Module 3 CH Quiz

The fourth principle of motivational interviewing, self-efficacy, includes which of these ideas? a) If a client believes that he or she has the ability to change, it is motivating and greatly increases the likelihood of change. b) When the nurse opposes a client's resistance and argues for change, a breakdown in communication occurs and prevents the client from exploring his/her views safely. c) change is motivated by a perceived discrepancy between present behavior and important personal goals and values. d) Expressing empathy towards a person shows acceptance and increases the chance of developing rapport. Acceptance enhances self- esteem and facilitates change.

a) If a client believes that he or she has the ability to change, it is motivating and greatly increases the likelihood of change.

What factors does the Health-Belief Model specify that health-related behavior depends on? (Select all that apply) a) Perceived susceptibility to illness b) situational influences c) perceived seriousness of illness d) interpersonal influences e) benefits of taking action

a) Perceived susceptibility to illness c) perceived seriousness of illness e) benefits of taking action

What are the factors learners should consider when evaluation a teacher? (select all that apply) a) Preparation b) political opinions c) communication skills d) use of assessment in class e) quality of chosen materials f) listening comprehension

a) Preparation c) communication skills d) use of assessment in class e) quality of chosen materials f) listening comprehension

The nurse is considering a client's readiness to learn. Which are considered cognitive factors? (Select all that apply.) a) Reading ability b) Age c) Gender d) Occupation e) Motivation

a) Reading ability e) Motivation

When considering field change theory, what term is used to identify the stage where stabilization of a change occurs? a) Refreezing b) unfreezing c) Analyzing d) changing

a) Refreezing

What are some characteristics of motivational interviewing (MI)? (Select all that apply.). a) Respectful and honors the client's autonomy b) Evokes the client's own motivation for change c) Nurse-centered d) Uses signs of resistance as an opportunity to use assertive counseling e) Specifically targeted for change

a) Respectful and honors the client's autonomy b) Evokes the client's own motivation for change e) Specifically targeted for change

When working with a patient who is attempting to change a health-related behavior, what will the nurse reinforce? (Select all that apply.) a) The patient's ability to make the change b) Problem-solving techniques needed to achieve the change c) The health-related benefits of changing the behavior d) The amount of time it will take to make the change in behavior

a) The patient's ability to make the change b) Problem-solving techniques needed to achieve the change c) The health-related benefits of changing the behavior d) The amount of time it will take to make the change in behavior

What questions should be asked to help identify a community committee's stakeholder's (select all that apply.) a) Who can best successfully affect public opinion regarding proposed changes? b) Who can assist in providing resources needed for proposed changes? c) Who has the greatest amount to lose by the proposed change? d) Who is most affected by the issue being considered? e) Who has been a long-term member of the community?

a) Who can best successfully affect public opinion regarding proposed changes? b) Who can assist in providing resources needed for proposed changes? c) Who has the greatest amount to lose by the proposed change? d) Who is most affected by the issue being considered?

What activities can the nurse use when performing a summative evaluations at a home visit? (Select all that apply.) a) a final verbal quiz that incorporates elements taught during the home visits b) a discussion of changes the individual or family has made over the course of the home visits. c) a needs assessment during the first interaction with the client d) a final role-play that incorporates elements taught during the home visits. e) an observation of skills obtained, such as diabetes insulin administration

a) a final verbal quiz that incorporates elements taught during the home visits b) a discussion of changes the individual or family has made over the course of the home visits. d) a final role-play that incorporates elements taught during the home visits. e) an observation of skills obtained, such as diabetes insulin administration

The nurse determines that vaccination schedules are not being fully met by all children at the clinic. Who would be considered key stakeholders in developing a program targeted at improving vaccination adherence? (select all that apply) a) administrative staff b) primary care provider c) specialty care providers d) parents e) government agencies

a) administrative staff b) primary care provider d) parents

The nurse wants to use the domains of effective teaching to help organize a teaching plan. What domains should the nurse consider? (select all) a) affective b) cognitive c) psychomotor d) spatial e) physical

a) affective b) cognitive c) psychomotor

What are reasons that Omaha system is highly regarded as an a valuation tool and community settings? select all that apply a) based on universal nursing principles b) provider client relationship c) six step design d) used mainly for global programs e) proven efficacy and comprehensive scope

a) based on universal nursing principles b) provider client relationship c) six step design e) proven efficacy and comprehensive scope

