Deck 5: Health Program Planning

Question 1

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:
1)Project management.
2)Program evaluation.
3)Program implementation.
4)Program planning.

Answer 1

3

Question 2

When analyzing evidence-based practice (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.)
1)Quantitative and qualitative data from studies
2)Analysis to see if the program is thriving
3)Economic indicators to see if the program is financially stable
4)Indicators of real outcomes and behavior change
5)Indicators of outside factors that might change the program

Answer 2

1, 2, 4, 5

Question 3

Pressure to slant or misuse the findings of an evaluation from the stakeholders would be what kind of problem?
1)Moral
2)Management
3)Confidentiality
4)Ethical

Answer 3

4

Question 4

When considering the outcomes of a planned intervention, a nurse should measure which of the following types of outcomes? (Select all that apply.)
1)Short-term
2)Medium-term
3)Changes in knowledge, skills, or behavior
4)Long-term
5)Unexpected or unintended outcomes

Question 5

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:
1)Formative evaluation.
2)Process evaluation.
3)Summative evaluation.
4)Program evaluation.

Question 6

A team of nurses and physicians at a community hospital were concerned about the lack of vaccinations among children being seen in the emergency department (ED). They knew that in other states there had been an outbreak of measles and wanted to avoid it in their community. The team finally completed a community assessment using secondary data, including de-identified hospital data. The team members for the hospital had initially analyzed the data and came together to come up with a community diagnosis related to vaccination. Based on the first two parts of a community diagnosis, they had identified the problem, low vaccination rates, and the population affected, children and adolescents. The next two steps in the community diagnosis include:
1)Identifying what resources are available and how to access additional resources.
2)Identifying what the problem is related to and what evidence-based programs could be implemented to address the problem.
3)Identifying what the problem is related to and how the problem is demonstrated.
4)How the problem is demonstrated and how to engage further members of the community in program planning.

Question 7

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:
1)Input.
2)Output.
3)Outcome.
4)Impact.

Question 8

Once a community health assessment has been completed and the health priority has been established, the first step is to:
1)Identify other effective programs aimed at addressing the identified health priority.
2)Evaluate the capacity to address the health priority.
3)Understand the underlying factors contributing to the problem
4)Develop a program tailored to the community.

Question 9

The PHNs at the public health department have teamed with the community to help build community capacity. This could include all of the following except:
1)Organizing assets and resources to improve the health of a community.
2)Assessing how many people the community clinic will contain at one time.
3)Working in partnerships and supporting decision making.
4)Identifying root causes of health problems and working on achieving identified outcomes.

Question 10

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:
1)Do an assessment.
2)Develop a community diagnosis.
3)Consult the literature to create a rationale for intervention.
4)Begin community organizing.

Question 11

A team of nurses and physicians at a community hospital were concerned about the lack of vaccinations among children being seen in the emergency department (ED). They knew that in other states there had been an outbreak of measles and wanted to avoid it in their community. Based on their review of the ED records, they immediately mounted an aggressive vaccine campaign sponsored by the hospital. The program did not succeed. What key component(s) of health program planning did they miss that might explain the failure of the program?
1)Active involvement of the community as a partner
2)Failure to determine if they had enough vaccines on hand
3)Failure to provide enough personnel to administer the vaccines
4)Lack of commitment from other members of the hospital

Question 12

The infection control nurse in the main hospital located in an industrial mill town alerts the public health department to the recent admission of patients with a waterborne illness. Once they had identified a common pathogen, they recognized that the outbreak was confined to poorer members of their community who did not have access to a pool during an extreme heat wave. They had been swimming in the local lake that was supposed to be off limits. All who had gotten sick had submerged their head. This is an example of a
1)Nursing community diagnosis.
2)Social justice issue.
3)Community assessment.
4)Consequence of climate change.

Question 13

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.)
1)Whether the program is meeting all the needs of the children
2)Whether the program continues to reach out to the families in neighborhoods
3)Whether the program stays true to its goals
4)Whether the staff and managers are able to support the mission of the program
5)Whether the program is able to attract grant money

Question 14

A PHN is studying an 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 when designing the program because it alters the outcome. This factor is called the:
1)Causal factor.
2)Mediating factor.
3)Moderating factor.
4)Antecedent factor.

Question 15

A community team made up of school administrators, parents, and teachers is in the process of addressing the issue of obesity in school age children. They contact the PHN in their community and discuss possible models for a health program. One of the models that the PHN mentions is the Predisposing, Reinforcing and Enabling factors, and Causes in Educational Diagnosis and Evaluation (PRECEDE) component of the PRECEDE-PROCEED model. The PHN explains that this model begins with:
1)An examination of administrative and organizational issues.
2)A comprehensive community assessment.
3)Preventative programs.
4)Implementation of behavior changes.

Question 16

In community organizing, the PHN recognizes that her role is as a: (Select all that apply.)
1)Stakeholder
2)Leader
3)Listener
4)Facilitator
5)Developer of skills

Question 17

A PHN is gathering evaluation information on a program to be used for several purposes, except:
1)To share with the media for public relations.
2)To make improvements on the program.
3)To redefine the population being served.
4)To share with funding agencies.

Question 18

In general, nurses using the program planning model would begin by:
1)Identifying primary health issues in the community.
2)Implementing an intervention.
3)Selecting effective interventions.
4)Developing measurable process and outcome measures.

Question 19

Nurse researchers concerned with families at risk for homelessness utilized the logic model to help develop an outreach program in their city. The researchers found a main benefit to the logic model was that they were able to:
1)Use one specific template because all versions of the logic model include the same components.
2)Help stakeholders visualize how the program goal(s) related directly to the objectives.
3)Utilize a circular model for describing the components of the process.
4)Develop a program without having to heavily rely on their assessment findings.