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Community Health HESI Test Bank 2023
1. A 15-year-old client with a lengthy confining illness is at risk for altered growth and development of which task?
- A. Loss of control
- B. Insecurity
- C. Dependence
- D. Lack of trust
Correct answer: C
Rationale: A 15-year-old client with a lengthy confining illness is at risk for altered growth and development of the task of dependence. Prolonged illness and confinement can lead to the development of dependence as the individual may become reliant on others for their care and needs. Choices A, B, and D are incorrect in this context. Loss of control, insecurity, and lack of trust are important factors to consider but are not directly related to the altered growth and development task of dependence due to illness and confinement.
2. An example of secondary prevention strategy would be:
- A. Screening for breast cancer in women who have no symptoms
- B. Using pain control medications for terminal cancer patients
- C. Educating teenagers about using condoms to prevent STDs
- D. None of the above
Correct answer: A
Rationale: The correct answer is A. Screening for breast cancer is a secondary prevention strategy aimed at early detection, which falls under secondary prevention as it focuses on early identification and intervention before the disease progresses. Choice B is incorrect as it refers to palliative care for symptom management in terminal cancer patients, which is not a secondary prevention strategy. Choice C is incorrect as educating teenagers about condom use is a primary prevention strategy to prevent the initial occurrence of STDs rather than intervening after exposure, making it a primary, not a secondary prevention strategy. Choice D is incorrect as there is a valid example of a secondary prevention strategy provided in choice A.
3. What does the term 'vital statistics' refer to?
- A. The systematic study of vital events such as births, illnesses, marriages, divorce, separation, and deaths
- B. Morbidity
- C. Statistics
- D. Mortality
Correct answer: A
Rationale: The term 'vital statistics' specifically refers to the systematic study of vital events, including births, illnesses, marriages, divorces, separations, and deaths. This field focuses on quantifying and analyzing these essential life events within a population. Choices B, C, and D are incorrect because while they may be related to data collection and analysis, they do not encompass the broad spectrum of vital events covered under the term 'vital statistics.' Morbidity refers to the prevalence of a specific illness or disease within a population, statistics is a more general term for numerical data analysis, and mortality specifically pertains to deaths within a population.
4. In evaluating your client's level of wellness, which of the following indicators can you see?
- A. Appropriate nutritional level
- B. Sense of personal security
- C. Acceptance of oneself and one's limitations
- D. Maladaptations to one's environment
Correct answer: C
Rationale: When evaluating a client's level of wellness, indicators such as appropriate nutritional level, sense of personal security, and acceptance of oneself and one's limitations are crucial. Option C, 'Acceptance of oneself and one's limitations,' directly relates to mental wellness and self-awareness, making it a key indicator of overall well-being. Options A, B, and D are not as directly tied to the psychological and emotional aspects of wellness, making them less relevant indicators in this context. Therefore, the correct answer is C.
5. The following statements pertain to devolution as mandated by the local government code. Which of these is not correct?
- A. People can participate in policymaking relative to healthcare delivery.
- B. Devolution will enhance the quality of community life.
- C. The barangay shall set criteria as to who shall be given priority in the delivery of healthcare services.
- D. The DOH shall transfer regulatory function of inspecting food establishments to local government units.
Correct answer: D
Rationale: The correct answer is D. The Department of Health (DOH) retains regulatory functions for inspecting food establishments, and it is not transferred to local government units. Choices A, B, and C are correct because devolution allows people to participate in policymaking for healthcare, enhances community life quality, and empowers the barangay to set criteria for healthcare service prioritization.
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