Program Management
Defining a problem based on a past need
Reactive
Name one general approach to quality improvement
Licensure
Credentialing
Accreditation
Charter
Recognition
Certification
Client systems and foci of care are the two dimensions of the _________ _______ of health promotion
Integrative model
Name the 3 steps in the advocacy process
Informing, supporting, affirming
Name 2 goals of nurse led health centers
improve access to care
decrease health disparities
provide holistic nursing care to vulnerable populations
What is the purpose of writing program goals and objectives?
To guide the program and make the outcomes measurable
Specific approach to quality improvement and practice change. Plan, do, check, act
What are the 3 domains of learning?
Cognitive, affective, psychomotor
Name 2 characteristics of rural populations
Large amount of caucasians
less likely to seek healthcare services
more likely to have a chronic illness
more likely to work in a high risk occupation
less likely to have access to specialty care
The CDC's approach to developing health communities is aimed at reducing incidence and prevalence of _____ _____
Chronic illness
The initial and most critical step in planning a health program is ________
Assessment/formulation
This approach to quality is driven by problems, standards, accountability, and outcomes
Traditional QA
Name the 5 steps in the education process
1. Learning needs assessment
2. Establish goals and objectives
3. Select appropriate educational methods
4. Implement your program (skills and sequence of the effective educator)
5. Evaluate your process and outcomes (formative and summative assessment)
When a case manager works with other providers to provide case management expertise, he/she is serving in which role?
A. facilitator
B. coordinator
C. broker
D. consultant
D, consultant
To determine how to start up and sustain a nurse led health center, the nurse should conduct a ______ study
Feasibility
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.
A, The nursing process has the same basic steps as the process of program management. Like the nursing process, the process of program management consists of a rational decision-making system designed to help nurses know when to make a decision to develop a program, where they want to be at the end of the program, how to decide what encompasses a successful program, how to develop a plan to go forward so they will know where they want to be, how to know that they are getting there (formative evaluation), and what to measure to know that the program has successful outcomes (summative evaluation).
This is a management philosophy that is prevention oriented, process focused, and incorporates QI, QA, teamwork, and focus on the client.
Total Quality Management
During a class on newborn care given at a local health department, a nursing student asks the participants to practice with baby dolls. Which of the following steps of promoting effective education is the student using?
A. Eliciting performance
B. Assessing performance
C. Enhancing retention and transfer of knowledge
D. Gaining attention
A, The step of eliciting performance includes encouraging the learners to demonstrate what they have learned. Gaining attention occurs at the beginning of the program. Assessing performance occurs at the end of the program. Enhancing retention and transfer of knowledge occurs as the learners are asked to apply the information to their lives and situations (not to the care of the dolls).
Name 3 ethical principles and how they impact case management
autonomy- individuals right to chose services/providers
beneficence- doing good, can be impaired when excessive attention is giving to cost control
fidelity- duty to act and keep promises, avoid unnecessary expenditure on client
Justice- impacted when distribution of healthcare services or providers is unfair or unequal
Nonmaleficence- doing no harm, we avoid harm by using care pathways, outcomes, and evidence based practice
Veracity- truth telling, informing clients of their rights
Healthy Communities and Cities is based on which of the following premises?
A. When people have the opportunity to work out their own locally defined health problems, they will find sustainable solutions to those problems.
B. When the health of a community is improved, the focus will be on life expectancy rather than quality of life.
C. When health professionals assume a leadership role, the health of the community will improve.
D. When cities recruit enough health professionals to care for those needing medical care, the cities health will improve.
A Healthy Cities is based on the premise that when people have the opportunity to work out their own locally defined health problems, they will find sustainable solutions to those problems. Healthy Cities aims to add to quality of life. Healthy Cities focuses on collaboration by all members of the community. Healthy Cities uses a multifaceted approach to problem solving when trying to improve health.
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
B, In the detailing phase, the provider details the costs, resources, and program activities needed to choose one of the solutions from the conceptualizing phase. In the conceptualizing stage, options for solving the problem are created and several solutions are considered. In the evaluating phase, each alternative is weighed to judge the costs, benefits, and acceptance of the idea to the client population, community, and providers. The implementing phase requires obtaining and managing the resources required to operationalize the program in a way that is consistent with the plan.
Which of the following statements about records is true? (Select all that apply.)
A. Records provide complete information about the client.
B. Records resolve legal issues in malpractice suits.
C. Records provide information for education and research.
D. Records allow anyone interested in a client’s progress to view a chart.
E. Records allow for easy documentation of the client’s assessment.
A, B, C,
Records provide complete information about the client, resolve legal issues in malpractice suits, and provide information for education and research. Records are not available for anyone to view as that is a violation of client privacy. Depending on the record being used, assessment documentation may or may not be easy.
When applying the integrative model for community health promotion, a nurse assesses the neighborhood for accessibility and adequacy of care to provide treatment for medical conditions. What client system does this describe?
A. Individual
B. Family
C. Aggregate
D. Community
D, The community focus includes the nurse assessing the community for accessibility and adequacy of care to provide treatment for medical conditions. This is the broadest client system as the nurse is examining the neighborhood. Individual focus is looking at individuals, family focuses on families, and aggregates focuses on populations.
Name 2 approaches to improving population health in rural communities
Community oriented primary health care
Case management
A client would like to enroll in a smoking cessation program. Which of the following types of nursing centers would be most likely to provide this type of programming?
A. Academic Nursing
B. Wellness
C. Comprehensive Primary Care
D. Special Care
B, Wellness centers focus on health promotion, disease prevention, and management programs. An academic nurse-led center has an affiliation with a school of nursing. A comprehensive primary care center provides health-oriented primary care and public health programs. Special care centers focus on a particular demographic group or those with special needs.