Chapter 12: Planning and Developing Community
A community health nurse is engaged in the process aspect of quality management when the nurse taking which action?A) Contribute to the revision of standardsB) Ensure an adequate amount of resources C) Determine additional sources of funding D) Review services provided for client needs
A
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
A
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 uniquely places the client within the model? A) Quality Health Outcomes modelB) Donabedian modelC) Omaha System model D) QSEN project
A
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? abirb.com/testA) Impact, Outcomes, Outputs, Activities, and Input B) Input, Activities, Outputs, Outcomes, and ImpactC) Activities, Outputs, Impacts, Outcomes, and Input abirb.com/test D) Outcomes, Outputs, Outcomes, and Activities
A
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."
A
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."
A
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 bans on smoking in public locations. Which type of factor is affecting the behavior in the community? A) Enabling factorsB) Predisposing factors C) Reinforcing factors D) Unrelated factors
A
A community health nurse has just moved to your community. Which might be good ways for this community health nurse to identify 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. It is best for the community health nurse to just pitch in and work to solve the problems of the community.
A C
Which of the following would be least appropriate source of information 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
B
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
B
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-interestB) CompetitionC) Consumer orientation D) Exchange
B
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
B
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.
B
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) PlanningB) Start-upC) Management D) Facility
B
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) Quality Health Outcomes model B) Donabedian modelC) Quality and Safety Education for Nurses D) Omaha System model
B
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
B
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) Patient satisfaction. D) Measurement of consistency with standards.
B
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
B
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 always acting through the system and client? A) Donabedian modelB) QSEN projectC) Quality Health Outcomes modelD) Quality Practice Setting Attributes model
C
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
C
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
C
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
C
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
C
Which of the following change strategies would be most effective in maximizing the cooperation of the target population? Select all that apply. A)Use 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)Employ 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
C D
A community health nurse has identified the target population and is determining an appropriate intervention. Which of the following would be most important for the nurse to do 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
D
A community health nurse is participating in an agency program evaluation using the Quality Practice Settings Attributes model. The nurse is assisting with evaluation of the professional system. Which would the nurse need to address? A) Communication with clientsB) Staffing ratiosC) Safety of practice D) Continuing education
D
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 of as an aspect for rating outcomes? A) Client knowledgeB) Client behaviorC) Client statusD) Client ownership of the problem
D
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) StructureB) ProcessC) OutcomesD) Benchmarking
D
The community health nurse is evaluating if the project that was designed and implemented had the desired effect. Which step is the nurse completing in the causal pathway framework?A) ActivitiesB) Outcomes C) Outputs D) Impact
D
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 efficientlyC) Seeking supervision for a difficult client caseD) Reviewing organizational personnel
D