The desired outcome of health education is that the learner: a) demonstrates permanent behavior changes b) recites the nurses words verbatim c) suggests alternatives to the nurse's health promotion strategy d) passes a written exam

a) demonstrates permanent behavior changes

Which statement is true about community health nurse? a) facilitates members of the community to take control of their health b) serves as the health expert in the community c) delegates the task of health promotion to community leaders d)focuses solely on disease prevention in the community

a) facilitates members of the community to take control of their health

Social learning is a client-centered communication style for electing behavior change by helping clients and groups explore and resolve ambivalence. a) false b) true

a) false

When evaluating a program, what is the critical first step that should have been considered in its design? a) input of all community stakeholders, including the participants b) developing culturally inclusive material c) inclusion of risk factors d) seeking program approval from funding sources.

a) input of all community stakeholders, including the participants

Who is the best evaluator of the program? select all that apply a) outside consultant b) staff members affiliated with program c) program administrator d) clients e) staff members and unaffiliated with the program

a) outside consultant e) staff members and unaffiliated with the program

The Omaha system consists of three relational components. Which of the following components is not part of the Omaha system? a) skilled needs scheme b) problem classifications scheme c) problem rating scale of outcomes d) interventions scheme

a) skilled needs scheme

What does the acronym "SMART" stand for in terms of community program objectives? a) specific, measurable, achievable, relevant, and time bound b) specific, manageble, attainable, relevant, and time bound c) start, measurable, achievable, real, and testable d) start, manageable, attainable, real, and testable

a) specific, measurable, achievable, relevant, and time bound

The learning model is a behavior change model emphasizing reinforcement of social competence, problem solving, autonomy, and sense of purpose. a) true b) false

a) true

What principles can the nurse apply to maximize the teaching-learning process? (select all) a) discourage interaction among learners b) adapt teaching to the client readiness level c) make subject matter relevant to the client's interests d) limit the use of practical application e) determine client attitudes toward the subject matter

b) adapt teaching to the client readiness level c) make subject matter relevant to the client's interests e) determine client attitudes toward the subject matter

What is the role of the community health nurse (select all)? a) provision of direct client care b) community-based health education c) Providing health promotion interventions d) sterile dressing changes e) administer meds

b) community-based health education c) Providing health promotion interventions

Which factor contributes to the possibility of relapse back into a negative health behavior? (select all) a) being in the early stages of change b) dealing with a high degree of personal stress c) experiencing a poor support system d) lacking effective coping skills e) being depressed

b) dealing with a high degree of personal stress c) experiencing a poor support system d) lacking effective coping skills e) being depressed

What areas is health promotion focused on? (select all) a) Reducing risk to health and controlling major causes of disease b) developing nursing interventions directed towards people's resources to maintain well-being c) maintaining or improving health of families and communities d) assisting with discharge from acute care settings e) studying the causes and effects of the disease

b) developing nursing interventions directed towards people's resources to maintain well-being c) maintaining or improving health of families and communities

What benefits of making exercise a habit could be described as "health promotion"? (select all that apply) a) reduces the risk of lung cancer b) improves strength and balance c) increases longevity d) improves cognitive function e) reduces the risk of colon cancer

b) improves strength and balance d) improves cognitive function

The nurse is conducting a summative evaluation of learning experience. This is also known as; a) structural evaluation b) outcome evaluation c) intervention evaluation d) process evaluation

b) outcome evaluation

Health promotion and disease preventions are both focused on which level of intervention? a) multi-level b) primary c) secondary d) tertiary

b) primary

The nurse is involved in program evaluation for an evidence-based project in the outpatient pediatric setting. Which is the best strategy to include children's parents during program evaluation? a) Speak to the child provider. b) provide online surveys for the parent c) interview the child d) review data and electric health record

b) provide online surveys for the parent

The Omaha model has shown to be successful in which type of community health care nursing? a) mental health nursing b) visiting home nursing c) faith-based nursing d) epidemiology nursing

b) visiting home nursing

A nurse is brought into an interprofessional team in order to develop a health promotion program. What should be the first question the nurse assess of the team? a) what are my responsibilities in the intervention? b) what are the measurable objectives for this program? c) who will be responsible for the program evaluation? d) what is the timeframe of the program?

b) what are the measurable objectives for this program?

