HESI LPN
Community Health HESI Test Bank
1. In the provision of preventive care to workers, the nurse must be aware of biological hazards that are harmful to workers and their families, such as:
- A. bacteria, fungi, and insects
- B. noise
- C. toxic metals, poisonous gas fumes, and dust
- D. stress
Correct answer: A
Rationale: The correct answer is A: bacteria, fungi, and insects. Biological hazards in the workplace can include microorganisms like bacteria and fungi that can cause infections, as well as insects that may carry diseases. Noise (choice B) is considered a physical hazard, not a biological one. Toxic metals, poisonous gas fumes, and dust (choice C) are examples of chemical hazards, not biological hazards. While stress (choice D) can be a health concern in the workplace, it is not classified as a biological hazard.
2. Prior to initiating a community health program targeting teenage smoking, what information is most important for the nurse to obtain?
- A. The incidence of smoking among the teenage population in this community.
- B. The amount of available funding for tobacco prevention education programs.
- C. The target objectives for teenage smoking described by Healthy People 2020.
- D. Satisfaction data from programs that targeted the teenage population in this community.
Correct answer: A
Rationale: The most important information for the nurse to obtain before initiating a community health program targeting teenage smoking is the incidence of smoking among the teenage population in the community. Understanding the prevalence of smoking will help in designing effective intervention strategies. Choice B about funding, while important, is secondary to understanding the scope of the issue. Choice C, the target objectives from Healthy People 2020, may provide guidance but are not as crucial as knowing the local prevalence. Choice D, satisfaction data from previous programs, does not provide essential information for planning a new program.
3. This refers to trained community health workers or health auxiliary volunteers:
- A. Village health workers
- B. Barangay health workers
- C. All of the above
- D. None of the above
Correct answer: C
Rationale: The correct answer is C, 'All of the above.' Both village health workers and barangay health workers are trained community health workers or health auxiliary volunteers. Choice A, 'Village health workers,' is correct as they are trained community health workers. Choice B, 'Barangay health workers,' is also correct as they also refer to trained community health workers. Therefore, since both options A and B are accurate, the correct answer is C, 'All of the above.' Choice D, 'None of the above,' is incorrect as both village health workers and barangay health workers fit the description provided in the question.
4. A nurse is practicing community health nursing when:
- A. leading a support group for obese adolescents
- B. visiting an old woman in her condominium to change her postsurgical dressing
- C. being in a clinic instructing a couple about newborn care
- D. performing any of these activities
Correct answer: D
Rationale: Correct! Community health nursing involves a broad scope of activities that focus on promoting and preserving the health of populations rather than individuals. This includes leading support groups, providing home care, and educating communities. The other options represent different aspects of nursing care such as home health nursing, wound care, and maternal-child health - which are not exclusive to community health nursing.
5. The nurse is reviewing a depressed client's history from an earlier admission. Documentation of anhedonia is noted. The nurse understands that this finding refers to:
- A. Reports of difficulty falling and staying asleep
- B. Expression of persistent suicidal thoughts
- C. Lack of enjoyment in usual pleasures
- D. Reduced senses of taste and smell
Correct answer: C
Rationale: The correct answer is C: Lack of enjoyment in usual pleasures. Anhedonia is the inability to feel pleasure in normally pleasurable activities. Choice A, reports of difficulty falling and staying asleep, is more indicative of insomnia rather than anhedonia. Choice B, expression of persistent suicidal thoughts, is related to suicidal ideation and not anhedonia. Choice D, reduced senses of taste and smell, is more associated with disturbances in the sense of taste and smell, not anhedonia.
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