HESI RN
HESI Community Health
1. A community health nurse is planning a program to address the rising rates of obesity in the community. Which intervention should the nurse prioritize?
- A. organizing community exercise programs
- B. distributing educational materials on healthy eating
- C. partnering with local grocery stores to provide discounts on healthy foods
- D. conducting health screenings for early detection of obesity-related conditions
Correct answer: A
Rationale: The correct answer is A: organizing community exercise programs. Physical activity plays a crucial role in weight management and reducing obesity rates. While educating about healthy eating (choice B) is important, focusing on exercise programs can have a more direct impact on addressing obesity. Partnering with local grocery stores for discounts on healthy foods (choice C) is beneficial but may not address the root cause of obesity. Conducting health screenings (choice D) is more reactive than proactive in addressing rising obesity rates.
2. The nurse is planning a community health fair to promote mental health awareness. Which activity is most likely to engage participants?
- A. a lecture on the signs and symptoms of depression
- B. a workshop on stress management techniques
- C. a panel discussion with mental health experts
- D. a booth distributing brochures on mental health resources
Correct answer: B
Rationale: A workshop on stress management techniques is the most engaging activity as it allows participants to actively participate, learn practical skills, and interact with others. This hands-on approach fosters engagement and provides attendees with tools they can directly apply in their lives. Choice A, a lecture, may be informative but lacks the interactive element that promotes engagement. Choice C, a panel discussion, might be informative but could be passive for attendees. Choice D, distributing brochures, is informative but lacks the interactive and engaging nature of a workshop.
3. The nurse is preparing to administer an oral medication to a client with dysphagia. Which action should the nurse take?
- A. Crush the medication and mix it with applesauce.
- B. Have the client drink a full glass of water with the medication.
- C. Administer the medication with a small amount of pudding.
- D. Place the medication at the back of the client's tongue.
Correct answer: C
Rationale: The correct action for the nurse to take when administering oral medication to a client with dysphagia is to administer the medication with a small amount of pudding. This method helps prevent aspiration in clients with dysphagia by ensuring easier swallowing. Crushing the medication and mixing it with applesauce (Choice A) might alter the medication's efficacy. Having the client drink a full glass of water with the medication (Choice B) may not be suitable for a client with dysphagia as it can increase the risk of aspiration. Placing the medication at the back of the client's tongue (Choice D) can also lead to aspiration and is not recommended.
4. The healthcare professional is planning a health fair to promote cancer awareness and prevention. Which activity is most likely to increase participation?
- A. offering free cancer screenings
- B. distributing pamphlets on cancer prevention
- C. hosting a guest speaker who is a cancer survivor
- D. providing informational booths on different types of cancer
Correct answer: A
Rationale: Offering free cancer screenings is the most likely activity to increase participation in the health fair. Providing direct services such as screenings not only attracts participants but also promotes early detection, which is crucial in cancer prevention. Distributing pamphlets, hosting a guest speaker, or providing informational booths are informative but may not have the same impact in driving participation as the opportunity for free screenings.
5. The school nurse is conducting an audit of incident reports for adolescent students. Which finding is the best indication that the Healthy People 2020 objectives are being addressed?
- A. the absenteeism rate has increased greatly over the past two years
- B. during the last year fewer firearms were retrieved on school property
- C. the number of requests for pregnancy testing is higher than last year
- D. decline in the number of students enrolled in school during the year
Correct answer: B
Rationale: The correct answer is B. A decrease in firearms retrieved on school property is a positive indication that the Healthy People 2020 objectives are being addressed. This finding suggests progress in reducing violence and improving safety in schools, which aligns with the goals of promoting overall health and safety among adolescents. Choices A, C, and D do not directly relate to the Healthy People 2020 objectives. Increased absenteeism, higher requests for pregnancy testing, and a decline in student enrollment do not necessarily reflect the specific health and safety goals outlined in Healthy People 2020.
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