Question 1

The intervention that a nurse and a planning group proposed was not accepted,primarily because of poor timing and lack of funds.Which of the following is helpful for the nurse to remember?

Accepted Answer

A problem can almost always be solved in more than one way.

Question 2

Which of the following is the most common type of intervention used to improve the health of a community?

Accepted Answer

Several major types of community health intervention programs exist,primarily health-education programs,screening programs,establishing services,policy setting and implementation,increasing community self-help and competence,and increasing power among disenfranchised individuals.

Question 3

Which of the following situations will cause difficulties when a nurse tries to persuade a community to accept a particular intervention?

Accepted Answer

Although any of these situations could cause a community to reject a proposed intervention,any intervention that is inconsistent with beliefs and values will be immediately rejected.

Question 4

Which of the following groups should be included in any planning group to ensure that weaknesses are addressed and counterarguments are known?

Accepted Answer

People who are against the proposal are the most helpful in knowing what arguments will be used and what weaknesses are apparent in the proposal.It is always possible that they may become involved and become supporters.

Question 5

What is the primary reason why every step of an intervention is planned before the intervention is implemented?

Accepted Answer

Planning the intervention saves time and helps the implementation process go more smoothly.

Question 6

A health screening was held,and the nurse reported the number and names of persons with positive test results to the agency director.What,however,is even more important than reporting this information?

Accepted Answer

There is no purpose in determining who receives positive test results unless there is some plan for treatment of those persons.Referral and treatment resources must be included as part of the intervention.The nurse must provide information about how and where to go for help.

Question 7

What is the primary usefulness of a Program Evaluation and Review Technique (PERT)chart?

Accepted Answer

A PERT chart identifies the program activities,resources to accomplish these activities,and the sequence of those activities.Included is a flowchart designed to estimate the time required to complete specific events necessary,with estimates ranked according to optimistic,most likely,and pessimistic outcomes.

Question 8

Which of the following actions must the nurse take when confirming the diagnosis before final decisions are made?

Accepted Answer

Although the nurse might engage in any of these actions,the most important action is to validate the conclusions with the involved aggregate.

Question 9

What is the primary usefulness of a Gantt chart?

Accepted Answer

A Gantt chart identifies the process needed to achieve a result.Once the final outcome is identified,the major steps necessary to obtain the result are projected backward from results to actions;their timing and sequence are then considered.

Question 10

A nurse decided to set up a planning group.All of the following groups of people expressed interest in being involved in the planning along with the nursing staff.If the nurse must eliminate one group to keep the size of the group manageable,which of the following groups should the nurse eliminate?

Accepted Answer

It is crucial that the target group,caregivers,and formal and informal leaders be involved.It is also helpful to have broad segments of the community to provide a widespread base of support.However,if size must be limited,the involvement of community members who are not leaders (in a position to promote acceptance),who will not be implementing the program,or who will not be affected by the program may be eliminated.The opposition must not be eliminated from the committee.

Question 11

Why should nursing,as a profession,be involved in program planning? (Select all that apply.)

Accepted Answer

Nurses should be included in program planning because nurses make up more than one third of all health care workers and implement the majority of health care programs.With experience in seeing what works and what does not,nurses can help planning groups avoid problems.Nurses spend a greater amount of time in direct contact with clients.This exposure to the community enables nurses to obtain useful information.In addition,nurses also account for a large portion of health care consumers.

Question 12

Which of the following aspects of a solution to a problem allows the nurse to identify it as the best choice?

Accepted Answer

Although all these suggestions are extremely important,the most crucial is that the solution fit the community's perspective,beliefs,and values.The community must be motivated to address the issue.

Question 13

The nurse is planning to present an educational program.Which of the following is important for the nurse to remember?

Accepted Answer

As members of a media society,most audiences expect a smooth,professional presentation with the use of many different media.Handouts alone may be unsuccessful,because not all Americans are literate.Reading levels must always be considered.Demonstrations by professionals may be unsuccessful unless their ethnic and cultural backgrounds are similar to those of the audience.Lecture is considered the least effective way of conveying information.

Question 14

Which of the following is the most effective way of prioritizing nursing diagnoses?

Accepted Answer

Although the nurse might engage in any of these actions,the most effective way to prioritize nursing diagnoses is to choose the diagnosis most important to the involved aggregate.

Question 15

What do most community/public health nursing diagnoses include?

Accepted Answer

Community/public health nurses focus not on individuals but on aggregates,and they rarely use NANDA International diagnoses,which focus primarily on acute problems of individuals.

Quiz 16: Community Diagnosis, planning, and Intervention