HESI LPN
Community Health HESI Study Guide
1. In order to establish priorities in planning and implementing the occupational health program, which of the following data will the nurse need?
- A. disease trends, birth and death rates, and social environmental conditions
- B. birth and death rates
- C. disease trends
- D. social environmental conditions
Correct answer: A
Rationale: To effectively plan and implement an occupational health program, the nurse needs comprehensive data, including disease trends, birth and death rates, and social environmental conditions. This holistic approach ensures that the program addresses a wide range of health aspects impacting the target population. Option A is the correct choice as it considers multiple factors influencing occupational health. Choices B, C, and D are each individually important but do not provide the breadth of information required to establish priorities in a comprehensive occupational health program.
2. What is the main focus of secondary prevention?
- A. Early detection and treatment
- B. Rehabilitation
- C. Health promotion
- D. Palliative care
Correct answer: A
Rationale: The main focus of secondary prevention is early detection and treatment of disease. This approach aims to identify health conditions in their early stages when they are easier to treat or manage effectively. Choice B, rehabilitation, is more aligned with restoring function after an illness or injury has occurred. Choice C, health promotion, concentrates on educating and empowering individuals to adopt healthy behaviors to prevent the onset of diseases. Choice D, palliative care, is focused on providing comfort and improving the quality of life for individuals with serious illnesses or at the end of life, rather than on early detection and treatment.
3. Which one of the following statements, if made by the client, indicates teaching about Inderal (propranolol) has been effective?
- A. ''I may experience seizures if I stop the medication abruptly.''
- B. ''I may experience an increase in my heart rate for a few weeks.''
- C. ''I can expect to feel nervousness the first few weeks.''
- D. ''I can have a heart attack if I stop this medication suddenly.''
Correct answer: D
Rationale: The correct answer is D. Stopping Inderal (propranolol) abruptly can cause rebound hypertension, angina, and even a myocardial infarction (heart attack), so it is crucial to taper off the medication under medical supervision. Choices A, B, and C are incorrect because they do not reflect the serious consequences associated with abrupt discontinuation of propranolol.
4. In the implementation of the national family planning program, the government assumes the role of a:
- A. decision-maker in the practice of family planning methods
- B. regulator
- C. facilitator
- D. dictator
Correct answer: C
Rationale: The correct answer is C: 'facilitator.' In the implementation of a national family planning program, the government plays a role as a facilitator, meaning it helps to support and enable the access to family planning services and information. The government's role is to ensure that services are available, accessible, and of good quality, rather than making decisions for individuals or regulating them. Choices A, B, and D are incorrect because the government's role is not to make decisions on behalf of individuals (decision-maker), strictly regulate family planning practices (regulator), or impose decisions without considering individual choices (dictator).
5. A nurse working in the community assumes different roles. When the nurse acts as a community organizer, they perform which of the following functions?
- A. motivate and enhance community participation when planning and implementing health programs and services
- B. develop the family's capability to take care of a sick member
- C. identify needs, priorities, and problems of individuals, families, and the community
- D. participate in community development activities
Correct answer: D
Rationale: When a nurse acts as a community organizer, they participate in community development activities, which involve working with the community to address issues such as healthcare access, social services, and infrastructure. The other choices do not directly align with the role of a community organizer. Choice A is more related to community participation in health programs, choice B focuses on family care, and choice C pertains to identifying needs and priorities rather than organizing community development activities.
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