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Terms in this set (20)
2. Which of the following best describes the ultimate goal of program planning?
a. Avoid unanticipated conflicts in the program development phase
b. Provide adequate funding to meet the program's resource requirements
c. Ensure that health care services are acceptable, equal, effective, and efficient
d. Prevent unnecessary duplication of services
a. Avoid unanticipated conflicts in the program development phase
b. Provide adequate funding to meet the program's resource requirements
c. Ensure that health care services are acceptable, equal, effective, and efficient
d. Prevent unnecessary duplication of services
ANS: B
Strategic planning involves matching client needs, provider strengths and competencies, and agency resources. Everyone involved can anticipate what will be needed to implement the program, what will occur during implementation, and what the outcomes will be.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 277
Strategic planning involves matching client needs, provider strengths and competencies, and agency resources. Everyone involved can anticipate what will be needed to implement the program, what will occur during implementation, and what the outcomes will be.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 277
4. Which would be an appropriate descriptor that meets all criteria for defining a client to be served by a program?
a. All women ages 40 to 50 who have not had a menstrual period for 3 consecutive months
b. Immigrants residing in Central County for less than 5 years who have difficulty understanding care instructions because of limited English proficiency
c. Pregnant women who have received nutritional counseling but whose nutritional status did not improve
d. Children ages 18 months to 5 years old who have been treated for nutritional deficiencies at the Central County Clinic
a. All women ages 40 to 50 who have not had a menstrual period for 3 consecutive months
b. Immigrants residing in Central County for less than 5 years who have difficulty understanding care instructions because of limited English proficiency
c. Pregnant women who have received nutritional counseling but whose nutritional status did not improve
d. Children ages 18 months to 5 years old who have been treated for nutritional deficiencies at the Central County Clinic
ANS: B
The client should be defined by biological and psychosocial characteristics, by geographical location, and by the problems to be addressed. For example, in a community with a large number of preschool children who require immunizations to enter school, the client population may be described as all children between 4 and 6 years of age residing in Central County who have not had up-to-date immunizations. This example tells the reader who the client is, what the need is, how large the population is, and where they are located.
DIF: Cognitive Level: Analyze (Analysis) REF: pp. 277-278
The client should be defined by biological and psychosocial characteristics, by geographical location, and by the problems to be addressed. For example, in a community with a large number of preschool children who require immunizations to enter school, the client population may be described as all children between 4 and 6 years of age residing in Central County who have not had up-to-date immunizations. This example tells the reader who the client is, what the need is, how large the population is, and where they are located.
DIF: Cognitive Level: Analyze (Analysis) REF: pp. 277-278
5. After completing a needs assessment, the nurse is confident that he has identified the highest priority health programming need within the community. He presents his ideas at a community interest meeting, and the attendees show essentially no interest in being involved. Knowing that the health problem must be addressed he proceeds with implementation as planned. Which of the following is the most likely outcome of the program?
a. Community members will become increasingly positive about the new program.
b. Others will recognize the importance of the program and become involved.
c. The public health agency will both publicize and expand the program.
d. The program will fail because of the community's lack of interest.
a. Community members will become increasingly positive about the new program.
b. Others will recognize the importance of the program and become involved.
c. The public health agency will both publicize and expand the program.
d. The program will fail because of the community's lack of interest.
6. A nurse is assessing a community to determine the feasibility of implementing a new program on bike safety for youth in the community. Which of the following aspects should the nurse investigate to make this determination?
a. Whether the community, especially agency clients, desire a program
b. Whether local politicians support the agency's idea for a program
c. Whether agency professionals think a program is needed
d. Whether all involved support the need for such a program
q
a. Whether the community, especially agency clients, desire a program
b. Whether local politicians support the agency's idea for a program
c. Whether agency professionals think a program is needed
d. Whether all involved support the need for such a program
q
ANS: D
What people think about the need for a program, or program feasibility, might differ among health providers, agency administrators, policymakers, and potential clients. Feasibility means the program's viability, practicality, achievability, or likelihood of success. Everyone involved must be supportive for a program to succeed.
DIF: Cognitive Level: Apply (Application) REF: pp. 278-279
What people think about the need for a program, or program feasibility, might differ among health providers, agency administrators, policymakers, and potential clients. Feasibility means the program's viability, practicality, achievability, or likelihood of success. Everyone involved must be supportive for a program to succeed.
