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Chapter 23: Program Management
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 10th Edition MULTIPLE CHOICE
1. 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. 2. What is a benefit of systematic planning? a. Allowing nurses to oversee all the material 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 3. A provider and a client consider the possibilities of solving a problem using one of the solutions identified. Which of the following phases of the program planning process is being used? a. Conceptualizing b. Detailing c. Implementing d. Evaluating 4. To increase the immunization rates among children in the community, a nurse manager is considering holding immunization clinics on Saturdays one month before school begins. Which of the following describes what is happening? a. Formulating b. Planning c. Implementing d. Evaluating 5. A nurse matches client needs, provider strengths and competence, and agency resources.Which of the following types of planning is being used? a. Strategic planning b. Program planning c. Management planning d. Process planning 6. A nurse completes a program evaluation to identify if the objectives of the program were met. Which of the following describes the action of the nurse? a. Assessment b. Evaluation c. Formative evaluation d. Summative evaluation What evaluation is used to assess whether objectives are met, or planned activities are completed. a. Assessment b. Evaluation c. Formative evaluation d. Summative evaluation
7. A nurse surveys a program’s participants after completion of a wellness program to determine if the participants have increased their involvement in daily exercise. Which of the following describes the action of the nurse? a. Assessment b. Evaluation c. Formative or process evaluation d. Summative or impact evaluation 8. For obtaining information about services needed to meet community needs, business leaders within a community were interviewed. Which of the following describes this method of obtaining needs assessment data? a. Community forum b. Key informant interview c. Survey of existing agencies d. Indicators approach 9. Focus groups are used to determine the method of cleanup for contaminated groundwater in a neighborhood. Which of the following is a disadvantage of this needs assessment tool? a. Technically demanding b. Expensive c. Bias of leaders d. Time consuming 10. A nurse is planning a health program. Which of the following is the most critical action that should be taken by the nurse? a. Assessing need of the community b. Considering alternative solutions or options c. Detailing the costs and resources needed d. Weighing each alternative 11. A nurse wants to have a clear understanding of the overall health status of a community and to identify populations at risk. Which of the following actions should be taken by the nurse? 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. 12. A nurse uses a key informant interview as part of completing a needs assessment. Which of the following describes the primary advantage of using this tool? a. Low cost. b. Provides a picture of services needed. c. Identifies the perspectives of many persons. d. Indicates the extent of services offered by existing programs. 13. What is the purpose of developing a program? a. Giving the speaker-specific topics to cover b. Providing direction for conducting the program c. Providing an enriching experience for participants d. Formulating a mission statement
21. A nurse is monitoring program activities, such as hours of service, number of providers used, number of referrals made, and amount of money spent to meet program objectives. Which of the following aspects of program evaluation is being used? a. Relevance b. Progress c. Efficiency d. Effectiveness 22. A nurse is creating a program objective. Which of the following would be developed? a. Decrease the incidence of early childhood disease in Center County by providing immunization clinics in all schools between August and December of 2007. b. Provide condoms to sexually active teenagers in the local high school. c. Increase by 25% the number of school-age children wearing seat belts. d. Provide free diabetic screening every other month for 2 years. 23. A nurse has created the program's objective “to decrease the incidence of early childhood disease in Center County by 10% to 25% by providing immunization clinics in all schools before August and December 2018.” Which of the following describes the operational indicator? a. Decrease b. Promoting immunization clinics c. 10% to 25% d. Before August and December 2018 24. With the involvement of the local government and health department, a community-wide program is planned to make all public businesses smoke free, thus eliminating exposure to second-hand smoke. Which of the following levels of prevention of program planning and evaluation is being applied? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Assessment 25. A nurse is critiquing the program's objective ‘to decrease the incidence of early childhood disease in Center County by providing immunization clinics in all schools between August and December of 2018.” Which of the following critiques is accurate? a. It is accurate as written. b. The results are ambiguous. c. The action verb is not action oriented. d. The purpose is not stated. 26. What is the purpose of performing a cost-accounting study? a. To detect what percentage of cost the clients recover b. To measure how long it takes for clients to see a provider c. To note how many cases are associated with other major risk factors d. To find the actual cost of a program 27. A nurse needs to collect baseline data before implementing which type of a study? a. Cost-accounting study b. Cost-benefit study c. Cost-effectiveness study d. Cost-efficiency study
