The nurse is conducting a process evaluation of a prevention education program for older adults.Which data source provides the information the nurse needs to conduct this process evaluation?

Correct Answer: A

Rationale: The correct answer is A because documentation of client education in the nursing record provides direct information on the implementation of the prevention education program. It helps evaluate whether the program was delivered as intended and if clients received the necessary education. Choice B, client's score on an alcohol screening instrument, is related to outcome evaluation rather than process evaluation. Choice C, results of a urine drug and alcohol screen, is also focused on outcomes rather than the process of education delivery. Choice D, most recent community census data, is not directly relevant to evaluating the process of the prevention education program for older adults.

Correct Answer: C

Rationale: A major feature of a community is the relationships that community members form with one another. These functions provide socialization, role fulfillment, goal achievement, and member support. Not all communities are safe environments, have medical centers, or offer recreational opportunities.

Correct Answer: C

Rationale: Shoe leather epidemiology refers to establishing hypotheses about the community's health, strengths, and possible problems through the down-to-earth approach of traveling through the area, and observing and interacting with community members. Implementing the wheel model, engaging in truth seeking, and facilitating sharing of the community's history do not demonstrate the process of traveling through the community to absorb its overall impression.

Correct Answer: D

Rationale: The National Center for Health Statistics compiles annual National Health Survey data. It also publishes reports on prevalence of disability, illness, and other health-related variables. It tracks trends by nation, state, and year. The state health department records, state department of vital statistics, and Centers for Disease Control and Prevention will not provide all of the data that the nurse is trying to find.

Correct Answer: D

Rationale: Although the process of needs assessment can indicate strengths and weaknesses, it can also raise expectations for new services to address problems. It is also possible that this data collection may cause residents to become suspicious and wonder why this data collection is necessary. However, in most cases, this is not problematic. The problem will arise if residents expect that services will be provided when they may not.