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Community Health HESI Test Bank 2023
1. In this municipality, what should the nursing health care plan focus on?
- A. Rehabilitative services
- B. All of these services
- C. Health promotion and disease prevention
- D. Curative services
Correct answer: C
Rationale: In this municipality, the nursing health care plan should primarily focus on health promotion and disease prevention. This approach addresses the underlying causes of health problems, promotes overall well-being, and helps prevent illnesses before they occur. While rehabilitative and curative services are important, health promotion and disease prevention are crucial for fostering a healthier community in the long term. Therefore, choices A, B, and D are not the best options as they do not prioritize preventing health issues at the root cause.
2. A young child is admitted for treatment of lead poisoning. The nurse recognizes that the most serious effect of chronic lead poisoning is
- A. Central nervous system damage
- B. Moderate anemia
- C. Renal tubule damage
- D. Growth impairment
Correct answer: A
Rationale: Corrected Rationale: Chronic lead poisoning can lead to severe and irreversible damage to the central nervous system, including cognitive and developmental delays. Central nervous system damage is the most serious effect of chronic lead poisoning because it can have long-lasting consequences on a child's cognitive function and overall development. Moderate anemia (Choice B), renal tubule damage (Choice C), and growth impairment (Choice D) can also occur due to lead poisoning, but they are not as severe or potentially irreversible as the damage to the central nervous system.
3. The client with acute hypocalcemia is admitted to the unit. Nursing action should include:
- A. Implement seizure precautions
- B. Assess for hypoglycemia
- C. Monitor for visual changes
- D. Observe for muscle weakness
Correct answer: A
Rationale: The correct action for a client with acute hypocalcemia is to implement seizure precautions. Hypocalcemia can lead to tetany and seizures due to neuromuscular irritability. Assessing for hypoglycemia (choice B) is not directly related to hypocalcemia. Monitoring for visual changes (choice C) is more indicative of conditions like hyperglycemia or retinal disorders. Observing for muscle weakness (choice D) is a common symptom of hypocalcemia but does not address the immediate risk of seizures, which is why implementing seizure precautions is the priority nursing action.
4. What title should be given to this occupational health nurse job description? A registered nurse with expertise in health promotion, illness and injury prevention, risk reduction, and adult learning principles.
- A. case manager
- B. health educator
- C. nurse consultant
- D. health promotion specialist
Correct answer: D
Rationale: The correct answer is 'D: health promotion specialist.' This title aligns with the described expertise in health promotion, illness and injury prevention, and risk reduction. A health promotion specialist focuses on promoting health and preventing illnesses, which directly corresponds to the skills mentioned in the job description. Choices A, B, and C are incorrect. A 'case manager' typically focuses on coordinating patient care, 'health educator' specifically emphasizes educating individuals on health topics, and a 'nurse consultant' offers expert advice and support in the nursing field but may not specialize in health promotion and risk reduction as required in this job description.
5. What does the term 'vital statistics' refer to?
- A. The systematic study of vital events such as births, illnesses, marriages, divorce, separation, and deaths
- B. Morbidity
- C. Statistics
- D. Mortality
Correct answer: A
Rationale: The term 'vital statistics' specifically refers to the systematic study of vital events, including births, illnesses, marriages, divorces, separations, and deaths. This field focuses on quantifying and analyzing these essential life events within a population. Choices B, C, and D are incorrect because while they may be related to data collection and analysis, they do not encompass the broad spectrum of vital events covered under the term 'vital statistics.' Morbidity refers to the prevalence of a specific illness or disease within a population, statistics is a more general term for numerical data analysis, and mortality specifically pertains to deaths within a population.
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