What is an example of an intrinsic motivational factor? a) Praise from a health care provider b) Encouragement from a loved one c) A personal feeling of accomplishment d) A promise of a prize

c) A personal feeling of accomplishment

What stage of change of Lewin's Change Theory describes when the change is integrated and stabilized into practice? a) Changing b) Thawing c) Refreezing d) Unfreezing

c) Refreezing

The nurse wants to conduct an assessment that will protect the anonymity of the participants. What is the best tool to use? a) Open forum b) Interview c) Survey d Task force

c) Survey

A nurse reads a research study involving prenatal education programs and applies it to the community. The study reported that teens age 12-15 attended prenatal education less often than teens age 15-18 due to lack of transportation. Which idea would best encouraged pregnant teens age 12-15 to attend prenatal education programs? a) open another prenatal clinic in the community b) offering more timeslots and prenatal education classes c) offering prenatal education classes in the school d) providing literature to her

c) offering prenatal education classes in the school

The patient is inquired about several different smoking cessation programs. When considering the transtheoretical model, in which stage of change is the patient currently? a) precontemplation b) action c) preparation d) maintenance

c) preparation

What type of evaluation focuses of whether change objectives have been achieved? a) Process evaluation b) Qualitative evaluation c) Quantitative evaluation d) Outcomes evaluation

d) Outcomes evaluation

What is the data collected through public health surveillance by the US CDC ultimately used for? a) The development of health-related diseases b) Distribution to state and local health agencies c) Identification of potential health issues presenting in communities d) Reduction of morbidity and mortality among the population

d) Reduction of morbidity and mortality among the population

Which is true about health education in groups? (select all that apply.) a) Tasks are established that only individuals can accomplish. b) The views expressed are narrow and predictable c) Group members come from homogenous backgrounds and experiences d) The nurse is not the only expert in the group.

d) The nurse is not the only expert in the group.

A colleague tells a nurse "I don't know the problem yet, but I'm going to try implementing a program first and see if it makes a difference." The nurse should note that the colleague is skipping which steps in the Omaha system? a) collecting data, stating the problem, and evaluating the outcomes b) planning, identifying the decimal problem rating, and evaluation of the outcomes c) stating the problem, identifying the admission problem rating, and planning d) collecting data, stating the problem, and identifying the admission problem rating

d) collecting data, stating the problem, and identifying the admission problem rating

Which is a strategy the nurse can use for improving wellness in a community? a) ensuring the status quo b) enacting personal barriers c) encouraging dependency d) enhancing awareness

d) enhancing awareness

The nurse is asked why it is important to teach psychomotor skills. What statement is the best answer? a) cognitive skills are reinforced with psychomotor skills b) it is easier to teach psychomotor skills vs cognitive skills c) psychomotor skills take more time to teach and it is good use of class time d) most health topics involve some sort of self-care that the learner will need to be able to do following the class

d) most health topics involve some sort of self-care that the learner will need to be able to do following the class

What types of disease is the most common, and preventable? a) sexually transmitted b) infectious c) acute d) chronic

d) chronic

Secondary prevention is maximizing health and wellness through strategies that are set in place before illness or injury is present. a) true b) false

b) false

How can the nurse create an environment that is conducive to learning? a) ensure that the environment is not too comfortable b) assert authority and discipline c) restrict free expression d) create an atmosphere of helpful ness

d) create an atmosphere of helpful ness

The nurse is responsible for developing objectives for a program that helps clients with medication adherence. What reflects the best objective for this program? a) Clients will report 20% reduction in missed doses at the end of the program. b) Clients will respond to the survey provided at the end of the program c) Clients will write the program positively on the survey provided. d) Clients will rotate injection sites for their insulin administration

a) Clients will report 20% reduction in missed doses at the end of the program.

The interventions scheme component of the Omaha system focuses on client change and evaluation. a) true b) false

b) false

A school nurse implemented a sexual health program in a high school after finding a higher rate of sexually transmitted infections in the student population. The school board is deciding whether to fund the program again in the upcoming school year. What is the best next step in determining the current programs effectiveness? a) Design and present a plan to reduce costs of the program. b) Report the number of students who are participated in the program. c) report the number of high school students who committed to abstinence. d) screen the student population to determine the prevalence of sexually transmitted infections.

d) screen the student population to determine the prevalence of sexually transmitted infections.

