Deck 5: Health Program Planning

Question 1

A PHN is studying on older adult population in a high-rise building. As part of the community diagnosis, there are several factors to be examined, including the factor that is particularly significant to designing the program since it alters the outcome. This factor is called the:

A)Causal factor.
B)Mediating factor.
C)Moderating factor.
D)Antecedent factor.

Answer 1

Mediating factor.

Question 2

A public health nursing instructor educates a class that the Predisposing, Reinforcing and Enabling factors, and Causes in Educational Diagnosis and Evaluation (PRECEDE) component of the PRECEDE-PROCEED begins with:

A)An examination of administrative and organizational issues.
B)A comprehensive community assessment.
C)Preventative programs.
D)Implementation of behavior changes.

Answer 2

A comprehensive community assessment.

Question 3

Due to health concerns for high-risk populations, Healthy People 2020 includes as one of its main goals:

A)To provide better insurance programs.
B)To have collaboration among governmental agencies.
C)To provide access to preventive health-care services.
D)To improve assessment of services.

Answer 3

To provide access to preventive health-care services.

Question 4

A PHN is gathering evaluation information on a program to be used for several purposes, except:

A)To share with the media for public relations.
B)To make improvements on the program.
C)To redefine the population being served.
D)To share with funding agencies.

Question 5

When a PHN is working on a community diagnosis for an industrial town with a high incidence of a normally waterborne illness, the nurse researches the characteristics of the problem. This part of a community diagnosis looks at:

A)What the problem is related to.
B)The assessment.
C)The population.
D)How the problem is demonstrated.

Question 6

Pressure to slant or misuse the findings of an evaluation from the stakeholders would be what kind of problem?

A)Moral
B)Management
C)Confidentiality
D)Ethical

Question 7

When considering the outcomes of a planned intervention, a nurse should measure which of the following types of outcomes? Select all that apply.

A)Short-term
B)Medium-term
C)Changes in knowledge, skills, or behavior
D)Long-term
E)Unexpected or unintended outcomes

Question 8

Keeping in mind distal social determinants when helping a community, a nurse uses the resources available to build a better:

A)playground.
B)clinic.
C)school.
D)community grocery store.

Question 9

A group of public health officials want to use the logic model for program design. In this model, when a program's intended outcome is achieved, this is referred to as successful:

A)Input.
B)Output.
C)Outcome.
D)Impact.

Question 10

If a PHN is working for the cause of social justice within a community, he or she will distribute a vaccine:

A)Only to children.
B)Only to older adults.
C)Only to those who have insurance.
D)To everyone equally, according to the resources available.

Question 11

A community's public health nurses (PHNs) are working on building community capacity, which includes all of the following except:

A)Organizing assets and resources to improve the health of a community.
B)Assessing how many people the community clinic will contain at one time.
C)Working in partnerships and supporting decision making.
D)Identifying root causes of health problems and working on achieving identified outcomes.

Question 12

A PHN is evaluating the effectiveness of a health intervention program for children by looking at the program characteristics. According to Lisbeth Schorr's criteria, the nurse will be looking for which of the following? Select all that apply.

A)Whether the program is meeting all the needs of the children
B)Whether the program continues to reach out to the families in neighborhoods
C)Whether the program stays true to its goals
D)Whether the staff and managers are able to support the mission of the program
E)Whether the program is able to attract grant money

Question 13

A nurse is planning for the community acceptance of a program, estimating resources, developing specific plans for activities, and establishing program management. The nurse is currently working on:

A)Project management.
B)Program evaluation.
C)Program implementation.
D)Program planning.

Question 14

When analyzing EBP literature to see if the information should be used in planning a program, a nurse should look at which of the following? Select all that apply.

A)Quantitative and qualitative data from studies
B)Analysis to see if the program is thriving
C)Economic indicators to see if the program is financially stable
D)Indicators of real outcomes and behavior change
E)Indicators of outside factors that might change the program

Question 15

A nurse wants to use evidence-based practice (EBP) to develop a program aimed at preventing social isolation in older adults. The first step the nurse should take is to:

A)Do an assessment.
B)Develop a community diagnosis.
C)Consult the literature to create a rationale for intervention.
D)Begin community organizing.

Question 16

In community organizing, the PHN recognizes that her role is that of which of the following? Select all that apply.

A)Stakeholder
B)Leader
C)Listener
D)Facilitator
E)Developer of skills

Question 17

If the logic model is used for its linear reasoning in program design, the implementer will read the model like a map, from left to right, whereas stakeholders will read the steps:

A)From left to right.
B)All at once.
C)From right to left.
D)By scanning.

Question 18

A nurse is working on a type of evaluation that examines how a program actually works and whether any outside environmental events might have an impact on the program. This type of evaluation is called a:

A)Formative evaluation.
B)Process evaluation.
C)Summative evaluation.
D)Program evaluation.

Question 19

The logic model can provide an analytical structure for better outcome development and program management and evaluation. This was applied to programs aimed at families at risk for homelessness. Researchers found that the main advantage to this model was that:

A)They were able to acquire government aid for a specified period of time for those with families.
B)They were able to more clearly define their goals to determine more immediate outcomes.
C)They were able to get more material resources.
D)They were able to build houses for those at risk.

Question 20

In general, nurses using the program planning model would begin by:

A)Identifying primary health issues in the community.
B)Implementing an intervention.
C)Selecting effective interventions.
D)Developing measurable process and outcome measures.