ATI Engage EBP & Community program planning, implementation, and evaluation Module for EXAM 1

A community member is asking a community health nurse why evaluation of a program is important. Which of the following responses should the nurse make?

"Evaluation is done to appraise the outcomes of an initiative and to inform ongoing implementation of community initiatives"

A public health nurse is facing challenges with the local public health team while implementing evidence-based interventions in an immunization program. Which of the following statements by team members should the nurse identify as knowledge-related barriers to implementation of evidence-based practice? (Select all that apply.)

"I do not really know how to use the computer for anything other than checking email and updating the spreadsheets." "I took a statistics course in college, but I have not really used any of it since then." "I am not really sure where to look for new evidence."

A nurse and a community team are looking at the High 5 Initiative, as they are having similar issues in their community. Which of the following statements by the nurse indicates an understanding of the initiative and its applications?

"This is a local initiative that could be adapted to our community's needs"

A county public health nurse is planning to implement evidence-based practice interventions for a communicable airborne disease. Which of the following statements by the nurse indicates understanding of the appropriate uses of the Intervention Wheel developed by the Minnesota Department of Health? (Select all that apply.)

"We can use the Intervention Wheel as a resource for implementing guidelines for screening and testing." "We can use the Intervention Wheel as a resource for implementing an outreach program to educate the public about where to obtain masks." "We can use the Intervention Wheel as a resource for collaborating with other health professionals in the county."

Community Program Planning, Implementation, and Evaluation Assessment

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A public health nurse is collaborating with a community team to identify key health needs through comprehensive, methodical collection and analysis of data. Which of the following assessment models should the nurse recommend?

A community health assessment

A nurse and a community team are working with the Strategic Prevention Framework. Which of the following describes the Strategic Prevention Framework?

A guiding principle of the framework is cultural competence

A public health nurse and community team are assessing the community using the Community Health Needs Assessment (CHNA) model. The nurse should identify that which of the following is true about this model?

A guiding principle of the model includes evidence-based interventions

A nurse and a community team are collaborating with the Healthy People 2030 initiative. Which of the following is the vision of Healthy People 2030?

A society in which all people can achieve their full potential for health and wellbeing across the lifespan

A nurse at a state public health department is preparing for an upcoming accreditation. Which of the following should they identify as a benefit of accreditation for their public health department?

Accreditation allows public health nurses to base decisions, care, and processes on national standards.

A nurse is asked to develop an impact report regarding a recent community health initiative program. Which of the following information is true regarding this type of report?

An impact report is a communication tool outlining the outcomes of a community project

A nurse is part of a team at a public health department that is preparing for accreditation. Which resource should the nurse suggest that the team use for guidance about accreditation criteria?

CDC

A community health nurse is collaborating with a community team and wants to use a data collection tool and planning resource to guide community partners in assessment and prioritization of community improvement initiatives. Which of the following tools should the nurse recommend?

CHANGE model

A home health nurse is searching for evidence-based information about the benefits of caregiver support groups. Which of the following sources is the best source for systematic reviews and recommendations about this topic?

Cochrane

A team of home health nurses is searching for data about pressure injury protocols for use in the home setting. Which of the following resources should they use to find pressure injury protocols?

Cochrane

A population health nurse is researching evidence-based strategies for decreasing pollution caused by industrial waste. Which of the following does the nurse identify as a reason to use a Cochrane review as a resource to obtain information?

Cochrane contains systematic reviews of synthesized evidence.

A nurse is reviewing the need to include community gatekeepers in community partnerships. Which of the following statements describes the importance of this inclusion?

Community gatekeepers are people who have an impact on community members, and the support of community gatekeepers can be pivotal in moving initiatives forward

A nurse in a public health department is searching Healthy People 2030 for objectives with evidence-based interventions related to social determinants of health. Which of the following is a type of Healthy People objective that includes reliable baseline data and evidence-based interventions?

Core

A school nurse is developing a program for nutritional needs for school-aged children. Which of the following is a resource provided by Healthy People 2030 that includes evidence-based guidelines the nurse can use?

