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Community Health HESI Questions
1. What refers to a systematic approach of obtaining, organizing, and analyzing numerical facts so that conclusions may be drawn from them?
- A. Vital statistics
- B. Statistics
- C. Morbidity
- D. Mortality
Correct answer: B
Rationale: The correct answer is B: 'Statistics'. Statistics is the systematic approach of obtaining, organizing, and analyzing numerical facts to draw conclusions. Vital statistics, morbidity, and mortality are more specific terms within the field of statistics. Vital statistics focus on births, deaths, marriages, and divorces. Morbidity refers to the incidence of illness or disease in a population. Mortality specifically deals with deaths in a population. Hence, B is the most comprehensive and fitting choice for the definition provided.
2. A client with acute pancreatitis is receiving total parenteral nutrition (TPN). The nurse should monitor the client for which of the following complications?
- A. Hypoglycemia
- B. Hyperkalemia
- C. Hyperglycemia
- D. Hyponatremia
Correct answer: C
Rationale: The correct answer is C: Hyperglycemia. Total parenteral nutrition (TPN) contains a high glucose content, which can lead to elevated blood sugar levels, resulting in hyperglycemia. Monitoring for hyperglycemia is crucial in clients receiving TPN to prevent complications such as osmotic diuresis, dehydration, and electrolyte imbalances. Choices A, B, and D are incorrect because TPN is more likely to cause hyperglycemia rather than hypoglycemia, hyperkalemia, or hyponatremia.
3. A community health nurse is planning to implement an outreach program for a community group. Which criteria should the nurse clarify about the program when examining sources for funding?
- A. Focuses on addressing multiple health problems or concerns.
- B. Identifies populations and individuals in need of healthcare services.
- C. Evaluates differences in health services and health status among populations.
- D. Provides healthcare services to community members in local factories, schools, and churches.
Correct answer: B
Rationale: Identifying populations and individuals in need of healthcare services is essential when seeking funding for an outreach program. This criterion helps demonstrate the relevance and impact of the program on specific groups requiring healthcare services. Choice A is incorrect because while addressing multiple health problems is important, identifying the target population in need of services is more critical for funding considerations. Choice C is incorrect as evaluating variations in health services and status, though valuable, is not directly related to securing funding. Choice D is incorrect as offering services in various community locations is a component of the program's implementation, not a criterion for funding.
4. Which of the following best describes the goal of primary health care?
- A. Treating chronic diseases
- B. Providing specialized medical services
- C. Promoting health and preventing illness
- D. Conducting medical research
Correct answer: C
Rationale: The correct answer is C: 'Promoting health and preventing illness.' Primary health care aims to provide essential health services, promote health, prevent diseases, and manage common health problems. Choices A, B, and D are incorrect because primary health care focuses on a holistic approach to health that includes health promotion, disease prevention, treatment of common illnesses, and community participation, rather than specialized services, chronic disease treatment, or medical research.
5. Building a healthy community is based on the following basic principles except:
- A. concreteness and reasoning to understand and solve problems
- B. human beings do not function independently but as a group
- C. the target of change is not individual or family but community
- D. environmental factors are more basic than institutional factors
Correct answer: D
Rationale: Building a healthy community is indeed based on principles like concreteness, group dynamics, and focusing on community-level change. However, stating that environmental factors are more basic than institutional factors is incorrect. Both environmental and institutional factors play crucial roles in community health. Environmental factors like access to healthcare, clean water, and safe housing are vital, while institutional factors such as healthcare systems, education, and governance also significantly impact community health. Therefore, the correct answer is D, as environmental factors are not more basic than institutional factors.
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