ATI: RN Community Program Planning, Implementation, and Evaluation Assessment

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? a. A partnership should involve a system in which community leaders dictate policy and community activities to enhance the wealth of a community b. The concept of community as partner recognizes the importance of relying on community health care provider to lead all aspects of community initiatives c. A partnership should be limited to community financial leaders to ensure feasibility of initiatives d. The promotion of health within a community should involve collaborative community efforts from a diverse group of community partners

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

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. The ecological model b. A community health assessment c. Windshield survey d. Primary data

b. A community health assessment The nurse should identify that a community health assessment (CHA) is an assessment identifying key health needs of a community through comprehensive, methodical collection and analysis of data.

A nurse and community team are using the Strategic Prevention Framework. Which of the following is true about this framework? a. A leader should be assigned b. Planning is an important step in the process c. The framework uses a three-step process d. Decision-making relies heavily on team opinion

b. Planning is an important step in the process The nurse should identify that planning is a step in this framework's process. The steps are assessment, capacity, planning, implementation, and evaluation.

A nurse is reviewing the need to include community gatekeepers in community partnerships. Which of the following statements describes the importance of this inclusion? a. Community gatekeepers are people who have an impact on community members, and the support of community gatekeepers can be pivotal in moving initiatives forward b. Community gatekeepers hold all of the authority in a community, and their support is necessary to ensure approval are granted for community projects c. Community gatekeepers have the largest impact on the youth of the community d. Community gatekeepers represent the underserved sectors of the population and should be included in partnerships

a. Community gatekeepers are people who have an impact on community members, and the support of community gatekeepers can be pivotal in moving initiatives forward The nurse should identify that community gatekeepers are defined as anyone who has an impact on community members and support from gatekeepers is important.

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? a. Focus on developing partnerships built on a foundation of pre-existing, trust based relationships b. Avoid adding partners as the organization becomes operational, as this can erode trust c. Identify that building trust throughout the process is not a priority, as trust can be assumed d. Change the core membership frequently to ensure new ideas are brought to the group

a. Focus on developing partnerships built on a foundation of pre-existing, trust based relationships Whenever possible, partnerships should be built on a foundation of pre-existing, trust-based relationships among some, if not all, of the principle founding partners. Other partners can and should be added as the organization becomes operational, but building and maintaining trust among all members is essential.

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? a. Identification of key stakeholders b. Description of initiative framework or model c. Delegation of tasks d. Description of evaluation design

a. Identification of key stakeholders The nurse should identify that identification of key stakeholders is the first step.

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? a. It should be transparent and widely disseminated among community members b. It should be shared only with those who had a direct influence in the creation of the report c. Impact reports are only useful during the planning stages of a community program d. Impact reports should not be published

a. It should be transparent and widely disseminated among community members Impact reports should be made available to the community and can be shared through a variety of media, including social media, newspapers, websites, and other news outlets.

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? a. Prioritization at the community level must focus on needs impacting the community or subpopulations b. Prioritization of community data should be left to formal community leaders, such as a mayor or councilperson c.Prioritization is not important; all community data should be treated equally, and focus should be put on all initiatives in an equal fashion d. Prioritization should focus solely on community needs

a. Prioritization at the community level must focus on needs impacting the community or subpopulations Prioritization at the community level must focus on needs impacting the community or subpopulations. Realistic analysis will look at available resources and the ability to harness existing and further resources to meet initiatives.

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. a public health nurse uses evidence based care to promote health, prevent disease, and mitigate health risks within a community setting b. a public health nurse acts in an independent way, not influenced by other disciplines, but relying solely on the nursing perspective to foster primary prevention of disease within the community c. a public health nurse does not rely on the nursing process, as the nursing process is only used in a hospital or clinical setting d. the focus of a public health nurse is typically the care of an individual or small group of clients at the bedside

a. a public health nurse uses evidence based care to promote health, prevent disease, and mitigate health risks within a community setting The role of a public health nurse is to focus on the health of the community served. The nurse should use evidence-based practice to employ the three levels of prevention.

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? a. "Program evaluation should be completed by a community influencer, such as an elected official" b. "Evaluation is done to appraise the outcomes of an initiative and to inform ongoing implementation of community initiatives" c. "Evaluation should take place at a set time and occur only once at the end of a project" d. "Program evaluation should include limited data for simplicity and quantification"

b. "Evaluation is done to appraise the outcomes of an initiative and to inform ongoing implementation of community initiatives" A program evaluation should include input from diverse community stakeholders and include a variety of data for a well-rounded assessment.

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. To promote, strengthen and evaluate the nation's efforts to improve the health and wellbeing of all people b. A society in which all people can achieve their full potential for health and wellbeing across the lifespan c. Promotion of health and wellbeing and preventing disease through linked efforts that encompass physical, mental, and social health dimensions d. Investment to achieve the full potential for health and well-being for all, providing valuable benefits to society

b. A society in which all people can achieve their full potential for health and wellbeing across the lifespan The nurse should identify this as the vision of Healthy People 2030.

