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 indica

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. A client has developed thrombophlebitis of the left leg. Which nursing intervention should be given the highest priority?

A. Elevate leg on 2 pillows
B. Apply support stockings
C. Apply warm compresses
D. Maintain complete bed rest

Correct answer: A

Rationale: The highest priority nursing intervention for a client with thrombophlebitis of the left leg is to elevate the leg on 2 pillows. Elevating the leg helps reduce swelling and pain associated with thrombophlebitis by promoting venous return. Applying support stockings (choice B) can be beneficial but is not the highest priority as elevation is more effective in the acute phase. Applying warm compresses (choice C) may worsen the condition by dilating the blood vessels, leading to increased pain and swelling. Maintaining complete bed rest (choice D) is important, but elevation takes precedence to improve circulation and reduce the risk of complications.

3. Which of the following statements about breastfeeding is correct?

A. Breastfeeding within 30 minutes after birth can stimulate breastmilk production
B. Breastmilk should be started 24 hours after delivery
C. Breastmilk given exclusively for the first 4 to 6 months of life helps avoid introduction of infection
D. Breastfeeding should be done as often as the baby wants

Correct answer: C

Rationale: The correct statement about breastfeeding is that breastmilk given exclusively for the first 4 to 6 months of life helps avoid the introduction of infection. This practice is recommended by health experts for optimal infant health. Choice A is incorrect because breastfeeding should ideally start within the first hour after birth to stimulate breastmilk production. Choice B is incorrect because breastmilk should be initiated as soon as possible after delivery, not after 24 hours. Choice D is incorrect because while feeding on demand is generally encouraged, it should also follow a schedule to ensure adequate nutrition and growth for the baby.

4. 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.

5. Which of the following statements about TB treatment is INCORRECT?

A. Combination of 3-4 anti-TB drugs is the treatment of choice
B. Single drug therapy is appropriate
C. Treatment renders patients non-infectious and cured
D. Tuberculosis is a curable disease

Correct answer: B

Rationale: The correct answer is B. Single drug therapy is not appropriate for TB due to the risk of developing resistance. The most effective approach to TB treatment is a combination of 3-4 anti-TB drugs. This combination helps to prevent the development of drug resistance and improve treatment outcomes. Choice C is correct as TB treatment, when completed successfully, renders patients non-infectious and cured. Choice D is also correct as tuberculosis is indeed a curable disease with appropriate treatment. Therefore, the incorrect statement is B.