The nurse evaluates how activities were implemented and what resources were needed to carry out a community health program. Which type of evaluation is the nurse using?

Correct Answer: B

Rationale: The correct answer is B: Process evaluation. The nurse is assessing how activities were implemented and the resources needed, which falls under process evaluation. This type of evaluation focuses on the implementation of the program to ensure it is being carried out as planned. Formative evaluation focuses on improving the program during development, outcome evaluation assesses the results achieved, and impact evaluation looks at the broader effects beyond the immediate outcomes. The nurse in this scenario is specifically evaluating the process of implementation, making process evaluation the most appropriate choice.

Correct Answer: C

Rationale: The correct answer is C: Include community members in program planning and implementation. This method ensures that the target population's sociocultural and linguistic needs are met because involving community members directly incorporates their perspectives and experiences into the program design. By actively engaging with the community, the program is more likely to be culturally relevant and sensitive. A: Incorporating knowledge about the culture into activities is important but may not fully capture the diverse needs and preferences of the target population. B: Hiring an interpreter is helpful for language barriers but does not address the broader sociocultural aspects of the community. D: Ensuring staff are culturally competent is crucial, but direct involvement of community members in planning is more effective in meeting their specific needs.

Correct Answer: B

Rationale: The correct answer is B because using participant surveys completed prior to and 90 days following the program allows the nurse to gather data before and after the intervention to measure the program's impact over time. This approach provides a comparison of outcomes and allows for assessing sustained changes post-intervention. Choices A, C, and D do not provide a post-intervention follow-up period of 90 days to evaluate the sustained impact of the program, making them less effective for conducting a comprehensive impact evaluation.

Correct Answer: B

Rationale: The correct answer is B: Increasing community awareness of common health issues. Billboards are effective for reaching a wide audience quickly, making them ideal for raising awareness on common health issues. This activity does not involve providing education to a specific group (A), initiating discussion (C), or recruiting partners (D). A billboard's purpose is to inform and raise awareness, making it the most suitable choice among the options provided.

Correct Answer: B

Rationale: The correct answer is B because research has shown that inadequate client-nurse ratios can lead to increased mortality, especially during critical times such as the COVID-19 pandemic. This information is vital for a state legislator to understand the importance of safe staffing ratios in hospitals to protect patient safety and improve outcomes. Choice A is incorrect because a six-client-to-one nurse ratio may not be sufficient for optimal care and positive outcomes. Choice C is incorrect as it does not provide any relevant information about safe staffing ratios or their impact on patient outcomes. Choice D is incorrect as numerous studies have demonstrated that client-to-nurse staffing ratios can indeed affect client outcomes, emphasizing the importance of appropriate staffing levels.