Core Objectives Rationale: The nurse should use the core objectives within Healthy People 2030. Core objectives have evidence-based interventions as resources that guide practice.

A Public health nurse is collaborating with a community team and considering which assessment tool looks at health as a broad, multifaceted concept and considers health as impacted by individual, community, social, political, and physical elements. Which of the following tools should the nurse recommend?

Ecological model

A team of community health nurses has been formed to address the low immunization rate of the adult population in a rural community. Using a quality improvement process that mirrors the steps of evidence-based practice, in what order will the following steps be included in the nurses' process as they implement a program to increase immunization rates in this population? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Find a process to improve. Clarify current knowledge. Select changes aimed at performance improvement. Do it; execute the plan. Study new data and check results

A nurse is working with a health care team to develop community partnerships. Which of the following actions should the nurse take to assist with this development?

Focus on developing partnerships built on a foundation of pre-existing, trust based relationships

A nurse and a community team are assessing their community using the CHANGE model. The team recognizes they should consider which of the following as a sector of their model?

Health care

A public health nurse is working with a team to plan a community initiative. The nurse looks to national initiatives to drive community action. Which of the following outlines national objectives for health improvement and can be used to help drive community-specific objectives?

Healthy People 2030

A nurse and a community team are examining the University of Kansas toolkit to see if it could inform their work. Which of the following steps should the nurse and the team focus on as their first action?

Identification of key stakeholders

A nurse and a community team are trying to increase interest within the community for the community program they are working to implement. Which of the following is a key strategy used to give community members a reason they should care about a community program goal?

Identify incentives

Which of the following is true about the National Notifiable Disease Surveillance System?

It is a legal requirement for states to report on national notifiable diseases

A nurse is creating an impact report on a community initiative that has been in progress for the past six months. Which of the following is true about an impact report?

It should be transparent and widely disseminated among community members

A nurse and a community team are using Strategic Prevention Framework. Which of the following is true about the Strategic Prevention Framework?

It uses a team approach

A nurse at a county public health department is developing a breast cancer screening program for a population of homeless individuals in the county. Which of the following resources should they use to find evidence-based information from government sources? (Select all that apply.)

National Institutes of Health (NIH) Office of Disease Prevention (ODP) The CDC

A team of public health nurses wants to implement a practice change related to use of surgical masks by nurses during community immunization clinics from September to January. When searching for scientific evidence about the use of effects of surgical masks on the incidence of influenza among nurses, in what order will the nurses format their PICOT question? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Nurses who administer immunizations during community events. Use of surgical masks. No use of masks. Incidence of influenza. September to January.

A school nurse is implementing a quality improvement process for medication adherence in adolescent children who have asthma. Using a quality improvement process that mirrors the steps of evidence-based practice, in what order will the following steps be included in the nurse's process as they implement a program to increase medication adherence in this population? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Organize an effort to work on increasing medication adherence in adolescent children who have asthma. Clarify current knowledge about medication adherence in adolescent children who have asthma. Select changes aimed at increasing medication adherence in adolescent children who have asthma. Plan the change for increasing medication adherence in adolescent children who have asthma. Do the change; execute the plan for increasing medication adherence in adolescent children who have asthma. Act to sustain the gains that increase medication adherence in adolescent children who have asthma.

A nurse and community team are using the Strategic Prevention Framework. Which of the following is true about this framework?

Planning is an important step in the process

A school nurse has identified a need for improved playground safety. Using a quality improvement process that mirrors the steps of evidence-based practice, which of the following steps should the nurse take before selecting changes aimed at improving playground safety? (Select all that apply.)

Organizing an effort to work on improvement Planning the change Clarifying current knowledge of the process

A nurse and team of community members are beginning to prioritize the data they have collected. Which of the following is true about prioritization of community-level data?

Prioritization at the community level must focus on needs impacting the community or subpopulations

A community health nurse is preparing an educational program about Healthy People 2030 that will be presented at a local community center. What goals should the nurse include as part of a presentation about Healthy People 2030? (Select all that apply.)

Promote healthy development and behaviors across all life stages. Achieve health equity and attain health literacy to improve health and well-being.