28. A nurse collects data about productivity of staff members to evaluate a program. Which type of study is the nurse completing? a. Cost-accounting study b. Cost-benefit study c. Cost-effectiveness study d. Cost-efficiency study 29. A nurse has provided an organization a philanthropic contribution. Which of the following best describes what the nurse has provided? a. Contract b. Gift c. Grant d. Loan 30. A nurse completes a cost-accounting study on a program that targets obese adults, helping them to adopt healthier lifestyle choices. The nurse would like to compare the cost of the program to the cost savings in the health care system by preventing the occurrence of chronic illnesses. Which of the following types of studies would be most appropriate to use in this situation? a. Cost-accounting study b. Cost-benefit study c. Cost-effectiveness study d. Cost-efficiency study MULTIPLE RESPONSE 1. After a need and client demand for a program have been determined through the needs assessment process, the next step in the development of the program is to choose a procedural method that will assist the nurse in planning the program to be offered. Which are possible planning methods? (Select all that apply.) a. Program planning method (PPM) b. Multi-attribute utility technique (MAUT) c. Sustainability method d. Effectiveness method e. Population needs assessment
8. What are the six “rights” of case management? a. Care, time, provider, setting, price, and outcomes b. Patient, medication, route, time, documentation, and evaluation c. Place, setting, patient, plan, outcomes, and documentation d. Disease process, time, place, beneficence, advocate, and care provider 9. A nurse is working as a case manager and is in the process of performing interdisciplinary, family and client conferences. Which of the following phases of the nursing process is being implemented? a. Assessment b. Diagnosis c. Planning for outcomes d. Implementation 10. A case manager has contacted providers and has negotiated services and prices. Which of the following phases of the nursing process is being demonstrated? a. Assessment b. Diagnosis c. Planning/outcome d. Implementation 11. A case manager uses effective collaboration and team strategies to arrange for services. Which of the following roles is being applied? a. Broker b. Negotiator c. Liaison d. Facilitator 12. A case manager provides a formal communication link among all parties concerning the plan of care management. Which of the following roles of the nurse is being implemented? a. Facilitator b. Liaison c. Coordinator d. Negotiator 13. A case manager is fulfilling the role of coordinator. Which of the following nursing interventions would most likely be completed? a. Providing information to all parties about the situations affecting the client b. Educating the client and providers in order to make informed decisions c. Supporting all parties to work toward mutual goals d. Arranging, regulating, and balancing needed health services for the client 14. Which knowledge domains are used in case management? a. Legal issues, malpractice recognition, and community involvement b. Teaching, counseling, and education skills c. Advocacy, political campaigning, and legislative change d. Grant application, bargaining contracts, and securing funding 15. A nurse is using life care planning when working with a client. What would be the most appropriate time for planning to be used?
a. When organizing a timeline of life events b. When documenting client information and requests c. When assessing present and future client needs d. When estimating future costs for medical care
16. A nurse is working as a case manager. Which of the following best describes the diagnoses that the case manager is most likely to encounter? a. Bankruptcy, financial distress, and depression b. Flu, colds, and frequent headaches c. Malaria, bird flu, and Dengue fever d. AIDS, spinal cord injury, and ventilator dependency 17. A public health nurse (PHN) is working with the chronically ill and families with young children needing age- specific health maintenance. Which of the following models of case management is being used? a. Client-focused b. System-focused c. Social service d. Long-term care 18. Which model addresses the structure and processes of using the population-based tools of disease management and critical pathways to offer care for client populations? a. Client-focused b. System-focused c. Social service d. Long-term care 19. The nurse and client, a 20-year-old expectant mother, are discussing the advantages and disadvantages of breastfeeding. To enhance understanding of the implications of breastfeeding, the nurse says, “Tell me more about how you will work full time and breastfeed.” Which of the following aspects of the advocacy process is being used? a. Verification b. Clarification c. Amplification d. Affirmation 20. A nurse upholds a client’s right to make a choice and to act on the choice. Which of the following best describes the action being taken by the nurse? a. Affirming b. Supporting c. Informing d. Amplifying 21. A case manager supports a client’s decision to return home after having a total hip replacement rather than go to a skilled nursing facility. Which of the following phases of the nursing process is being used? a. Assessment b. Planning/outcome c. Implementation d. Evaluation 22. What term is used to identify the process of moving conflicting parties toward an outcome? a. Negotiation
a. Autonomy b. Beneficence c. Nonmaleficence d. Justice MULTIPLE RESPONSE
1. What knowledge and skills are required in order to become a competent case manager? (Select all that apply.) a. Knowledge of community resources and financing mechanisms b. Written and oral communication skills c. Proficient negotiation and conflict-resolving practices d. Application of evidence-based practices and outcomes measurements e. Experience with ethical decision making 2. A nurse would like to reduce the risk of liability. Which of the following interventions should be used by the nurse? (Select all that apply.) a. Provide accurate documentation of client visits. b. Inform clients of their rights of appeal. c. Refer clients to the providers of their choice. d. Utilize care planning whenever possible. e. Promote strong community partnerships.
