HESI LPN
Community Health HESI Test Bank
1. A female adult walks into a local community health clinic and tells the nurse that she is homeless and cannot seem to find help. Which statement indicates to the nurse that a client is feeling separated from society and helpless?
- A. "I'm feeling really isolated from everyone and scared."
- B. "I feel like I cannot get enough food to live any longer."
- C. "I know that I will always be poor so what's the use of trying?"
- D. "People like me are never respected, no matter how well we do."
Correct answer: A
Rationale: The correct answer is A. The statement "I'm feeling really isolated from everyone and scared" indicates a sense of separation from society and helplessness. This choice reflects feelings of loneliness and fear, which are common among individuals who feel disconnected and helpless. Choices B, C, and D do not directly convey a sense of isolation and helplessness. Choice B focuses on food insecurity, choice C on a resigned attitude towards poverty, and choice D on lack of respect, none of which directly address the feelings of being separated from society and helpless as indicated in the scenario.
2. What role does a community health nurse play in disaster management?
- A. Providing direct patient care
- B. Conducting research on disaster impacts
- C. Coordinating emergency response efforts
- D. Developing new healthcare policies
Correct answer: C
Rationale: Community health nurses are primarily responsible for coordinating emergency response efforts during disasters. This involves organizing and implementing strategies to address the health needs of the community in crisis situations. Providing direct patient care (Choice A) is often carried out by other healthcare professionals such as doctors and paramedics during disasters. Conducting research on disaster impacts (Choice B) is important for understanding the effects of disasters but is not the primary role of a community health nurse. Developing new healthcare policies (Choice D) is typically the responsibility of policymakers and public health officials rather than community health nurses.
3. As of 2002, the following data was obtained from municipality X: No. of live births - 750, No. of infant deaths - 10, No. of maternal deaths - 6, Total population - 25,000. The 2002 maternal mortality rate of municipality X is:
- A. 15/1000 live births
- B. 12.5/1000 live births
- C. 6/1000 live births
- D. 8/1000 live births
Correct answer: C
Rationale: The maternal mortality rate is calculated as 6 maternal deaths per 1000 live births. The correct answer is C because to calculate the maternal mortality rate, you divide the number of maternal deaths by the number of live births and then multiply by 1000. Choices A, B, and D are incorrect as they do not match the given data on maternal deaths and live births for municipality X.
4. What is a priority goal of involuntary hospitalization of the severely mentally ill client?
- A. Re-orientation to reality
- B. Elimination of symptoms
- C. Protection from harm to self or others
- D. Development of self-care skills
Correct answer: C
Rationale: The correct answer is C: 'Protection from harm to self or others.' Involuntary hospitalization is primarily aimed at ensuring the safety of the individual and others. Re-orientation to reality (choice A) may be a goal of treatment but not the primary goal of involuntary hospitalization. Elimination of symptoms (choice B) and development of self-care skills (choice D) are important aspects of treatment but are secondary to the immediate priority of ensuring safety in cases of severe mental illness.
5. Which of the following statements is not correct regarding family planning?
- A. Family planning services should be made available to those who need them.
- B. It is the responsibility of every parent to determine whether to have children, when, or how many.
- C. Family planning is geared towards individual and family welfare.
- D. The ultimate goal of family planning is to prevent pregnancies.
Correct answer: D
Rationale: The correct answer is D because the ultimate goal of family planning is not solely to prevent pregnancies but to promote individual and family well-being. Family planning encompasses various aspects such as helping individuals and families make informed choices about the number and spacing of their children, access to healthcare services, and overall reproductive health. Option A is correct as making family planning services available to those who need them is essential for promoting reproductive health. Option B is also correct as it emphasizes the role of parents in making decisions about having children. Option C is correct as family planning indeed aims to improve the welfare of individuals and families. Therefore, option D is not correct as the ultimate goal of family planning is not limited to preventing pregnancies, but it includes broader aspects of promoting health and well-being.
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