequately funded?
B)What organizational process was used?
C)What techniques were used?
D)What were the end effects on clients?

Question 8

A nurse in a particular community decided that the priority was to decrease the number of teenagers who smoke.Which of the following should the nurse measure first?

A)Percentage who currently smoke
B)Attitudes toward smoking
C)Prior experience with smoking cessation
D)Knowledge about the dangers of smoking

Question 9

A community/public health nurse plans a program to improve the community's ability to prevent accidents.Which of the following measurements would be the best way to evaluate the outcomes of the nurse's intervention?

A)Number of accidents in the subsequent year in comparison with the previous year
B)Number of people who attended the educational program
C)Number of requests for information received after the program
D)Satisfaction level of those who attended the program

Question 10

One of the responsibilities of the community/public health nurse was to teach parenting classes to teenage mothers at high risk for committing child abuse.Which of the following would be an effective approach to helping mothers deal with their infants' behavior without resorting to physical discipline?

A)Asking the mothers to listen carefully to the nurse's suggestions
B)Asking the mothers to develop a contract to use the techniques discussed
C)Asking the mothers to come to a consensus about how to deal with specific problems
D)Asking the mothers to self-report abuse of their infants

Question 11

A nurse is planning to involve the community in the evaluation process.Why is this a critical part of evaluation?

A)The nurse has completed her ethical,legal,and political responsibilities.
B)The agency retains state approval and national accreditation.
C)The community does not feel ignored by the agency.
D)The interventions helped community members make appropriate lifestyle changes.

Question 12

How does formative evaluation help the community/public health nurse?

A)Analyzing the data and recognizing gaps
B)Determining what to do differently next time
C)Improving care as it is being delivered
D)Enhancing future offerings of the program

Question 13

Which of the following groups created the standards for evaluating effective nursing care with communities?

A)The American Association of Colleges of Nursing
B)The American Public Health Association
C)The Quad Council of Public Health Nursing Organizations
D)The National Council of State Boards of Nursing

Question 14

The community/public health nurse was excited about creating a program for prenatal education and care for single teenage mothers.Before writing an application for a grant to fund the program,what should the nurse determine?

A)Agency's policies about writing grants for such a program
B)Number of single teenage mothers in the local high schools
C)Whether local teenagers are interested in receiving such a service
D)Whether anyone else in the area is offering such a service

Question 15

The community/public health nurse wanted to most effectively and efficiently determine the health and well-being of the community.Which of the following is the easiest way to determine a community's health?

A)Ask the members of the media who report on the community
B)Examine epidemiologic statistics of morbidity and mortality
C)Review the discharge diagnoses of clients from the community hospital
D)Visit the local grocery stores and exercise programs

Question 16

A community/public health nurse is planning the evaluation of a community education program about smoking cessation.Why is it important to complete this evaluation?

A)It facilitates additional decision making.
B)It clarifies the actual care involved in the service.
C)It is required by accrediting agencies.
D)It demonstrates that outcomes of the program were met.

Question 17

How does summative evaluation help the community/public health nurse?

A)Analyzing the data and recognizing gaps
B)Determining long-term effect on health
C)Improving care as it is being delivered
D)Enhancing future offerings of the program

Question 18

A community/public health nurse was told to focus on teenage smoking.Which of the following actions should be the priority of the nurse?

A)Ensuring that smoking is not allowed on school property
B)Establishing community-wide programs on the dangers of smoking
C)Lobbying to pass laws against teenagers' purchase of cigarettes
D)Establishing programs to help adults,especially parents,give up smoking

Question 19

The community/public health nurse was enthusiastic about giving care to the community's residents.Which of the following actions should the nurse take when asked to attend a city council meeting?

A)Appreciating the opportunity to meet the policy makers in the community
B)Clarifying which agenda item was relevant to the agency and its purpose
C)Insisting on dedicating the nurse's time toward giving care,not observing politics
D)Pointing out that the nurse's caseload was too heavy to waste time in such a way

Question 20

Which of the following is a necessary assumption for evaluation to occur?

A)Accrediting agencies focus on careful documentation.
B)Actions have both intended and unintended results.
C)Nursing care is dependent on the reimbursement available.
D)People expect professionals to document their care.

Question 21

Which of the following questions is answered by completing a cost-benefit analysis?

A)Can similar outcomes be achieved with less cost?
B)Can unlicensed assistive personnel give care equally rapidly?
C)Was the care appropriate and given correctly?
D)Was the nurse as efficient and as skilled as possible?

Question 22

Which of the following is the typical research design used for evaluation in a community/public health agency?