Chapter 26: Working With Families in the Community for Healthy Outcomes Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 10th Edition MULTIPLE CHOICE
1. A public health nurse (PHN) is working with families and communities. Which of the following best illustrates the nursing action that is being implemented? a. Learning about the core competencies for public health professionals b. Facilitating a client discharge from an inpatient facility c. Assessing the structure of a family d. Assisting clients who are uninsured in finding resources and services 2. A nurse strives to meet the health care needs of diverse and changing families. Which of the following best describes the consideration that should be made by the nurse? a. Provide culturally competent care b. Understand family dynamics. c. Recognize that two-income parent households are less stressful. d. Learn how to care for people in their homes. 3. A nurse is making an appointment with a family for a nursing visit. Which of the following best describes a barrier that the nurse may experience when trying to schedule this appointment? a. The assessment cannot be done unless the extended family is present. b. It may be difficult to find a convenient time for all family members to be present. c. Nurses have limited time to do home visits. d. Families are often scattered over a large area, making access difficult. 4. A nurse recognizes that a barrier that may be experienced when providing family nursing care is health literacy. Which strategy should the nurse implement to reduce the occurrence of this problem? a. Write down all necessary information for the family. b. Use multiple colors of ink on written materials. c. Print in upper- and lowercase letters. d. Use as many descriptors as possible. 5. The nurse asks, “What has changed between you and your spouse since your child’s head injury?” Which of the following focuses of the family is being used? a. The context b. The client c. A system d. A component of society 6. A nurse is assessing family structure. Which of the following describes what the nurse should recognize? a. An individual may experience many different family structures over a lifetime. b. The variations in family structure are becoming less common. c. The traditional nuclear family is the most common family structure. d. There is great variation among family structures. 7. A nurse makes a visit to a home where several people live. The client says that several people in her family are not related biologically. What action should the nurse take? a. Ask the client why they are living in her home.
c. Family developmental and life cycle d. Capacity-building model
16. A nurse considers how the environment outside of the family influences the development of a child. Which of the following theories is being used? a. Bioecological systems b. Family systems c. Family developmental and life cycle d. Capacity-building model 17. A nurse is using the termination component of the nurse-family relationship. Which of the following strategies would the nurse use? a. Increasing sessions with the nurse b. Making referrals when appropriate c. Providing a formative evaluation of the relationship d. Refusing additional communication with the family 18. A nurse displays pertinent family information in a multigenerational family tree format. Which of the following best describes this format? a. Family intervention b. Family assessment c. Genogram d. Ecomap 19. A nurse is demonstrating how a family relates to the other units in the community. Which of the following assessment instruments are appropriate for the nurse to use? a. Family intervention b. Family assessment c. Genogram d. Ecomap 20. The nurse chooses to interview a family in the clinic office. Which of the following provides the rationale for this decision? a. Nurse’s territory will provide the nurse with power. b. More formal setting may allow for better discussion of family issues. c. Nurse will feel more comfortable. d. Environment of the family All government actions, whether at the local, county, state, or national level, affect the family either directly or indirectly. Thus, it is referred to as family policy. These policies may address social, public, or financial issues that have an impact on familiescan be assessed. 21. A nurse is constructing a genogram for a family. Which of the following describes its importance? a. Allows nurses to diagnose disease patterns. b. Brings the family together to do a mutual task. c. Shows family history and patterns of health-related information. d. Provides a visual diagram of the family unit in relation to other subsystems. 22. Government actions that have a direct or indirect effect on families are called what type of policy? a. Social b. Family c. Public
d. Financial
