Community Chapter 9

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 is a measurable objective?

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.

Select the examples of social marketing. (Select all that apply.)

Brochure placed in obstetricians' offices promoting the benefits of breastfeeding Billboard illustrating the dangers of texting while driving Posters placed in college dormitories encouraging condom use

The nurse decided to approach local organizations for financial and in-kind support for a new community health initiative. On which local resources can the nurse draw? (Select all that apply.)

Catholic Church Branch of Bank of America Car dealership

The nurse is in the process of forming a coalition to support a community flu shot program. Which step should the nurse take as part of this process? (Select all that apply.)

Consider how each member of the coalition and the organization or group represented will benefit from the work of the coalition. Understand group dynamics and members' motives for serving. Form a group that is heterogeneous but able to show mutual respect.

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?

Program replication

The nurse reviews 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.)

Regular communication about funds that were not used Details of program activities Report of areas where there is no progress toward program goals

The nurse reviews the job descriptions of the community health workers who work with community health nurses and other members of the program team. These workers are responsible for: (Select all that apply.)

Serving as a cultural and language bridge to members of target population Providing health education and outreach to community Offering assistance in accessing services

The nurse is reviewing 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 explains the plan for ongoing fundraising efforts for the program for years to come. With these comments, the nurse is attempting to establish which essential component of funding?

Sustainability

Which characterize health inequities? (Select all that apply.)

Unfair Resulting from social injustices Avoidable

Which aspects of Lewin's change theory will help people visualize and create needed change? (Select all that apply.)

Unfreezing the status quo Changing or moving to a new state Refreezing to sustain the change or changes made

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?

Upstream

Which is the first step in developing a plan for evaluating a community-level intervention?

Develop evaluation questions

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

Downstream

Which best illustrates systems theory?

Father being challenged to stop smoking because his daughter learned of the hazards of smoking from a smoke cessation program at her middle school

Which most accurately describes the purpose of force field analysis?

Identifying the forces driving the change and those resisting it

Which are recommendations made by the World Health Organization's Commission on Social Determinants of Health (CSDH)? (Select all that apply.)

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

Which changes in the environment (second level from the bottom of the health impact pyramid) make the choice for a healthy behavior the default or easy choice? (Select all that apply.)

Iodization of salt Restrictions on smoking in public places Changing food manufacturing to eliminate trans fats

The nurse researches the role of nurse-managed health centers in the city. Which are common characteristics of these centers? (Select all that apply.)

Led by advanced-practice nurses Emphasize health promotion, disease prevention, and health education Provide clinical practice for nursing students and faculty Offer specialized programs to meet the needs of specific population aggregates

The nurse is in charge of a local community program that uses a logic model as a planning and communication tool. Which key components are included in this model? (Select all that apply.)

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

Which best defines program replication?

Ability to reproduce a successful program within a different community

Which exemplify clinical interventions (the level just above the middle of the health impact pyramid)? (Select all that apply.)

Administration of insulin injections for diabetes Treatment of hypertension