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:

Accepted Answer

B

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:

Accepted Answer

The PRECEDE component of the PRECEDE-PROCEED model begins with a comprehensive community assessment to identify health issues and needs.

Question 3

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

Accepted Answer

Healthy People 2020 aims to provide access to preventive health-care services to improve the health of high-risk populations.

Question 4

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

Accepted Answer

While evaluation information may be used for public relations purposes, it is not one of the primary reasons for conducting an evaluation. The primary reasons, as stated in the other answer choices, are to make improvements on the program, redefine the population being served, and 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:

Accepted Answer

The nurse is identifying what the problem is related to, which involves researching the characteristics and potential causes of the waterborne illness in the community.

Question 6

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

Accepted Answer

Misusing or slanting the findings of an evaluation to meet the stakeholders' interests is an ethical problem because it violates professional standards and integrity. It undermines the accuracy and credibility of the evaluation process and the decisions based on its results. Therefore, evaluators must maintain objectivity, impartiality, and transparency in reporting their findings and recommendations.

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.

Accepted Answer

The answer of When considering the outcomes of a planned...

Question 8

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

Accepted Answer

Education is a distal social determinant of health, and building a school can have long-term positive impacts on the community's health and well-being.

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:

Accepted Answer

The answer of A group of public health officials want...

Question 10

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

Accepted Answer

A PHN (Public Health Nurse) working for social justice aims to ensure equitable access to healthcare resources, including vaccines, for all members of the community, regardless of age or insurance status.

Question 11

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

Accepted Answer

Assessing how many people the community clinic will contain at one time is more about logistical planning rather than building community capacity, which focuses on empowering the community and addressing broader health determinants.

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.

Accepted Answer

Lisbeth Schorr's criteria for evaluating the effectiveness of a health intervention program include assessing whether the program is meeting the identified needs, maintaining outreach to targeted populations, staying true to its goals, and whether the staff and management are supporting the mission of the program. Attracting grant money is not included in Schorr's criteria.

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:

Accepted Answer

The answer of A nurse is planning for the community...

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.

Accepted Answer

The answer of When analyzing EBP literature to see if...

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:

Accepted Answer

The first step in developing an evidence-based practice program is to consult the literature to create a rationale for intervention. The nurse should review current research and evidence-based guidelines on preventing social isolation in older adults before moving on to other steps, such as conducting an assessment or community diagnosis. This will help ensure that the program is based on the most current and effective practices.

Question 16

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

Accepted Answer

The PHN (Public Health Nurse) in community organizing acts as a listener to understand community needs, a facilitator to guide and support community initiatives, and a developer of skills to empower community members.

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:

Accepted Answer

The answer of If the logic model is used for...

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:

Accepted Answer

A process evaluation examines how a program actually works and whether any outside environmental events might have an impact on the program. Formative evaluation aims to improve the program while it is being developed or implemented, while summative evaluation assesses the program's overall effectiveness and impact. Program evaluation is a broad term that encompasses various types of evaluations, including process, formative, and summative evaluations.

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:

Accepted Answer

The logic model helps in clearly defining goals and determining immediate outcomes, which is crucial for program management and evaluation.

Question 20

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

Accepted Answer

According to the program planning model, the first step is to assess the needs of the community by identifying the primary health issues. This is important as it helps in defining the problem and setting priorities for intervention. Only after this step is completed, can nurses move on to selecting effective interventions, developing measurable process and outcome measures, and implementing the intervention.

Quiz 5: Health Program Planning