Chapter 25 Flashcards
The process of program management is similar to:
a. The nursing process
b. The medical model of care delivery
c. The requirements for licensure as a registered nurse
d. Summative and formative evaluation
ANS: A
The nursing process has the same basic steps but addresses the needs of a specific population.
Which is a benefit of systematic planning?
a. Allowing nurses to be in charge of materials presented
b. Ensuring that resources are used to address the needs of the community
c. Linking local politicians with the community
d. Educating student nurses about public health nursing
ANS: B
The focus should be on what the organization and health provider are attempting to do for clients.
Which phase of the program planning process is being used when the provider and client consider the possibilities of solving a problem using one of the solutions identified?
a. Conceptualization
b. Detailing
c. Implementation
d. Evaluation
ANS: B
The provider details the costs, resources, and program activities needed to choose one of the solutions from the conceptualizing phase.
To increase the immunization rates among children in the community, a nurse manager considering holding immunization clinics on Saturdays one month before school begins. This is an example of:
a. Assessing
b. Planning
c. Organizing
d. Evaluating
ANS: B
Planning is selecting and carrying out a series of actions to achieve stated goals.
When a nurse matches client needs, provider strengths and competence, and agency resources, which type of planning is being used?
a. Strategic planning
b. Program planning
c. Management planning
d. Process planning
ANS: A
Matching client needs, provider strengths and competence, and agency resources is considered strategic planning.
A nurse completes a program evaluation to identify if the objectives of the program were met. This is an example of:
a. Assessment
b. Goal evaluation
c. Formative or process evaluation
d. Summative or impact evaluation
ANS: C
Formative or process evaluation is used to assess whether objectives are met or planned activities are completed.
A nurse surveys program participants after completion of a wellness program to determine if the participants have increased their involvement in daily exercise. This is an example of:
a. Assessment
b. Goal evaluation
c. Formative or process evaluation
d. Summative or impact evaluation
ANS: D
Summative or impact evaluation is used to assess program outcomes or as a follow-up to the results of the program activities.
For the purpose of obtaining information about services needed to meet community needs, business leaders within a community were interviewed. This method of obtaining needs assessment data is called a(n):
a. Community forum
b. Key informant interview
c. Survey of existing agencies
d. Indicator approach
ANS: B
Interviewing business leaders within a community is an example of key informant interviews.
Focus groups are used to determine the method of cleanup for contaminated groundwater in a neighborhood. What is a disadvantage of this needs assessment tool?
a. Technically demanding
b. Expensive
c. Bias of leaders
d. Time consuming
ANS: D
Using focus groups to determine the method of cleanup for contaminated groundwater in a neighborhood would be very time consuming.
What is the most critical action a nurse should take when planning a health program?
a. Assessing need of the community
b. Considering alternative solutions or options
c. Detailing the costs and resources needed
d. Weighing each alternative
ANS: A
Assessing need provides the reasons and rationale for the program plan.
What action should a nurse take to have a clear understanding of the overall health status of a community and to identify populations at risk?
a. Complete a community assessment.
b. Perform a population needs assessment.
c. Evaluate past programs in the community.
d. Develop program resources for the community.
ANS: A
Community assessment is a community-oriented approach that views the entire community as the client.
A nurse uses a key informant interview as part of completing a needs assessment. What is the primary advantage of using this tool?
a. Low cost
b. Provides a picture of services needed
c. Identifies the perspectives of large number of persons
d. Indicates the extent of services offered by existing programs
ANS: B
The main advantage of using a key informant as a needs assessment tool is that it would provide a picture of the services needed.
What is the purpose of developing objectives for a program?
a. Give the speaker specific topics to cover.
b. Provide direction for conducting the program.
c. Provide an enriching experience for participants.
d. Formulate a mission statement.
ANS: B
Objectives provide direction and provide the mechanism for evaluating specific activities in light of the total program.
Which is an example of a population needs assessment?
a. A health status report indicates many people are not using the health department because of long waits.
b. The WHO encourages all travelers to be up to date on the immunizations when traveling abroad.
c. A nurse assesses the health status of older adults with diabetes prior to initiation of a health education program.
d. An agency uses a television advertisement to encourage healthy eating by the citizens in the community.
ANS: C
A nurse assessing the health status of older adults with diabetes is an example of a population needs assessment.
A community identifies cardiovascular disease as a priority need because its mortality rate is four times higher than the rate identified in Healthy People 2020. The approach to identifying this need was:
a. Proactive
b. Reactive
c. Inactive
d. Interactive
ANS: C
The inactive approach defines the problem based on the existing health state of the population to be served.
