Exam (elaborations)
Chapter 18 Program Management
- Course
- Nursing
- Institution
- Williston State College
Chapter 18 Program Management
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lOMoAR cP SD |12827 373Chapter 18: Program Management
Stanhope: Foundations for Population Health in Community/Public Health Nursing,
MULTIPLE CHOICE
1. Which of the following best describes the steps in program management?
a. Assess, plan, implement, evaluate
b. Identify, initiate, implement
c. Organize, operationalize, mobilize, subsidize
d. Substantiate, negotiate, evaluate
ANS: A
The program management process is similar to the nursing process. Program management consists of a
implementing, and evaluating a program. The other steps mentioned in other options are not part of pro
process of program management, such as the nursing process, consists of a rational decision-making sy
determine the complete process of program development, implementation, and evaluation.
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.
ANS: C
The comprehensive goal of program planning is to ensure that health care services are acceptable, equa
effective. The other options are aspects of program planning, but they address only limited concerns.
3. Which of the following best describes the purpose of strategic planning?
a. To anticipate client needs now and in the future
b. To match client needs, provider strengths, and agency resources
c. To maximize effective use of agency resources
d. To utilize provider strengths and competencies
ANS: B
Strategic planning involves the successful matching of client needs, with specific provider strengths an
resources. Everyone involved can anticipate what will be needed to implement the program, what will
implementation, and what the outcomes will be. Strategic planning addresses the client, agency, and pr
responses address only one of these factors not all three of them which all need to be considered during
process.
4. Which would be an appropriate descriptor that meets all criteria for defining a client to be served by a
a. All women ages 40 to 50 who have not had a menstrual period for three
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 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 geographic location, an
addressed. For example, in a community with a large number of preschool children who require immu
client population may be described as all children between 4 and 6 years of age residing in Central Cou
up-to-date immunizations. This example tells the reader who the client is, what the need is, how large t
where they are located. In order to meet all criteria for defining a client that is to be served by the prog
biological and psychosocial characteristics, geographical location, and the problems addressed needs to
responses do not contain all of this necessary information.
, lOMoAR cP SD |12827 373
6. A nurse is assessing a community to determine the feasibility of implementing a new program on bike
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
ANS: D
Feasibility means the program’s viability, practicality, achievability, or likelihood of success. Everyon
supportive for a program to succeed. What people think about the need for a program, or program feas
among health providers, agency administrators, policymakers, and potential clients. Thus, it is importa
involved to support the program.
7. A community is examining which programs are needed within the community, the populations they w
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.
ANS: B
A “do nothing” decision is always the decision with the least risk to the provider. The need and deman
determined by working with the client. This stage of planning creates options for solving the problem a
several solutions. Each option for program solution is examined for its uncertainties (risks) and conseq
8. A nurse checks health department records to compare the number of new teen clients presenting for bir
management in the 2 months before and after an education intervention program to decrease teen pregn
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
ANS: C
When the nurse gathers credible evidence, the following information is collected: indicators that will b
quality of the data, quantity of information to be gathered, and the logistics of the data gathering phase
provide credible evidence and should convey a well-rounded view of the program. Engaging stakehold
involved in planning, funding, and implementing the program; those who are affected by the program;
services. When the nurse justifies conclusions, the conclusions of the evaluation should be validated by
evidence gathered and then appraising them against the values or standards set by the stakeholders. Wh
evaluation design, the nurse will describe the purpose for the evaluation, the users who will receive the
the questions and methods to be used, and any necessary agreements.
9. A nurse is planning a program to teach cardiac health at the senior citizens’ center. Which of the follow
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.
ANS: A
Useful program objectives must include a statement of the specific behaviors desired, using an action v
measured. Only “will report walking 30 minutes a day at least 5 days each week” has a specific outcom
and measured. Voicing a commitment is not an outcome action; it is only a verbal agreement. The verb
verb that can be seen and measured.
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