One of the measurable objectives for community health care goals are; Achieve health quite, eliminate disparities, and improve the health of all groups. a) true b) false

a) true

What stage of Lewin's Change Theory represents the period when the desire for change develops due to motivation either intrinsically or by some external force, causing disequilibrium? a) Refreezing b) Thawing c) Changing d) Unfreezing

d) Unfreezing

When considering social learning theory, what patient-focused issue is considered most important for a person considering a change in a health-related behavior? a) the impact the change will have on health b) how difficult it is to make the change c) support of family and friends d) ability to make the change

d) ability to make the change

When does the evaluation of a community-implemented change begin? a) within the time period regarded for the change to occur b) at the initial committee meeting c) as soon as implement occurs d) during the planning stage

d) during the planning stage

A school nurse plans and implements a sexually transmitted infection (STI) program for teenage girls. What is a program goal according to the Omaha system? a) Participants will explain the two causes of STIs and teach back safe sexually practice is at the end of the program. b) Participants will be free of STI's at the end of the program c) Participants will report condom usage in greater than half of their sexual encounters at the end of the program d) Participants will understand the causes of STI's at the end of the program

a) Participants will explain the two causes of STIs and teach back safe sexually practice is at the end of the program.

Identify the correct community health evaluation tools form the lists below: a) SMART b) CHIP c) CHANGE d) MAPP

c) CHANGE

Which is a good example of a nurse "reflecting" back what a client says using the OARS technique? a) "I hear you saying that you would like to increase your walks from one day a week to three days a week." b) "You are doing a great job planning to add more exercise into your weekly routine." c) "I think you need to consider walking at least three days a week instead of just one." d) "How do you feel about adding more walks to your weekly exercise routine?"

a) "I hear you saying that you would like to increase your walks from one day a week to three days a week."

A nurse asks, "How will I know my program was successful?" What is the best response? a) "Your program is successful if stated goals have been met." b) "If no further data needs to be gather than your program was successful." c) "If your program is successful then healthcare services are effective" d) "If your clients are happy that the program was successful"

a) "Your program is successful if stated goals have been met."

Choose the correct answer below that best describes what the health impact assessment does. a) A process that helps evaluate the potential health effects of a plan, project before it is built or implemented. b) A process where health status exists at the population level between nations or within nations c) A visual representation of the methods behind the operational evaluation of the program d) The use of marketing principles and practices to change health behaviors or beliefs, social or cultural norms, or community standards to improve health or benefit society.

a) A process that helps evaluate the potential health effects of a plan, project before it is built or implemented.

Which points are relevant to leading an effective coalition meeting focused on community needs? (Select all that apply.) a) Begin and end the meeting on time b) Show respect for the expertise of the individual members c) Maintain focus on the purpose of the meeting d) Assume responsibility for any resulting conflicts e) Distribute background materials in advance of the meeting

a) Begin and end the meeting on time b) Show respect for the expertise of the individual members c) Maintain focus on the purpose of the meeting e) Distribute background materials in advance of the meeting

Which question is best to ask community members during the program evaluation phase? a) "Who is the best person to lead this initiative?" b) "Did our program accomplish its desired outcomes?" c) "Who are the yet stakeholders in this community?" d) "What is the most crucial health need in the community?"

b) "Did our program accomplish its desired outcomes?"

What role does the "opinion-giver" perform within a health education group? a) Frames diverse ideas and opinions into proposals or decisions b) Facilities the honest and open sharing of diverse views and information c) Ensures that everyone who wants to cane make a contribution d) Creates a warm climate of acceptance among group members

b) Facilities the honest and open sharing of diverse views and information

Creating on-going program evaluations will assist in identifying gaps and the need for more money to continue the program. a) true b) false

b) False

The nurse is considering the psychological factors that could affect a client's readiness to learn. Which factors fit this category? Select all that apply). a) Home b) Family c) Support persons d) Gender e) Occupation

b) Family c) Support persons e) Occupation

When considering health behavioral change, what fundamental right does the individual have during the process? a) Physical health as a result of implementing the change b) Involvement in decision making regarding the change c) Emotional wellness resulting from the behavioral change d) Financial support for the expenses incurred by the change

b) Involvement in decision making regarding the change

Which is true of Tuckman and Jenson's five stages of group formation? a) Competition and conflict exists at the adjourning" stage. b) Not all groups reach the "performing" stage c) group cohesion dissolves at the "norming" stage d) Group members are independent at the "forming" stage

b) Not all groups reach the "performing" stage

What are the categories of faculty structure evaluation? (Select all that apply) a) State teachers' review b) Peer evaluation c) Self-evaluation d) Leaner evaluation e) Parents' review