A)Analysis of variance
B)Multiple regression analysis
C)Time series design or other quasi-experimental method
D)True experiment with randomization and control

Question 23

What needs to be done when evaluation data are analyzed?

A)Interpreting and judging the data before making any recommendations
B)Examining data through the approach that has commonly been used by the agency
C)Reviewing the literature and comparing it with current findings
D)Using the Omaha System as the guiding framework

Question 24

A community/public health nurse was asked to document the conclusions of the agency's evaluation of its programs.Which of the following actions should the nurse take? (Select all that apply.)

A)Include compliments to staff members about their involvement with the programs.
B)Be sensitive to local ethnic and cultural groups when discussing behaviors.
C)Assume that very powerful and influential persons will read the report.
D)Include an executive report for people who will not read a long document.
E)Use professional language and include statistical analysis of the findings.
F)Word negative findings in a positive way for community residents.

Question 25

Which of the following activities represents a challenge when a cost-benefit analysis is performed?

A)Calculating all of the indirect,less visible costs
B)Placing an appropriate dollar value on the benefits
C)Using computer software to calculate the results
D)Controlling the variables of cost and benefit

Question 26

Which of the following descriptions characterizes a problem with the use of case descriptions as an evaluation method?

A)They lack statistical documentation,despite telling about an interesting event.
B)They have to be repeated in order to verify that no other factor could have changed the outcomes.
C)They are not considered "good" research.
D)They cannot prove that the nursing intervention led to the specific health outcomes.

Question 27

A community/public health nurse was not sure the agency was large enough to fulfill some of its goals.Which of the following should the nurse evaluate in order to reach an accurate conclusion?

A)The adequacy of resources,evident in such measures as waiting lists for services
B)The financial base of the agency,evident in the agency budget
C)The number of cooperative physicians,evident in the agency telephone referral list
D)The number of nursing staff,evident in the staffing assignments

Question 28

Why is the perspective of third-party payers and administrators an issue when cost-benefit analysis is performed?

A)Administrators do not focus equally on costs and benefits.
B)Administrators are not experts in cost-benefit analyses.
C)Administrators lack understanding of health care benefits used in such analyses.
D)Administrators ignore the client perspective of time,energy,and money.

Question 29

To validate change in a population,which of the following should a nurse determine?

A)Whether a high proportion of a random sample report change in their health behaviors
B)Whether a majority of the population confirm changes in their health behaviors
C)Whether each person the nurse individually taught reports a change in health behaviors
D)Whether each staff nurse reports that their assigned families demonstrated a change in health behaviors

Question 30

Which of the following is useful to review in determining whether the goals of the community/public health nurse are appropriate?

A)The assessment of community members' health needs
B)The focus areas for the nation in Healthy People 2020
C)Goals established by other,similar community/public health agencies
D)Goals suggested by the public health research literature

Question 31

Which of the following is an example of a criterion-referenced evaluation?

A)Comparing the population with regard to the factor of interest before and after the intervention
B)Comparing the population with another population with regard to the factor of interest
C)Determining whether the objective is appropriate for the program
D)Determining whether the objective was reached at the desired level

Question 32

A community/public health nurse tried to keep the community informed of the progress of the new health programs at all the meetings that the nurse attended.Which of the following would be the reason for the nurse's ongoing communication?

A)To avoid community dissatisfaction when expectations are not met
B)To be sure that no one blames the nurse when unexpected happenings occur
C)To fulfill the responsibility of keeping the community informed
D)To be politically and culturally sensitive to the needs of the community

Question 33

Why is documentation of evaluation so crucial?

A)It helps explain why nurses have limited time to provide direct client care.
B)It helps keep administrators informed of what the staff is doing before staff evaluation time.
C)It helps the nurse better understand the evaluation and the findings.
D)It helps provide a baseline against which to study trends and make program decisions.

Question 34

A community/public health nurse wanted to use normative-referenced evaluation to determine the effectiveness of an environmental pollution program in the community.After examining the number of asthma-related admissions at the local children's hospital,which of the following actions should the nurse take?

A)Compare the admission levels attributable to asthma before and after the implementation.
B)Compare the admission levels attributable to asthma with the admission levels attributable to accidents.
C)Determine whether the admissions were attributable to asthma or other respiratory problems.
D)Determine whether there were zero admissions because of the decreased incidence of asthma after the intervention.

Question 35

Which of the following factors has a direct correlation with the health and well-being of the community?

A)The number of hospitals and other health agencies in the community
B)The number of physicians who practice in the community
C)The government funding level of the community
D)The poverty level of the community