After successfully implementing and managing a smoking cessation ...

[KWilfred]

After successfully implementing and managing a smoking cessation program in an inner-city neighborhood for 5 years, the group expands the efforts to include a nearby rural community.
 
  After a challenging first year, the nurse finds that with a few modifications the program is proving successful in the rural setting, as well. Which essential component of program design has been established by success in the rural community?
  A) Sustainability
  B) Program replication
  C) Clinical expertise
  D) Accountability

Question 2

The nurse reviews the job descriptions of the community health workers who work with community health nurses and other members of the program team. These workers are responsible for: (Select all that apply.)
 
  A) Serving as a cultural and language bridge to members of target population
  B) Performing minor surgical procedures
  C) Providing health education and outreach to community
  D) Offering assistance in accessing services
  E) Prescribing commonly used medications

[JaynaD87]

Answer to Question 1

Ans: B
Feedback:
The ability to replicate or reproduce a successful program within a different community or with a new population aggregate is a test of the strength of the design of an intervention. Sustainability is an important consideration in program planning and a key factor in grant making. Most funding agencies expect programs to give a clear and convincing plan outlining how efforts started with grant funding will be continued after the grant ends. Accountability includes regular communication about how funds were used, details of program activities, and progress toward achieving program goals. The explanation provided in the grant request does not mention the nurse's clinical expertise.

Answer to Question 2

Ans: A, C, D
Feedback:
Community health workers provide a cultural and language bridge to the members of the target population. They work with community health nurses and other members of the program team in both urban and rural areas to provide health education, outreach and assistance in accessing services, translation, and specific interventions. They do not perform minor surgical procedures or prescribe commonly used medications.