Question 1

Which of the following factors can consumers easily evaluate?

Accepted Answer

Consumers can judge such factors as accessibility,waiting time,and cost,although not the intricacies,of the health care given.However,the most crucial factor is the interpersonal relationships of the caregivers with the clients.

Question 2

Which of the following personal beliefs best demonstrates the meaning of self-efficacy?

Accepted Answer

By definition,self-efficacy is the belief that a person can influence his or her environment and circumstances.

Question 3

The nurse wanted to determine the community's level of self-esteem and well-being.Which of the following would be the most effective way to systematically and accurately determine the satisfaction level?

Accepted Answer

Emotional well-being in a population can be measured by the proportion of members who experience self-esteem and satisfaction with their lives.However,it is not realistic to ask this question of every member of the community.Thus,a random sample surveyed with a tool reliable and valid for an individual should yield an accurate portrayal of the proportion of members who experience positive self-esteem and satisfaction with their lives.This is the best way to get the best assessment of the entire community.

Question 4

Stakeholders are defined as persons who

Accepted Answer

By definition,stakeholders are interested persons who have expectations about the care but are not directly involved.

Question 5

What is the purpose of outcome attainment?

Accepted Answer

Asking whether goals were achieved is identical with determining outcomes.Outcome attainment concerns measuring whether planned goals were achieved.Synonyms for this activity are performance evaluation,results of effort,and evaluation of effectiveness.

Question 6

A nurse is determining the quality of care that is provided.Which of the following factors would the nurse examine?

Accepted Answer

Quality is measured in terms such as efficiency,appropriateness,and adequacy.

Question 7

A nurse is planning to examine program outcomes.Which of the following would be the most important question to ask?

Accepted Answer

Outcomes focus on the end results of the care,such as "Did change occur?" or "What are actual effects on clients?"

Question 8

A nurse in a particular community decided that the priority was to decrease the number of teenagers who smoke.Which of the following should the nurse measure first?

Accepted Answer

Before the nurse finalizes plans,baseline data on the behavior that is the target of change need to be collected.Although it would be useful to know all of the data mentioned,it is most helpful to know the proportion of teenagers who currently smoke,in order to determine any change.The proportion of the population that engages in smoking can then be compared with the proportion that engages after the intervention.

Question 9

A community/public health nurse plans a program to improve the community's ability to prevent accidents.Which of the following measurements would be the best way to evaluate the outcomes of the nurse's intervention?

Accepted Answer

The best evaluation is based on outcomes related to the intervention's purpose-in this case,a decrease in accident rate.

Question 10

One of the responsibilities of the community/public health nurse was to teach parenting classes to teenage mothers at high risk for committing child abuse.Which of the following would be an effective approach to helping mothers deal with their infants' behavior without resorting to physical discipline?

Accepted Answer

Contracts often increase the likelihood that actions will be performed,whereas the other options all have flaws: People other than the nurse may have helpful advice,fear is not the best motivator,and people who are not knowledgeable may not have good ideas,even in a group.Contracts increase commitment to specific actions and therefore increase the likelihood that the appropriate actions will be performed.

Question 11

A nurse is planning to involve the community in the evaluation process.Why is this a critical part of evaluation?

Accepted Answer

Community involvement is crucial to ensure that the interventions were effective for people affected by them.

Question 12

How does formative evaluation help the community/public health nurse?

Accepted Answer

Formative evaluation occurs during delivery of care and allows the nurse to modify the care currently being given to improve the outcomes for clients.

Question 13

Which of the following groups created the standards for evaluating effective nursing care with communities?

Accepted Answer

The Quad Council of Public Health Nursing Organizations wrote standards,which were most recently published by the American Nurses Association in 2007.An updated version will publish in early 2013.

Question 14

The community/public health nurse was excited about creating a program for prenatal education and care for single teenage mothers.Before writing an application for a grant to fund the program,what should the nurse determine?

Accepted Answer

Although community/public health nursing interventions may be directed toward establishing new services,the nurse must first be sure that a proposed service is not duplicating services already existing in the community.

Question 15

The community/public health nurse wanted to most effectively and efficiently determine the health and well-being of the community.Which of the following is the easiest way to determine a community's health?

Accepted Answer

The fastest and easiest way to get an overall grasp of the community's health is to examine morbidity and mortality data.

Question 16

A community/public health nurse is planning the evaluation of a community education program about smoking cessation.Why is it important to complete this evaluation?

Accepted Answer

Evaluation yields data,which allow better comprehension and therefore better decisions.The purpose of evaluation is to facilitate additional decision making.The evaluation will help show whether the outcomes of the program have or have not met the goals.

Question 17

How does summative evaluation help the community/public health nurse?

Accepted Answer

Summative evaluation takes place after the intervention is complete,even as long as months or years later,to determine whether a long-term effect was accomplished.

Question 18

A community/public health nurse was told to focus on teenage smoking.Which of the following actions should be the priority of the nurse?

Accepted Answer

In most states,it is already illegal for teenagers to purchase cigarettes,and most schools do not allow smoking on school property.Although focusing on parents would be helpful (because children often copy what their parents do),the most important step is to focus attention on the problem throughout the community.Community attitudes predispose the population to support or work against various policies,services,or behaviors.

Question 19

The community/public health nurse was enthusiastic about giving care to the community's residents.Which of the following actions should the nurse take when asked to attend a city council meeting?

Accepted Answer

Policies are expressions of goals and rules within a community,an expression of values.Policies can mandate,allow,or initiate actions that affect a community's health.Consequently,it is very valuable to meet policy makers and inform them of perhaps unrecognized health needs in the community.

Question 20

Which of the following is a necessary assumption for evaluation to occur?

Accepted Answer

Assumptions are that nurses are accountable for their own action and that nursing actions have results,both intended and unintended.

Quiz 17: Evaluation of Nursing Care With Communities