Professional Documents
Culture Documents
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.