A community health nurse is conducting research about emergency preparedness in a community. According to Wilder's community-engagement research model, which of the following activities indicate to the nurse that the community is engaged in the research in the leader role? (Select all that apply.)

Residents conduct door-to-door surveys. A group of residents begins to develop questions for a survey

A community health nurse is reporting their findings from research conducted about the need for primary care clinics in a community. According to Wilder's community-engagement research model, which of the following activities would the nurse report if the community was engaged in the research in the collaborator role? (Select all that apply.)

Residents filled out questionnaires on the survey tool. Residents volunteered to count the number of completed surveys returned each day. Residents donated the data collection supplies.

The nurse educator for the county public health department is planning a course about building community partnerships for local community health nurses. Which of the following does the nurse educator recognize as a benefit of including information about evidence-based practice? (Select all that apply.)

Strengthened standards of care Increased job satisfaction of the nurse Increased efficiency with which nurses locate objective evidence Increased health care quality

A school nurse is researching information about the effects of homelessness on immunization rates in school-age children. In what order will the nurse examine each item, from most robust type of evidence to least robust? (Move the steps into the box on the right, placing them in the order of strength of evidence. Use all the steps.)

Systematic reviews of all randomized controlled trials published within the last 5 years about the effects of homelessness on immunization rates in children. A randomized controlled trial about the effects of homelessness on immunization rates on one state's population of school-age children. Observational cohort studies about immunization rates performed with a population of homeless school-age children during the last 3 years. An expert opinion presented in a conference in the current year from a pediatric immunologist.

A nurse educator is presenting information to a group of community health nurses about using evidence-based practice sources when planning care for a community. In what order will the nurse discuss types of evidence, from most robust to least robust? (Move the steps into the box on the right, placing them in the order of strength of evidence. Use all the steps.)

Systematic reviews of all randomized, controlled trials. Controlled trials without randomization. Case control and cohort studies. Expert opinion and expert committee reports.

A community health nurse is involved in community-engaged research about employer-provided health benefits in a small, rural community. Which of the following are potential ethical concerns related to recruitment of participants or confidentiality of information? (Select all that apply.)

The leader of the data collection team recruits their family members for the research. A member of the data collection team volunteers to collect data from their family-owned restaurant employees. A local primary care provider offers to supply information about residents during the data collection process. The owner of a factory offers bonuses to employees who participate in the research.

A community health nurse is involved in community-engaged research about physical activity levels of families who attend local schools. Using the nursing process, which of the following activities of the nurse represents the evaluation phase of the research?

The nurse and community residents present the findings at a school board meeting.

A community health nurse is planning to create a partnership within a community for the advancement of community initiatives. The nurse should identify which of the following as an important aspect of this partnership?

The promotion of health within a community should involve collaborative community efforts from a diverse group of community partners

A community health nurse and a community team are prioritizing community-level data. They want to use a simple method of prioritization strategy that involves an open or secret vote. The nurse should use which of the following?

The quick and colorful approach

A community health nurse and a community team are using the simplex method. Which of the following statements is true about the simplex method?

The simplex method uses close-ended questions

A nurse and a community team are working on a situation statement. Which of the following describes the purpose of a situation statement?

To provide definition of issues in which community awareness and support are sought after

A team of community health nurses is in the planning phase for community-engaged research. Which of the following describes a role the nurses should take during the planning phase using the nursing process?

Writing grants for funding of community-engaged research

A nurse is reviewing various roles within the community. The nurse should identify which of the following information is correct about the role of public health nurse?

a public health nurse uses evidence based care to promote health, prevent disease, and mitigate health risks within a community setting

A nurse is conducting a presentation for a group of student nurses related to the goals and objectives of Healthy People 2030. Which of the following does the nurse discuss as overarching goals of Healthy People 2030? (Select all that apply.)

Create social, physical, and economic environments that promote attaining the full potential for health and well-being for all. Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all. Engage leadership, key constituents, and the public across multiple sectors to take action and design policies that improve the health and well-being of all.

A nurse at a public health department is presenting information about Healthy People 2030 to a group of community health workers. In which of the following categories will the nurse discuss specific, evidence-based interventions of Healthy People 2030?

Objectives