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Chapter 20: Implementation and Evaluation Considerations

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Chapter 20: Implementation and Evaluation Considerations

10 problems · 0 figures

20-1 §20.RQ source ↗

A nurse is planning a community program to decrease youth substance misuse. Which strategy could the nurse implement to promote participant recruitment?
  1. a.
    Hold meetings in evening at a local church
  2. b.
    Integrate activities into the regular school schedule
  3. c.
    Collaborate with the school principal when developing materials
  4. d.
    Assess parent and guardian perceptions of youth substance misuse

Answer

B. Integrate activities into the regular school schedule
The nurse will see increased participation if activities are scheduled during regular school hours. Youth often have conflicts related to athletics, academics, work, or provision of sibling care after school hours.

20-2 §20.RQ source ↗

The nurse evaluates how activities were implemented and what resources were needed to carry out a community health program. Which type of evaluation is the nurse using?
  1. a.
    Formative
  2. b.
    Process
  3. c.
    Outcome
  4. d.
    Impact

Answer

B. Process
A process evaluation focuses on the implementation process to determine if the program has been implemented as planned and in the most efficient way.

20-3 §20.RQ source ↗

A nurse using the CDC’s Framework for Program Evaluation in Public Health has chosen the evaluation design in collaboration with program partners. Which evaluation activity represents the next step using the framework?
  1. a.
    Developing program goals, objectives, and activities
  2. b.
    Creating a logic model of the community health program
  3. c.
    Sharing results with program partners and the community
  4. d.
    Preparing data collection tools to gather from multiple data sources

Answer

D. Preparing data collection tools to gather from multiple data sources
The nurse will prepare tools to gather data from multiple sources after the evaluation design is chosen.

20-4 §20.RQ source ↗

The nurse is developing communication materials for a community health program. What action should the nurse take to create materials incorporating the needs of the intended target population?
  1. a.
    Use medical terminology to increase health literacy
  2. b.
    Write in the passive voice and end with the key message
  3. c.
    Plan to only release the communication on social media sites
  4. d.
    Use images and language that represent the target population

Answer

D. Use images and language that represent the target population
The nurse should use images and language that represent the target population to promote an inclusive environment.

20-5 §20.RQ source ↗

Which of the following is an internal funding stream the nurse could utilize for community health programs?
  1. a.
    Grants
  2. b.
    Sponsorships
  3. c.
    Earned income
  4. d.
    Indirect funding

Answer

C. Earned income
Earned income is an internal funding stream the organization uses to support programs. Earned income includes funds earned through fee for service, consultation, reimbursement, and product sales.

20-6 §20.RQ source ↗

When planning a community health program, which is the best method to ensure the target population’s sociocultural and linguistic needs are met?
  1. a.
    Incorporate knowledge about the culture into activities
  2. b.
    Hire an interpreter to assist with program delivery
  3. c.
    Include community members in program planning and implementation
  4. d.
    Ensure staff are culturally competent

Answer

C. Include community members in program planning and implementation
Including members of the target population in program planning, recruitment, implementation, and evaluation is the best method to ensure sociocultural and linguistic needs are met.

20-7 §20.RQ source ↗

The nurse is analyzing the sustainability of a community health program. Which finding would indicate that a program may need to be discontinued?
  1. a.
    Partner support and resources are adequate.
  2. b.
    New funding sources need to be identified.
  3. c.
    Program goals and objectives have been met.
  4. d.
    Attendance is low due to community lack of interest.

Answer

D. Attendance is low due to community lack of interest.
Community lack of interest in the program may indicate that the program no longer meets community needs.

20-8 §20.RQ source ↗

Which data source would a nurse use to perform an impact evaluation of an existing community health program?
  1. a.
    Participant surveys completed prior to and on the final day of the program
  2. b.
    Participant surveys completed prior to and 90 days following the program
  3. c.
    Local community health assessment prior to and following the program
  4. d.
    Local community health assessment following program conclusion

Answer

C. Local community health assessment prior to and following the program
Impact evaluation measures the degree that the community health program achieves its primary goal. Most often, community health assessment data is used to evaluate the impact of existing community health programs. Pre-program CHA data and CHA data collected after the program was implemented are used to determine long-term impact.

20-9 §20.RQ source ↗

Which action by the nurse is an example of community health program sustainability?
  1. a.
    Soliciting another funding source to continue a program
  2. b.
    Using the same funding source to offer a program
  3. c.
    Decreasing the number of community partners
  4. d.
    Discontinuing the program due to lack of interest

Answer

A. Soliciting another funding source to continue a program
Sustainability is defined as the continuation of community health programs by decreasing dependence on one source of funding and shifting to a new funding stream because the program is valued, cost and resource efficient, effective, and supported by the community.

20-10 §20.RQ source ↗

The nurse is looking at different tools to communicate efficiently with the community. Which health activity would be appropriate for the nurse to communicate using a billboard?
  1. a.
    Providing health education to an identified at-risk population
  2. b.
    Increasing community awareness of common health issues
  3. c.
    Prompting discussion regarding common health issues
  4. d.
    Recruiting partners for a community health program

Answer

B. Increasing community awareness of common health issues
Billboards reach a broad audience quickly and are used to increase community awareness of health issues and events.

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Problems and answers are adapted from Population Health for Nurses by Jessica Ochs, Sherry L. Roper and Susan M. Schwartz, OpenStax, and are used under the CC BY-NC-SA 4.0 licence. Access for free at https://openstax.org/books/population-health/pages/1-introduction. Illustrations: Copyright Rice University, OpenStax, under CC BY-NC-SA 4.0 license. This adaptation is released under the same licence, is non-commercial, and is neither affiliated with nor endorsed by OpenStax or Rice University.