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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 key component of primary prevention strategies is:
- A. aggressive interventions
- B. detection
- C. culture
- D. education
Correct answer: D
Rationale: The correct answer is 'D: education.' Education plays a vital role in primary prevention strategies by empowering individuals with knowledge and skills to prevent the onset of diseases. Through education, people can make informed decisions about their health, adopt healthy behaviors, and engage in preventive measures. Choice A, 'aggressive interventions,' is incorrect as primary prevention focuses on proactive measures to avoid the development of diseases rather than aggressive reactive interventions. Choice B, 'detection,' is more aligned with secondary prevention, which involves early identification of diseases. Choice C, 'culture,' while important in shaping health behaviors, is not a key component specifically in primary prevention strategies.
3. As of 2002, the following data was obtained from municipality X: No. of live births - 750, No. of infant deaths - 10, No. of maternal deaths - 6, Total population - 25,000. The 2002 maternal mortality rate of municipality X is:
- A. 15/1000 live births
- B. 12.5/1000 live births
- C. 6/1000 live births
- D. 8/1000 live births
Correct answer: C
Rationale: The maternal mortality rate is calculated as 6 maternal deaths per 1000 live births. The correct answer is C because to calculate the maternal mortality rate, you divide the number of maternal deaths by the number of live births and then multiply by 1000. Choices A, B, and D are incorrect as they do not match the given data on maternal deaths and live births for municipality X.
4. Diabetes has become a major health problem. How can healthcare professionals contribute to reducing the incidence of diabetes?
- A. Conducting extensive diabetes patient screenings
- B. Supporting the implementation of Republic Act 8191-National Diabetes Act
- C. Creating support groups for diabetes patients
- D. Raising community awareness about diabetes prevention
Correct answer: D
Rationale: Raising community awareness about diabetes prevention is an effective way to reduce the incidence of diabetes. By educating the public about healthy lifestyle choices, risk factors, and preventive measures, healthcare professionals can empower individuals to make informed decisions regarding their health. Choice A is not as proactive as raising awareness in the community. While screening is important, prevention through awareness can have a broader impact. Choice B is specific to a particular act and may not apply universally. Choice C, establishing support groups, is beneficial for those already affected by diabetes but may not directly reduce the incidence of the disease.
5. For whom is the community health nurse primarily responsible?
- A. individuals
- B. populations
- C. families
- D. class E citizens
Correct answer: B
Rationale: Community health nurses are primarily responsible for populations. While they do provide care and support to individuals and families within the community, their focus is on the health and well-being of entire populations. Choice A is incorrect as the primary responsibility is broader than just individuals. Choice C is incorrect as families are part of the population but not the sole focus. Choice D, 'class E citizens', is too specific and not a standard term in public health, making it an incorrect choice.
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