23. A nurse is using the provisions of the Family Medical Leave legislation. Which of the following actions would the nurse take? a. Resigning from employment, but retaining health insurance b. Sharing family information with colleagues c. Providing Medicaid to a family who cannot afford health insurance d. Taking a defined amount of time off of work for family events without fear of job loss **MULTIPLE RESPONSE
- What are the reasons for cohabitation? (Select all that apply.)** a. Cohabitants would marry, but do not for economic reasons. b. Cohabitants are seeking a more egalitarian relationship. c. Resources, such as food stamps and budget management, can be shared. d. Cohabitants are using this as a trial period to assess whether to marry. e. Resources can be received by multiple individuals. Chapter 27: Family Health Risks Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 10th Edition MULTIPLE CHOICE
9. A family has experienced a family crisis. Which of the following best describes this situation? a. Husband loses job and the family is now homeless. b. Child dies, and the parents go to grief counseling. c. Mother is hospitalized for 2 weeks and neighbors help care for the children. d. Nurse goes home to give chemotherapy to a child with cancer. 10. A client is experiencing a social risk. Which of the following best describes this risk? a. Inadequate housing b. Lack of education c. High-crime neighborhood d. Lack of insurance 11. The nurse asked the family about its financial resources and the demands on these resources. Which type of risk factor is being assessed? a. Biological b. Economic c. Lifestyle d. Social 12. A nurse is using a genogram when assessing a family risk. Which of the following types of risks is being assessed? a. Biological b. Economic c. Lifestyle d. Social 13. A nurse is using an ecomap. Which of the following best describes the situation that the nurse is experiencing? a. Assessing a family’s biological risks b. Considering a family’s economic risks c. Discussing a family’s lifestyle risks d. Examining a family’s social risks 14. A nurse is assessing the health risks of a family. Which of the following health risks would the family be most likely to voluntarily assume? a. Newly built power plant b. Smoking cigarettes c. Speeding vehicles near playground d. Industrial pollution 15. A nurse is discussing internal family coping strategies with a family following a family crisis. Which of the following would the nurse be explaining? a. Asking a distant relative for a loan b. Talking to relatives about stresses and worries c. Attending a local worship service d. Using public assistance to obtain food stamps 16. Which statement is true about transitions? a. Transitions are stressful events for all families. b. Transitions require coping skills, which must be taught to some families. c. Transitions address the family skills necessary to meet developmental goals. d. Transitions present new situations and demands for families.
17. A nurse assists a family to obtain food stamps. Which of the following best describes the purpose of this resource? a. Provide support for basic needs. b. Offer insurance for the uninsured. c. Provide health-related services to families. d. Allow nongovernmental agencies to operate more effectively. 18. Which is a main disadvantage to home visits? a. Convenience for the client b. Time spent with one client c. Client control of the setting 19. A nurse is completing the post-visit phase of a home visit. Which of the following activities is the nurse most likely to complete? a. Document the visit and services provided. b. Conduct a health teaching session. c. Plan the next home visit. d. Seek information about community resources for referrals. 20. A nurse is in the beginning phase of contracting with a family. Which of the following activities will most likely occur during this phase? a. Mutual division of responsibilities b. Mutual development of a plan c. Mutual setting of time limits d. Mutual implementation of the plan 21. A nurse clarifies the purpose of a home visit with a family. Which of the following phases of the home visit process is occurring? a. Initiation b. Pre-visit c. In-home d. Post-visit 22. A nurse plans to review the home visit with the family. Which of the following phases of the home visit process is most likely occurring? a. Initiation b. In-home c. Termination d. Post-visit 23. A nurse is implementing the termination phase of a home visit. Which of the following nursing activities is most likely being demonstrated? a. Conducting a physical assessment b. Identifying household members c. Summarizing accomplishments of the visit d. Teaching about health 24. A nurse uses a behavioral health risk survey and identifies the factors leading to obesity in the family. Which of the following levels of prevention best describes the nurse’s action? a. Primary prevention b. Secondary prevention c. Tertiary prevention
a. Poor academic performance b. High self-esteem c. Middle-class income d. Involvement in extracurricular activities
