STANHOPE: PUBLIC HEALTH NURSING
CHAPTER 25: PROGRAM
MANAGEMENT QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
1. Advantages of community health program planning include ensuring that available resources are used
to meet the needs of the population and:
a. applying for grants.
b. identifying clients and soliciting board members' support.
c. identifying resources, activities, and needs.
d. increasing the visibility of the program. - ANSWER ANS: C
Community health program planning is population focused and puts the well-being of the public above
private interests. Systematic planning for meeting the needs of populations in a community has benefits
for clients, nurses, employing agencies, and the community. It ensures that available resources are used
to address the actual needs of people in the community, focuses attention on what the organization and
health provider are attempting to do for clients, identifies resources and activities that are needed to
meet the objectives of client services, reduces role ambiguity by giving responsibility to specific
providers to meet program objectives, reduces uncertainty within the program environment, increases
the ability of the provider and agency to cope with the external environment and anticipate events,
allows for quality decision making, and provides better control over the actual program results.
Identifying clients, soliciting board support, applying for grants, and promoting the actual program are
steps in the implementation phase of program management.
2. A community health nurse is conducting a community assessment as part of a program planning
initiative and is seeking a tool that is low cost, allows clients to participate in identification of need, and
would stimulate community support for the program. The nurse would most likely use which of the
following?
a. Community forum
b. Focus group
c. Indicators approach
d. Survey - ANSWER ANS: B
, There are several types of needs assessment tools, including community forums, focus groups, key
informants, indicators approach, survey of existing agencies, and general surveys. Both community
forums and focus groups are low-cost tools. The focus group provides clients with the opportunity to
participate in identification of needs and can help increase community support for a program. The focus
group method has several disadvantages, such as being time consuming to carry out and tending to
focus on irrelevant or political "hot button" issues. Leading focus groups requires strong skills in group
process to maintain the focus of the group.
3. A community-oriented nurse is writing a grant application for funding for a nurse-run clinic serving
clients with chronic illnesses. The grant application asks for information regarding program benefits,
effectiveness, and efficiency. The most effective tool to obtain this information would be:
a. cost studies.
b. Mobilizing for Action through Planning and Partnerships (MAPP) model.
c. Planning Approach to Community Health (PATCH) method.
d. Tracer method. - ANSWER ANS: A
Cost studies are essential to show the value of nursing in the marketplace now and in the future. All cost
studies involve three major tasks: financial, research, and statistical. The financial tasks include
identifying total program costs. The statistical tasks include identifying appropriate, quantifiable
measures for analyzing data. The research tasks include setting up an appropriate study design to answer
questions about benefit, efficiency, or effectiveness. Types of cost studies include cost-accounting, cost-
benefit, cost-effectiveness, and cost-efficiency studies.
4. When planning a new community health center, a nurse will integrate knowledge of the nursing
process and program management. The nurse's initial and most critical step for funding purposes would
be:
a. finding the lay leaders in the community.
b. identifying the target population's health problems and needs.
c. outlining the major causes of mortality in the community.
d. prioritizing the community's problems. - ANSWER ANS: B
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