a community health nurse is planning a health promotion campaign which of the following should be the first step

HESI LPN

Community Health HESI Test Bank

1. A community health nurse is planning a health promotion campaign. What should be the first step?

A. Developing educational materials
B. Assessing the needs of the community
C. Implementing interventions
D. Evaluating outcomes

Correct answer: B

Rationale: The correct first step in planning a health promotion campaign is to assess the needs of the community. By understanding the community's specific health needs, preferences, and resources, the nurse can tailor the campaign effectively. Developing educational materials (choice A) should come after assessing needs to ensure relevance. Implementing interventions (choice C) and evaluating outcomes (choice D) should also follow the assessment phase to measure the impact of the campaign accurately.

2. A male client is brought to the emergency department as the result of a motorcycle accident. He was not wearing a helmet at the time of the accident and states that he has no intention of ever wearing one. Within the framework of the Transtheoretical Model (TTM), which response should the nurse provide?

A. Wearing a helmet or not is certainly an individual decision.
B. You should seriously consider wearing a helmet.
C. Riding a motorcycle with a helmet increases your safety.
D. I really think you don't have the facts about helmet use.

Correct answer: C

Rationale: Providing information on safety aligns with the TTM framework.

3. The nurse is evaluating the growth and development of a toddler with AIDS. The nurse would anticipate finding that the child has

A. Achieved developmental milestones at an erratic rate
B. Delay in musculoskeletal development
C. Displayed difficulty with speech development
D. Delay in achievement of most developmental milestones

Correct answer: D

Rationale: Children with AIDS often experience delays in achieving developmental milestones, affecting their overall growth and development. This delay can impact various areas of development, not limited to a specific aspect like musculoskeletal or speech development. While some children may achieve milestones at varying rates (choice A), the general trend is a delay in multiple milestones (choice D). Musculoskeletal development (choice B) and speech development (choice C) may be affected but are not as comprehensive as the delay in most developmental milestones.

4. Which of the following is an example of a positive outcome for one of the Leading Health Indicators of Healthy People 2020?

A. A community has adopted a no smoking policy.
B. A rural community has a public transportation system.
C. The high school dropout rate has decreased by 15%.
D. A county has decreased its divorce rate by 10%.

Correct answer: A

Rationale: The correct answer is A. A community adopting a no smoking policy is a positive outcome for the Leading Health Indicators of Healthy People 2020 as it promotes a healthier environment by reducing exposure to secondhand smoke and decreasing smoking-related illnesses. Choices B, C, and D do not directly align with the goals of the Leading Health Indicators. While public transportation and reduced dropout rates are beneficial for community well-being, they are not specific examples of Leading Health Indicators. Decreasing divorce rates, while potentially beneficial for family stability, is not a focus area of the Leading Health Indicators.

5. The term 'epidemiology' is best defined as the study of:

A. The causes of disease
B. The distribution and determinants of health-related states in populations
C. The treatment and prevention of disease
D. The healthcare system and its effectiveness

Correct answer: B

Rationale: Epidemiology is the study of the distribution and determinants of health-related states in populations. Choice A is incorrect because epidemiology focuses on more than just causes but also on distribution and determinants. Choice C is incorrect as it specifically relates to public health and not just treatment and prevention. Choice D is incorrect as epidemiology is broader than just focusing on the healthcare system and its effectiveness.