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Download Community Health Nursing in Canada 3rd Edition Stanhope Test Bank all chapters
Download Community Health Nursing in Canada 3rd Edition Stanhope Test Bank all chapters
Download Community Health Nursing in Canada 3rd Edition Stanhope Test Bank all chapters
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Chapter 10: Health Program Planning and Evaluation
Stanhope: Community Health Nursing in Canada, 3rd Canadian Edition
MULTIPLE CHOICE
3. On the basis of projected increases in the number of older adult Canadian citizens, a planning
committee wants to establish a daycare program for the community’s older adult population.
What stage would be used to assess the needs of this proposed program?
a. Preactive stage
b. Reactive stage
c. Inactive stage
d. Interactive stage
ANS: A
In the preactive stage, assessment is done on the basis of projections of future needs.
4. Which descriptors meet all of the criteria for identifying a potential client for a program?
a. All women 40 to 50 years of age who have not had a menstrual period for 3
consecutive months
b. Immigrants residing in the district of Wakefield for less than 5 years who have
difficulty understanding care instructions because of limited English proficiency
c. Pregnant women who have received nutritional counselling but whose nutritional
status did not improve
d. Children aged 18 months to 5 years who have been treated for nutritional
deficiencies at the district health clinic
ANS: B
A client should be identified on the basis of biological and psychosocial characteristics, by
geographical location, and by the problems to be addressed. A correct example identifies who
the client is, what the need is, and where the client is located. The correct answer meets all the
criteria (psychosocial characteristic = immigrant; location = Wakefield; problem = difficulty
understanding care instructions). The other choices are lacking either a specific location or an
identified problem.
5. Evaluation is under way for a province-wide program that aims to decrease teen injury and
death associated with driving while under the influence of alcohol. Which of the following
questions is most effective in helping make a summative evaluation of the program?
a. Are program participants completing all aspects of the program, and do their
satisfaction scores indicate that they are pleased with the program?
b. What is the change in statistics for injuries and deaths associated with drunk
driving among teens in the year following the program?
c. What is the difference in the amount of alcohol intake by teens before and after
participant entry into the program?
d. What problems with program implementation have been identified?
ANS: B
Summative evaluation is evaluation to assess program outcomes or a follow-up of the results
of program activities. “Are program participants completing all aspects of the program?” and
“What problems with program implementation have been identified?” are examples of
questions used for formative evaluation. The difference in the amount of alcohol intake by
teens before and after the program assesses a goal that has not been identified in this scenario
(i.e., the goal was not to decrease consumption of alcohol but to decrease driving under the
influence of alcohol).
6. A committee concludes that a program’s objectives were met and that activities received
positive ratings from the community but decides that the program will be discontinued
because its cost was triple the amount anticipated. In this scenario, which program evaluation
measure has been identified as the problem?
a. Adequacy
b. Effectiveness
c. Impact
d. Sustainability
ANS: D
The aspects of program evaluation include the following: evaluation of relevance (need for
the program); adequacy (whether the program addresses the extent of the need); progress
(tracking of program activities to meet program objectives); efficiency (relationship between
program outcomes and the resources spent); effectiveness (ability to meet program objectives
and the results of program efforts); impact (long-term changes in the client population); and
sustainability (enough resources [usually money] to continue the program).
9. Which data source would most likely be eliminated by the community health nurse (CHN)
who wishes to conduct a needs assessment on a limited budget?
a. Community forums
b. Examination of community indicators
c. Focus groups
d. Surveys
ANS: D
Surveys tend to be more expensive than other methods; therefore, the CHN would want to
consider the other options if on a limited budget.
10. Which question would be most important to consider in order to evaluate a program designed
to decrease obesity among school-aged children?
a. Are the school-aged children satisfied with the program?
b. Can the parents and guardians support the program requirements?
c. Has obesity among the school-aged children decreased?
d. What is the program cost compared with the program benefit?
ANS: C
The major benefit of program evaluation is that it shows whether the program is meeting its
goals. It should answer the following questions: Are the needs for which the program was
designed being met? Are the problems it was designed to solve being solved? If the program
does not achieve the purpose for which it is designed, concerns of satisfaction and cost are
irrelevant.
11. A CHN is checking the records of a health unit to compare the number of new teen clients
who have sought contraceptive counselling and management in the 2 months before and after
an education intervention program to decrease teen pregnancy. What step of the evaluation
process does the CHN’s action represent?
a. Determining outcome goal measurement
b. Goal setting
c. Measuring the goal effect
d. Evaluating the program
ANS: C
Measuring the achievement of a goal is accomplished by reviewing the records and
summarizing the incidence of the condition in question before and after the program.
"I believe these cats are all white," said I; "the mother
is as white as snow."
"But these are not like common cats, you know," said I,
suppressing a laugh which I knew would mortally offend
Grace and perhaps lose me my holiday. "They are
outlandish cats, with long hair and bushy tails. I should
think that would be different."
† N. B.—nota bene
I did not hasten on my way, for it was early, and I found
my walk so pleasant that I had no desire to shorten it. The
bramble-berries and filberts that were ripening by the sides
of the lane had great attractions for me. There were late
autumn flowers to gather, and lizards to watch as they ran
to and fro on the walls or sunned their gilded sides on a
broad flat stone, vanishing like a shadow when one drew
near. A great wind had blown the day before and thrown
down many apples from the trees that overhung the lane.
"But I do care," said Lucille, and her eyes with tears. "I
am not a child like you. I am three years older, and I do
think they might trust me."
Lucille did not answer. She fixed her eyes once more on
the highway, and I let mine wander off over the sands and
the shore where people, looking like little black ants, were
busily collecting the precious seaweed, to Mount St.
Michael, whose turrets shone brightly in the sun.
"I was not speaking of the angel, but of his image," said
I; "that is quite another thing. Then I would spread my
wings and travel over to the islands yonder, and then to
England, where my uncles live."
As she spoke, she hid her face and burst into a flood of
tears and sobs.
"I know they say so," said Lucille; "but tell me, Vevette,
have you experienced any of these wonderful joys. Because
I know I never did."
"What is he like?"
"He said his kingdom was not of this world, else would
his servants fight," answered Lucille.
Much more she said, in the same wise and gentle strain,
and at last sent me to bed feeling somewhat comforted. The
night was warm, and my door was left ajar for air. I had
hardly fallen asleep, as it seemed to me, when I was waked
by voices, and heard my mother say:
"I do not like what she says about Lucille. I fear the girl
has been tampered with. Perhaps we should warn her
parents."
"I will give you directions which will lead you to the
entrance of the passage. Turn to your right after that, and
you cannot miss your way. When the good man is in safety,
you can come directly to your mother's room by another
passage, which I will also indicate to you. But, my child, I
must not conceal from you that there is danger in this trust.
Should you be discovered by any of our enemies in giving
help to this good old man, your life or your liberty must be
the forfeit."