HESI LPN
Community Health HESI Practice Exam
1. An example of the continuum health model of health and wellness would be:
- A. a person is either well or not, and the emphasis is on continuously and aggressively treating people who are ill
- B. predicting that a person will most likely continue good health practices, based on his or her health practices in the past, such as getting flu shots
- C. using acupuncture and therapeutic touch to cure disease instead of traditional medical therapies
- D. none of the above
Correct answer: B
Rationale: The continuum health model emphasizes ongoing health practices based on past behaviors. Choice A is incorrect as it describes a more binary approach to health. Choice C is incorrect as it focuses on alternative therapies rather than the continuity of health practices.
2. What does the concept of 'health equity' refer to?
- A. Equal access to healthcare for all individuals
- B. Providing the same treatments to everyone
- C. Eliminating health disparities among different population groups
- D. Focusing on the healthcare needs of the wealthy
Correct answer: C
Rationale: The concept of health equity refers to eliminating health disparities among different population groups. This means ensuring that everyone has a fair and just opportunity to be as healthy as possible, regardless of social determinants such as race, ethnicity, income, or geographic location. Choice A is incorrect because health equity goes beyond just access to healthcare and focuses on achieving health equality. Choice B is incorrect as health equity considers individual needs rather than providing the same treatments to everyone. Choice D is incorrect as health equity aims to address disparities and inequalities, not just focus on the healthcare needs of the wealthy.
3. What is an important basis in preparing the family health care plan?
- A. Needs and problems gathered and recognized by the nurse herself
- B. Data gathered from the health center
- C. Needs and problems as seen and accepted by the family
- D. Needs as expected by the midwife assigned in the area where the family resides
Correct answer: C
Rationale: In preparing a family health care plan, it is crucial to consider the needs and problems as perceived and accepted by the family members themselves. This ensures that the plan aligns with the family's beliefs, values, and preferences, leading to better acceptance and adherence. Choices A, B, and D are incorrect because the active involvement and acceptance of the family in recognizing their needs and problems are essential for effective health care planning.
4. When a nurse teaches a community about the importance of regular health screenings, this activity falls under which level of prevention?
- A. Primary prevention
- B. Secondary prevention
- C. Tertiary prevention
- D. Quaternary prevention
Correct answer: B
Rationale: The correct answer is B: Secondary prevention. Secondary prevention aims to detect and treat disease early to prevent complications. Teaching about the importance of regular health screenings helps in early detection and intervention, which aligns with the goals of secondary prevention. Choice A, Primary prevention, involves actions to prevent the onset of a health condition. Choice C, Tertiary prevention, focuses on managing and treating existing conditions to prevent further complications. Choice D, Quaternary prevention, relates to actions taken to mitigate or avoid unnecessary interventions, over-medicalization, and the consequences of unnecessary treatment.
5. An activity designed to diagnose and treat a disease or condition in its earliest stages, before it becomes full-blown, would be classified as:
- A. primary prevention
- B. secondary prevention
- C. tertiary prevention
- D. health education
Correct answer: B
Rationale: The correct answer is B, secondary prevention. Secondary prevention focuses on early diagnosis and intervention to prevent the progression of a disease or condition. This involves detecting and treating the illness in its early stages to reduce its impact. Choice A, primary prevention, aims to prevent the development of a disease or injury before it occurs by promoting healthy behaviors. Choice C, tertiary prevention, involves managing and improving the quality of life of individuals with established conditions to prevent complications and further deterioration. Choice D, health education, refers to providing information and promoting awareness about health issues to enable individuals to make informed decisions and adopt healthy behaviors.
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