Question 1

A nurse checks health department records to compare the number of new teen clients presenting for birth control counseling and management in the 2 months before and after an education intervention program to decrease teen pregnancy. Which of the following steps of the evaluation process is being completed by the nurse?

Accepted Answer

A) Engage stakeholders 
B) Justify conclusions 
C) Gather credible evidence 
D) Focus on the evaluation design C

Question 2

A nurse is planning a program to teach cardiac health at the senior citizens center. Which of the following is an effectively written objective for the program?

Accepted Answer

A) By the end of the program each participant will report walking at least 30 minutes a day at least 5 days each week. 
B) By the end of the program each participant will voice a commitment to walk at least 30 minutes a day. 
C) By the end of the program each participant will understand the need for physical exercise. 
D) Each participant will voice a commitment to engage in physical exercise each day. A

Question 3

A community is examining which programs are needed within the community, the populations they will target, and how they will be funded. Which of the following would be the least risky decision for the community to make?

Accepted Answer

A) Choose whichever option is the least expensive of agency resources 
B) Choose to do nothing 
C) Choose whatever the agency administration prefers 
D) Choose whatever the majority of clients prefer B

Question 4

Which of the following programs demonstrates the use of tertiary prevention?

Accepted Answer

A) Developing an in-school clinic that provides birth control counseling and contraception 
B) Providing a diabetes management program for persons with diabetes mellitus 
C) Providing cardiovascular fitness evaluations at annual health fairs 
D) Setting up free blood pressure screenings at popular department stores and supermarkets

Question 5

The nurse contacts participants who completed an educational program on breast self-exams to see whether they have any questions and to determine whether they are doing breast self-exams. Which of the following types of evaluation is being implemented by the nurse?

Accepted Answer

A) Final evaluation 
B) Formative evaluation 
C) Goal evaluation 
D) Summative evaluation

Question 6

A committee concludes that a program's objectives were met and that activities received positive ratings from the community; yet the program will be discontinued because cost was triple the amount anticipated. Which of the following program evaluation measures created a problem?

Accepted Answer

A) Adequacy 
B) Effectiveness 
C) Impact 
D) Sustainability

Question 7

A nurse is completing a summative evaluation of a program designed to decrease obesity in school-age children. Which of the following is the most important question for the nurse to ask?

Accepted Answer

A) Are school-age children satisfied with the program? 
B) Can parents and guardians support the program requirements? 
C) Has obesity in school-age children decreased? 
D) What is the program cost compared with the program benefit?

Question 8

Which of the following methods would be the most interactive approach to assessing a community's need?

Accepted Answer

A) Define needs based on the current health status of the community. 
B) Examine past needs as identified by the agency as well as the community. 
C) Project future needs based on current trends. 
D) Use past and current data to project future needs.

Question 9

After completing a needs assessment, the nurse is confident that he has identified the highest priority health programming need within the community. He presents his ideas at a community interest meeting, and the attendees show essentially no interest in being involved. Knowing that the health problem must be addressed he proceeds with implementation as planned. Which of the following is the most likely outcome of the program?

Accepted Answer

A) Community members will become increasingly positive about the new program. 
B) Others will recognize the importance of the program and become involved. 
C) The public health agency will both publicize and expand the program. 
D) The program will fail because of the community's lack of interest.

Question 10

Which would be an appropriate descriptor that meets all criteria for defining a client to be served by a program?

Accepted Answer

A) All women ages 40 to 50 who have not had a menstrual period for 3 consecutive months 
B) Immigrants residing in Central County for less than 5 years who have difficulty understanding care instructions because of limited English proficiency 
C) Pregnant women who have received nutritional counseling but whose nutritional status did not improve 
D) Children ages 18 months to 5 years old who have been treated for nutritional deficiencies at the Central County Clinic

Question 11

Evaluation is underway for a statewide program to decrease teen injury and death associated with teens who drive while under the influence of alcohol. Which of the following questions would best be used for the summative evaluation of the program?

Accepted Answer

A) Are program participants continuing to attend the programs, and do their satisfaction scores indicate that they are pleased with the program? 
B) How do statistics for injuries and deaths associated with drunk driving compare for teens in the year following the program? 
C) How does the amount of alcohol intake by teens compare before and after participants enter into the program? 
D) What problems are identified as the program is implemented?

Question 12

Which of the following best describes the purpose of strategic planning?

Accepted Answer

A) To anticipate client needs now and in the future 
B) To match client needs, provider strengths, and agency resources 
C) To maximize effective use of agency resources 
D) To utilize provider strengths and competencies

Question 13

A committee of health care professionals would like to establish a countywide program to improve Hispanic immigrant access to culturally competent health care services. Which of the following persons would be most helpful as a key informant?

Accepted Answer

A) Hospital administrator 
B) Hispanic community leader 
C) National expert on cultural competency 
D) Politician or county official

Question 14

A nurse is conducting a needs assessment but has a limited budget. Which of the following data sources would the nurse most likely eliminate?

Accepted Answer

A) Community forums 
B) Examination of community indicators 
C) Focus groups 
D) Surveys

Question 15

A nurse is conducting program evaluation. Which of the following would be the first action the nurse would take?

Accepted Answer

A) Choose the type of evaluation to be done 
B) Determine who will be involved in the evaluation 
C) Identify the goal and objectives for the evaluation 
D) Obtain answers to specific questions related to the program being evaluated

Question 16

Which of the following are elements of the MAPP (Mobilizing for Action Through Planning and Partnership) Program Planning Model? (Select all that apply.)

Accepted Answer

A) Generate shared visions and common values 
B) Assess priorities in health problems 
C) Develop a framework for long-range planning 
D) Choose health priorities

Question 17

A nurse is assessing a community to determine the feasibility of implementing a new program on bike safety for youth in the community. Which of the following aspects should the nurse investigate to make this determination?

Accepted Answer

A) Whether the community, especially agency clients, desire a program 
B) Whether local politicians support the agency's idea for a program 
C) Whether agency professionals think a program is needed 
D) Whether all involved support the need for such a program

Question 18

Based on projected increases in the number of older U.S. citizens, a planning committee wants to establish a day care program for the community's older adult population. During which stage is the need for this program being assessed?

Accepted Answer

A) Inactive stage 
B) Interactive stage 
C) Preactive stage 
D) Reactive stage

Question 19

Which of the following best describes the ultimate goal of program planning?

Accepted Answer

A) Avoid unanticipated conflicts in the program development phase 
B) Provide adequate funding to meet the program's resource requirements 
C) Ensure that health care services are acceptable, equal, effective, and efficient 
D) Prevent unnecessary duplication of services

Question 20

Which of the following best describes the steps in program management?

Accepted Answer

A) Assess, plan, implement, evaluate 
B) Identify, initiate, implement 
C) Organize, operationalize, mobilize, subsidize 
D) Substantiate, negotiate, evaluate

Exam 16: Program Management