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? a. Ecological model b. CHANGE model c. CHNA d. Built environment assessment tool manual

b. CHANGE model The nurse should identify that the Community Health Assessment and Group Evaluation (CHANGE) model uses a data collection tool and planning resource to guide community partners in assessment and prioritization of community improvement initiatives.

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? a. Community population b. Health care c. Political leaders d. Individual

b. Health care The nurse should identify that CHANGE sectors include community at large, community institution/organization, health care, school, and work sites.

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? a. "It is a national initiative and likely not useful at the local level" b. "This initiative should be followed in our community exactly as outlined in the report" c. "This is a local initiative that could be adapted to our community's needs" d. "This initiative will ensure improvement of our local environment"

c. "This is a local initiative that could be adapted to our community's needs" The High 5 Initiative is a local initiative with the goal of the removal of trash and debris from the Chesapeake Bay, increasing recycling efforts, and monitoring water quality. A community experiencing a similar issue can adapt the initiative to meet the needs of their local community.

A nurse and a community team are working with the Strategic Prevention Framework. Which of the following describes the Strategic Prevention Framework? a. A guiding principle of the framework is homogeneity b. The framework should focus on culturally homogenous subpopulations c. A guiding principle of the framework is cultural competence d. The first step in the process is planning

c. A guiding principle of the framework is cultural competence The guiding principles of the Strategic Prevention Framework include cultural competence and sustainability.

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? a. An impact report should not be shared on public websites b. An impact report is a private report used for agencies to identify issues c. An impact report is a communication tool outlining the outcomes of a community project d. An impact report is generated to guide assembly of community organizers

c. An impact report is a communication tool outlining the outcomes of a community project The nurse should identify that an impact report is a communication tool used to outline the outcomes of a community project.

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? a. Craft a clear message b. Identify outreach methods c. Identify incentives d. Define goals

c. Identify incentives Community involvement should be incentivized. By providing incentives, community members are given a reason they should care about or be involved in the issue.

A nurse and a community team are using Strategic Prevention Framework. Which of the following is true about the Strategic Prevention Framework? a. It is a linear process b. It is opinion driven c. It uses a team approach d. It is a static, concise process

c. It uses a team approach The nurse should identify that the Strategic Prevention Framework uses a team approach, rather than being led by a single individual.

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? a. The criteria weighting method b. The simplex method c. The quick and colorful approach d. Nominal group planning

c. The quick and colorful approach The quick and colorful approach involves an open or secret vote in which each stakeholder votes on identified health issues in order of their perceived importance of the issue.

A community health nurse and a community team are using the simplex method. Which of the following statements is true about the simplex method? a. The simplex method uses open-ended questions b. The simplex method prioritizes data with lower-scoring items c. The simplex method uses close-ended questions d. The simplex method is used to gather data in the community

c. The simplex method uses close-ended questions The nurse should identify that the simplex method involves key stakeholders completing a questionnaire with close-ended questions about the issues being prioritized.

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. The model includes five sectors, of which the team should pick and choose only those sectors that pertain to their initiative b. There should be limited community representation for refinement of single objectives. c. The model focuses on both strengths and weaknesses of the community d. A guiding principle of the model includes evidence-based interventions

d. A guiding principle of the model includes evidence-based interventions The nurse should identify that guiding principles of the CHNA include evidence-based interventions, collaborative multidistrict partnership, community definition, open transparent process, and ongoing evaluation.

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? a. CHANGE model b. Built environment assessment tool c. CHNA d. Ecological model

d. Ecological model The nurse should recommend the ecological model because it fulfills the community's needs. The ecological model looks at health as a broad, multifaceted concept and considers health as impacted by individual, community, social, political, and physical elements.

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? a. The CHANGE model b. Community health assessment c. The Centers for Disease Control and Prevention d. Healthy People 2030

d. Healthy People 2030 The nurse should identify that Healthy People 2030 outlines national objectives for health improvement and can be used to help drive community-specific objectives.

Which of the following is true about the National Notifiable Disease Surveillance System? a. Reporting is voluntary; states can choose to opt in or out of the national reporting b. The list of national notifiable diseases is consistent throughout the US and does not vary from state to state c. Reporting to the national database only provides a way of tracking disease and is not used in the prevention of outbreaks of certain diseases d. It is a legal requirement for states to report on national notifiable diseases

d. It is a legal requirement for states to report on national notifiable diseases The nurse should identify that it is a legal requirement for states to report on national notifiable diseases. Reporting helps health care authorities to monitor and aid in preventing outbreaks of certain diseases.

A nurse and a community team are working on a situation statement. Which of the following describes the purpose of a situation statement? a. To provide a list of available resources b. To identify key stakeholders c. To outline geographic boundaries d. To provide definition of issues in which community awareness and support are sought after

d. To provide definition of issues in which community awareness and support are sought after The nurse should identify that a situation statement provides definition of issues in which community awareness and support are sought after.