2. A nurse is planning to administer an immunization to a child. Which of the following factors would be a medical contraindication for the administration of immunizations? a. Religious beliefs b. Sore throat c. Leukemia d. Fear of side effects 3. A nurse is conducting a developmental screening to assess for domain-specific development, including gross and fine motor skills. Which developmental screening tool would the nurse most likely use? a. Pediatric Symptom Checklist b. Ages and Stages Questionnaire c. Parents’ Evaluation of Developmental Status d. Denver II 4. A family with children has income too high to qualify for state health insurance but does not have enough money to purchase private health insurance. Which program would a nurse refer this family to for the children to receive health care coverage? a. Medicare b. Children’s Health Insurance Plan (CHIP) c. Medicaid d. Social Security 5. A nurse is working with a child who lives in poverty. Which of the following best describes this child? a. A child who has poor academic performance b. A child whose parents have a college education c. A child of Caucasian descent d. A child living in a single-parent household 6. Which statement is true about the role of nurses in community health? a. The nurse provides direct services to children and their families. b. A major role of community health nurse is the provision of immunizations. c. Children are not the primary focus of community health, since they are often acutely ill. d. Complementary therapies and environmental toxins are often the focus of the health care of children. 7. A nurse is aware that there is a rising incidence of abusive head trauma (AHT). Which of the following would be a focus of the nurse? a. Taking at-risk babies out of violent households b. Placing babies under the care of community health nurses c. Educating and providing support to new parents d. Helping those affected seek proper legal representation 8. A nurse is actively participating in efforts to reduce gun violence among young people.Which of the following actions is most likely being taken by the nurse? a. Identifying populations at risk for violence b. Passing legislation to support gun control c. Searching lockers at school looking for weapons and contraband d. Caring for clients who have sustained gunshot wounds
9. A nurse assesses the playground safety at a new community center and notices rope swings and a trampoline. Which of the following actions should be taken by the nurse? a. Have signs posted encouraging children to be monitored continuously. b. Explain to the staff that these items are not recommended for playgrounds. c. Supervise the children closely when they are using this equipment. d. Compose a letter to be shared at the next city council meeting. 10. A mother tells the nurse she is afraid to have her infant immunized. Which of the following statements would be the most appropriate response by the nurse? a. “It is normal to be concerned, as some immunizations have been linked to autism.” b. “Researching the Internet will provide you more information as to the importance of immunizations.” c. “Choosing not to vaccinate your child puts your child and others at risk.” d. “Your infant received active immunity at birth, so immunizations are not indicated until 4 months of age.” 11. What is the leading cause of death for unintentional injuries among children and teenagers? a. Drowning b. Motor vehicle accidents c. Burns d. Poisonings 12. What group has the lowest injury death rate? a. Infants b. Toddlers and preschoolers c. School-age children d. Adolescents 13. Which statement about sudden infant death syndrome (SIDS) is true? a. SIDS occurs most often in female infants. b. Maternal cigarette smoking increases risk. c. Most deaths occur between 2 and 8 months of age. d. Most victims had a previous episode of cyanosis or apnea. 14. A nurse is providing anticipatory guidance to parents who have a child under 1 year of age. Which of the following would be the most important topic to discuss? a. Choking b. Burns c. Poisoning d. Falls 15. A nurse is providing a health education program for the community about prevention of lead poisoning. Which of the following information would the nurse most likely include in the program? a. Universal screening for all children ages 1 and 2 years is recommended. b. Lead poisoning can lead to serious respiratory system complications. c. The most common exposure to lead occurs when children play with imported toys. d. Lead-based paints are found in all homes built before 1987. 16. A nurse is assessing a child with chronic health problems and the child’s family. Which of the following factors should be considered? a. The ability of the family to pay for expensive equipment b. The degree of impairment to the child’s ability to develop c. How often recreational activities will take place d. Special needs “camp” placement for the child in the summer
