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Community Health Planning, Implementation, And Evaluation

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Question 1
Free
Multiple Choice

Which of the following best describes what Lillian Wald suggested in regards to providing care to individuals and families?

Choose correct answer/s
A

Public health nurses should encourage clients to join the Henry Street settlement for mutual growth and support among the families.

B

Public health nurses should focus on providing care in the client's home.

C

Public health nurses should recognize the larger social and economic forces that the family cannot control.

D

Public health nurses should try to understand that educating clients on how to stay healthy is the nurse's primary responsibility.

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Question 2
Free
Multiple Choice

Which of the following best describes why it is important for the nurse to be knowledgeable about the community when providing care to individuals?

Choose correct answer/s
A

As nurses travel to meet with clients, they must know the community to find the client's residence.

B

On the basis of information from community assessment, community health nurses can be visible and vocal advocates for health care reform.

C

Community health nurses are expected to have information about the community to share with individual clients.

D

Individuals and families are strongly influenced by the community and environment around them.

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Question 3
Free
Multiple Choice

Which of the following best describes how the Health Planning Model for care of aggregates differs from the customary nursing process applied to the care of an individual?

Choose correct answer/s
A

The nurse must be aware of age, gender, race, ethnic group, religion, educational background, occupation, and marital status of the aggregate.

B

The nurse must first decide on and define the aggregate to receive care.

C

The nurse must determine how best to ensure that each participant receives an equal number of services.

D

The nurse must choose which health care need should have first priority.

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Question 4
Free
Multiple Choice

A nurse is using a systems framework when caring for individuals, families, and aggregates in the community. Which of the following best describes an aspect that would be more challenging when caring for an aggregate as opposed to caring for an individual?

Choose correct answer/s
A

Ability to communicate clearly with the client

B

Analyzing power and decision making within the system

C

Defining the system's structure and functions

D

Recognizing the system's goals

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Question 5
Free
Multiple Choice

A nurse is caring for an aggregate as his or her client. Which of the following tasks would the nurse complete first?

Choose correct answer/s
A

Determine the setting of the aggregate

B

Gain access into the aggregate

C

Identify the nurse's own strengths and preferences

D

Review the resources available to use in the community

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Question 6
Multiple Choice

A nurse decided that a high-risk aggregate most needed education about diabetes. Which of the following would be the best approach when teaching the group?

Choose correct answer/s
A
Involve participants in small group activities applying the information.
B
Organize the information into a visual presentation such as a PowerPoint presentation.
C
Share the nurse's expertise directly with the group at a meeting for that purpose.
D
Use handouts and pamphlets with pictures consistent with the local cultural groups throughout.
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Question 7
Multiple Choice

A community health nurse has determined that the number one priority is to help families in which one member has diabetes. Which of the following actions would be most appropriate to maximize services to persons with diabetes?

Choose correct answer/s
A
Ask friends with diabetes about what services they want improved.
B
Duplicate the diabetic organization's services, because not all patients with diabetes have yet received services.
C
Meet with the diabetic organization to see how the public health department can augment what it is offering.
D
Submit a request for funding so that the public health department can also offer services to patients with diabetes.
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Question 8
Multiple Choice

A nurse is determining the needs of a selected aggregate. Eight percent of the aggregate has diabetes. Which of the following best describes the action that should be taken next to determine if this should be a priority?

Choose correct answer/s
A
Ask the American Diabetes Association if 8% is a worrisome rate.
B
Discuss the findings with the head of the public health department.
C
Review the literature to determine the national and state diabetic rate.
D
Determine what the aggregate's diabetic rate has been in the past.
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Question 9
Multiple Choice

A nurse has assessed an aggregate, determined the priority health needs, and decided on what intervention to offer. Which of the following will best determine if the intervention will be successful?

Choose correct answer/s
A
Accuracy of the nurse's assessment
B
Careful planning and implementation of the intervention
C
Determination of the aggregate's perspective of the need for the intervention
D
Selection of appropriate evaluation measures both in process and on completion
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Question 10
Multiple Choice

Which of the following actions must a nurse take to be successful in addition to the typical assessment, diagnosing, and planning directly related to the intervention project?