b) Peer evaluation c) Self-evaluation d) Leaner evaluation

What is the role of the nurse when using the adult learning model to bring about a change in a patient's health behaviors? a) Assessment of the patient's understanding of the importance goal b) Reinforcement of the goal as the change is being made c) Determine the patient's readiness to make the change d) Role modeling for the patient as the behavior is being changed

b) Reinforcement of the goal as the change is being made

In regards to groups, which rose is the group member who helps maintain harmony by conciliating different points of view suggesting solutions? a) summarizer b) mediator c) gatekeeper d) encourager

b) mediator

A colleague ask a nurse during program evaluation, "My outcomes are not what I expected. What should I do?" What is the best response by the nurse? a) "You should have incorporated more evidence-based tools." b) "Perhaps you should plan and implement another program?" c) "Use the outcomes to continue the process; then collect data and assess that data." d) "You should have validated your admission process."

c) "Use the outcomes to continue the process; then collect data and assess that data."

What is the importance of having "opinion leaders" represented on a community committee focused on making changes to existing health service delivery systems? a) All sectors of the community should be represented on the committee. b) Final recommendations of the committee must reflect the opinions of the community. c) Their points of view are generally well-accepted by the individual community members. d) Opinions are important to the information-gathering stage of committee work.

c) Their points of view are generally well-accepted by the individual community members.

What is the purpose of an epidemiological predictions and probabilities in relationship to health promotion? a) Predictions and probabilities are used to evaluate the effectiveness of health promotion strategies b) Epidemiology relies heavily on predictions and probabilities in its scientific approach to wellness c) They determine the focus of health promotion strategies d) The need for health promotion has created the need for such data

c) They determine the focus of health promotion strategies

What is the most important role of the community health nurse? a) leader b) advocate c) educator d) surrogate

c) educator

A nurse is on a program planning team to discover factors that may influence medication adherence in the outpatient setting. What is the best wast to understand the effectiveness of the new program? a) Develop research questions once the program begins b) ask the program director for guidance c) identify whether the program goals were met d) look to previous research articles.

c) identify whether the program goals were met

The nurse is asked what advantage there is in including measurable objectives in a health education program. What is the best answer? a) "Measurable objectives provide a greater diversity of opinions." b) "Measurable objective draw from a wider range of resource" c) "Measurable objectives decrease meeting time" d) "Measurable objectives ensure easier evaluation"

d) "Measurable objectives ensure easier evaluation"

What is the primary goal of health prevention? a) Providing health care professionals an opportunity to positively affect human health and well-being b) Developing positive health promotion strategies directed toward individuals and communities c) Implementing health promotion strategies at all three levels of disease prevention among all humans d) Affecting positive change to the health and well-being of individuals and communities

d) Affecting positive change to the health and well-being of individuals and communities

When considering motivational interviewing, what is a primary goal of this client-centered communication style? a) Resistance minimization b) Clinician-imposed change c) Suppressing autonomy d) Ambivalence resolution

d) Ambivalence resolution

What technique of group facilitation can the nurse use to encourage creative ideas within a group? a) Multi-voting b) Active listening c) Proactive facilitation d) Brainstorming

d) Brainstorming

Which of these techniques should the nurse use for introverted or shy personalities within a group? a) Active listening b) Brainstorming c) Multi-voting d) Nominal group technique

d) Nominal group technique

Which nursing model for behavioral change addresses pre contemplation, contemplation, preparation, action, and maintenance? a) Transtheoretical b) social cognitive c) revised health promotion d) health belief

a) Transtheoretical

The nurse is considering the qualities of effective adult learners. What qualities are most common among this group? (Select all that apply.) a) Goal-oriented b) Self-directed c) Practical d) Fiscally conscious e) Family-focused

a) Goal-oriented b) Self-directed c) Practical

When considering motivational interviewing, which strategy would be considered ineffective when working with a group dealing with alcohol dependency? (Select all that apply.) a) Having the members refer to themselves as alcoholics b) Pointing out mistakes the group is making associated with changes c) Providing advice about change choices the members are considering d) Identify problems concerning change that the group needs to work on e) Implementing both punishment and praise to provide motivation of change

a) Having the members refer to themselves as alcoholics b) Pointing out mistakes the group is making associated with changes d) Identify problems concerning change that the group needs to work on

The nurse is planning to conduct a needs assessment. What methods might the nurse employ to make an assessment? (Select all that apply.) a) Organizing a task force b) Holding a closed forum c) Making observations d) Conducting a survey e) Reviewing published literature

a) Organizing a task force d) Conducting a survey e) Reviewing published literature