Deck 9: Planning for Community Change

Question 1

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.)

A) Improve conditions under which all people are born, grow, live, work, and age
B) Provide increased funding for research of genetic disorders
C) Ensure more equitable distribution of power, money, and resources
D) Instill a sense of personal responsibility for one's health in each person
E) Expand knowledge of the social determinants of health

Answer 1

Improve conditions under which all people are born, grow, live, work, and age
Ensure more equitable distribution of power, money, and resources
Expand knowledge of the social determinants of health

Question 2

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.)

A) Milestones for completing a community health clinic
B) Plan to conduct cholesterol screenings
C) Need for a nurse practitioner to manage the clinic
D) Malaria prevention programs for developing nations
E) Possible locations for the health clinic

Answer 2

Milestones for completing a community health clinic
Plan to conduct cholesterol screenings
Need for a nurse practitioner to manage the clinic
Possible locations for the health clinic

Question 3

The public health nurse is relocating to an underserved area. Which factors will the nurse most likely encounter in this area which most likely has numerous health inequities? (Select all that apply.)

A) Necessary
B) Unfair
C) Resulting from social injustices
D) Avoidable
E) Natural

Answer 3

Unfair
Resulting from social injustices
Avoidable

Question 4

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.)

A) Iodization of salt
B) Restrictions on smoking in public places
C) Community immunization programs
D) Changing food manufacturing to eliminate trans fats
E) Treatment of hypertension

Question 5

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.)

A) Administration of insulin injections for diabetes
B) Restrictions on smoking in public places
C) Community immunization programs
D) Instruction provided by a nurse regarding proper nutrition
E) Treatment of hypertension

Question 6

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?

A) Program will reduce teenage obesity in all the local high schools.
B) Fewer teens will start smoking, especially if a family member smokes.
C) Blood pressure for children aged 12 to 18 years in Marks School will be reduced by 5% after petting the dog for 1 day in March 2019.
D) Number of older minority residents in Legacy Independent facility receiving a flu shot will triple.

Question 7

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.)

A) Unfreezing the status quo
B) Changing or moving to a new state
C) Enforcing the status quo
D) Refreezing to sustain the change or changes made
E) Increasing restraining forces

Question 8

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

A) Unfreezing the status quo
B) Changing or moving to a new state
C) Identifying the forces driving the change and those resisting it
D) Refreezing to sustain the change or changes made

Question 9

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

A) Upstream
B) Mainstream
C) Sidestream
D) Downstream

Question 10

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?

A) Upstream
B) Mainstream
C) Sidestream
D) Downstream

Question 11

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.)

A) Ad campaign for a new brand of toothpaste
B) Brochure placed in obstetricians' offices promoting the benefits of breastfeeding
C) Infomercial on television presenting the advantages of a piece of exercise equipment
D) Billboard illustrating the dangers of texting while driving
E) Posters placed in college dormitories encouraging condom use

Question 12

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.)

A) Catholic church
B) Branch of Bank of America
C) Car dealership
D) Community Transformation Grant
E) The Bill and Melinda Gates Foundation

Question 13

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.)

A) Led by advanced-practice nurses
B) Serve upper-income mothers and children
C) Emphasize health promotion, disease prevention, and health education
D) Provide clinical practice for nursing students and faculty
E) Offer specialized programs to meet the needs of specific population aggregates

Question 14

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?

A) Sustainability
B) Program replication
C) Clinical expertise
D) Accountability

Question 15

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?

A) Sustainability
B) Program replication
C) Clinical expertise
D) Accountability

Question 16

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.)

A) Serving as a cultural and language bridge to members of target population
B) Performing minor surgical procedures
C) Providing health education and outreach to community
D) Offering assistance in accessing services
E) Prescribing commonly used medications

Question 17

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.)

A) Regular communication about funds that were not used
B) Details of program activities
C) Report of areas where there is no progress toward program goals
D) Proof that the program can be reproduced effectively in other settings
E) Explanation of how the program will be funded after grant funding expires

Question 18

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?

A) Ability to replicate a successful program in the same community a second time
B) Ability to reproduce a successful program within a different community
C) Ability to replicate a successful program with a new sample aggregate
D) Ability to implement a successful program with the same population aggregate

Question 19

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.)

A) Assign members of the coalition to tasks in a random manner.
B) Seek out people with similar opinions and roles in the community.
C) Consider how each member of the coalition and the organization or group represented will benefit from the work of the coalition.
D) Understand group dynamics and members' motives for serving.
E) Form a group that is heterogeneous but able to show mutual respect.

Question 20

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?

A) School systems in two different counties each setting up their own independent afterschool exercise programs
B) Father being challenged to stop smoking because his daughter learned of the hazards of smoking from a smoke cessation program at her middle school
C) Hospital requiring all of its nurses to wear an identification badge while on duty
D) Healthcare provider in one state deciding to stop accepting Medicaid clients, while another healthcare provider in another state begins accepting Medicaid clients

Question 21

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?

A) Determine indicators or measures to answer evaluation questions
B) Decide what method you will use to collect data
C) Develop evaluation questions
D) Decide how you will communicate your results