Choose correct answer/s
A
Advocate for community empowerment throughout the process.
B
Choose superb people to implement the plan.
C
Confirm administrative support throughout the project.
D
Continue to assess both barriers and resources throughout the project.
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Question 11
Multiple Choice

A nurse found that several professionals resented time spent interacting with and teaching clients. Which of the following describes the most likely underlying motivation for resisting client involvement?

Choose correct answer/s
A
Believing that people could change their lives if they really wanted to do so.
B
Empowering others shifts power from the experts to the community.
C
It is more efficient to plan appropriate care without listening to client ideas.
D
Longtime experience with community members has led to disillusionment.
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Question 12
Multiple Choice

A nurse assessed carefully and created a comprehensive intervention plan including primary, secondary, and tertiary care for individuals and families. Which of the following factors may the nurse have overlooked?

Choose correct answer/s
A
Are other staff members interested in such a project?
B
Are there adequate resources for such a project?
C
Is there support from the administration for the project?
D
Does the nurse have adequate energy and time for such a project?
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Question 13
Multiple Choice

Which of the following must be created before establishing the evaluation plan for a health project?

Choose correct answer/s
A
A clear set of both short-term and long-term goals
B
Decision as to who will collect the evaluation data
C
Observable and measurable objectives
D
Setting up a computer program to analyze the evaluation data
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Question 14
Multiple Choice

A nurse had all the details carefully arranged for a project: location, speaker, seating arrangement, refreshments, handouts, visual aids, and students to distribute and collect evaluation sheets. Which of the following aspects of the project may be a problem?

Choose correct answer/s
A
The administrator's greetings went over time.
B
The environment was so comfortable that no one listened to the presentation.
C
Something totally unexpected and unplanned for happened.
D
A student lost the evaluation sheets.
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Question 15
Multiple Choice

A nurse starts to collect evaluative data for a major health project one month after it starts. Which of the following best describes the purpose of this data collection?

Choose correct answer/s
A
Filling out the forms helps the aggregate feel involved in the process.
B
Formative evaluation allows the nurse to make changes if needed.
C
Funding agencies require ongoing evaluations to continue contributing.
D
The nurse needed to know if the desired outcomes were being achieved.
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Question 16
Multiple Choice

Which of the following best describes where the majority of time is spent by a community health nurse?

Choose correct answer/s
A
Caring for individuals
B
Caring for families
C
Caring for groups
D
Caring for aggregates
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Question 17
Multiple Choice

Which of the following best describes the principal outcome of the Hill-Burton Act?

Choose correct answer/s
A
Increased number of hospital beds
B
Increased availability of high technology in health care
C
Reduced overall health care costs
D
Required certificates of need before expensive new construction is started
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Question 18
Multiple Choice

Which of the following best describes the primary purpose of the Heart Disease, Cancer, and Stroke Amendments of 1965?

Choose correct answer/s
A
To improve coordination and planning of health care
B
To increase the availability of high technology in health care
C
To reduce overall health care costs
D
To require certificates of need before expensive new construction or technologies are created
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Question 19
Multiple Choice

Which of the following best describes a flaw of many of the health care bills passed during the last four decades?

Choose correct answer/s
A
They avoided interfering with the current health care approach and did not improve problems of access or duplication of efforts.
B
They encouraged each state to do what was best for its residents without consideration of what was best for the nation as a whole.
C
They created new layers of bureaucracy in health care administration.
D
They did not include financing to pay for the suggested changes.
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Question 20
Multiple Choice

Which of the following describes why the National Health Planning and Resources Development Act of 1974 was unsuccessful in its efforts to increase accessibility and acceptability, improve quality, and constrain rising costs?

Choose correct answer/s
A
A new president forced the legislation's repeal.
B
No federal financing was included to implement the law.
C
The federal government made no effort to enforce the law.
D
The law did not affect the current health care delivery system.
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