DIF: Cognitive Level: Apply (Application) REF: pp. 278-279
7. A community is examining which programs are needed within the community, the populations they will target, and how they will be funded. Which of the following would be the least risky decision for the community to make?
a. Choose whichever option is the least expensive of agency resources
b. Choose to do nothing
c. Choose whatever the agency administration prefers
d. Choose whatever the majority of clients prefer
a. Choose whichever option is the least expensive of agency resources
b. Choose to do nothing
c. Choose whatever the agency administration prefers
d. Choose whatever the majority of clients prefer
ANS: B
The need and demand for a program are determined by working with the client. This stage of planning creates options for solving the problem and considers several solutions. Each option for program solution is examined for its uncertainties (risks) and consequences. A "do nothing" decision is always the decision with the least risk to the provider.
DIF: Cognitive Level: Apply (Application) REF: p. 279
The need and demand for a program are determined by working with the client. This stage of planning creates options for solving the problem and considers several solutions. Each option for program solution is examined for its uncertainties (risks) and consequences. A "do nothing" decision is always the decision with the least risk to the provider.
DIF: Cognitive Level: Apply (Application) REF: p. 279
8. A nurse checks health department records to compare the number of new teen clients presenting for birth control counseling and management in the 2 months before and after an education intervention program to decrease teen pregnancy. Which of the following steps of the evaluation process is being completed by the nurse?
a. Engage stakeholders
b. Justify conclusions
c. Gather credible evidence
d. Focus on the evaluation design
a. Engage stakeholders
b. Justify conclusions
c. Gather credible evidence
d. Focus on the evaluation design
ANS: C
When the nurse gathers credible evidence, the following information is collected: indicators that will be used, sources of data, quality of the data, quantity of information to be gathered, and the logistics of the data gathering phase. Data gathered should provide credible evidence and should convey a well-rounded view of the program.
DIF: Cognitive Level: Apply (Application) REF: p. 283
When the nurse gathers credible evidence, the following information is collected: indicators that will be used, sources of data, quality of the data, quantity of information to be gathered, and the logistics of the data gathering phase. Data gathered should provide credible evidence and should convey a well-rounded view of the program.
DIF: Cognitive Level: Apply (Application) REF: p. 283
9. A nurse is planning a program to teach cardiac health at the senior citizens center. Which of the following is an effectively written objective for the program?
a. By the end of the program each participant will report walking at least 30 minutes a day at least 5 days each week.
b. By the end of the program each participant will voice a commitment to walk at least 30 minutes a day.
c. By the end of the program each participant will understand the need for physical exercise.
d. Each participant will voice a commitment to engage in physical exercise each day.
a. By the end of the program each participant will report walking at least 30 minutes a day at least 5 days each week.
b. By the end of the program each participant will voice a commitment to walk at least 30 minutes a day.
c. By the end of the program each participant will understand the need for physical exercise.
d. Each participant will voice a commitment to engage in physical exercise each day.
ANS: A
Useful program objectives must include a statement of the specific behaviors desired, using an action verb that can be seen and measured. Voicing a commitment is not an outcome action; it is only a verbal agreement. The verb understand is not an action verb that can be seen and measured. Only "will report walking 30 minutes a day at least 5 days each week" has a specific outcome action that can be seen and measured.
DIF: Cognitive Level: Apply (Application) REF: p. 283
Useful program objectives must include a statement of the specific behaviors desired, using an action verb that can be seen and measured. Voicing a commitment is not an outcome action; it is only a verbal agreement. The verb understand is not an action verb that can be seen and measured. Only "will report walking 30 minutes a day at least 5 days each week" has a specific outcome action that can be seen and measured.
DIF: Cognitive Level: Apply (Application) REF: p. 283
10. The nurse contacts participants who completed an educational program on breast self-exams to see whether they have any questions and to determine whether they are doing breast self-exams. Which of the following types of evaluation is being implemented by the nurse?
a. Final evaluation
b. Formative evaluation
c. Goal evaluation
d. Summative evaluation
a. Final evaluation
b. Formative evaluation
c. Goal evaluation
d. Summative evaluation
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