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Community Health HESI Questions
1. What is the aim of the Magna Carta of Public Health Workers?
- A. Develop skills and capabilities of health workers to deliver health projects/programs
- B. All of these
- C. Encourage those with proper qualifications to remain in government service
- D. Promote social and economic well-being of health workers
Correct answer: B
Rationale: The correct answer is B - 'All of these.' The Magna Carta of Public Health Workers aims to achieve multiple objectives, including developing the skills and capabilities of health workers to deliver health projects/programs, encouraging those with proper qualifications to remain in government service, and promoting the social and economic well-being of health workers. Choice A, C, and D are all part of the comprehensive goals outlined in the Magna Carta for Public Health Workers.
2. The RN at a migrant health center notes an increased incidence of dermatitis in seasonal farm workers at a local fruit farm. In response to this finding, what is the most important information for the RN to obtain as part of the community assessment?
- A. Availability of clean fresh water to wash hands after work.
- B. Proper housing
- C. Access to health care services
- D. Access to transportation
Correct answer: A
Rationale: The correct answer is A: Availability of clean fresh water to wash hands after work. Proper hand hygiene, including washing hands with clean water, is crucial in preventing dermatitis, especially in farm workers who are exposed to potential irritants in their work environment. While proper housing (choice B), access to health care services (choice C), and access to transportation (choice D) are important factors in overall community health, they are not directly linked to preventing dermatitis in this scenario.
3. What is the measure of the number of existing cases of a disease in a specific population at a given time?
- A. Incidence
- B. Prevalence
- C. Mortality rate
- D. Morbidity rate
Correct answer: B
Rationale: Prevalence is the correct answer as it refers to the number of existing cases of a disease in a specific population at a given time. Incidence, on the other hand, refers to the number of new cases of a disease in a defined population over a specific period. Mortality rate is the measure of the number of deaths in a particular population due to a specific cause, while morbidity rate is the frequency of a disease in a specific population.
4. During a large community disaster, a man states that the blast threw him out of a second-story window. Which action should the nurse implement first?
- A. Logroll the client to his side and assess for back injuries
- B. Perform a complete neurological assessment
- C. Open the client's airway immediately
- D. Place the nurse's hands around the client's neck to stabilize
Correct answer: D
Rationale: In this situation, the nurse should first stabilize the client's neck to prevent potential spinal cord injuries. Logrolling the client or performing other assessments should only be done after ensuring spinal stabilization. Opening the airway immediately is important in cases of airway obstruction, but stabilizing the neck takes priority in this scenario. Performing a complete neurological assessment may delay immediate stabilization, which is crucial in suspected spinal injuries.
5. What is the main objective of the Expanded Program on Immunization (EPI)?
- A. Provide healthcare to all individuals
- B. Reduce child mortality
- C. Eliminate vaccine-preventable diseases
- D. Promote healthy lifestyles
Correct answer: C
Rationale: The main objective of the Expanded Program on Immunization (EPI) is to eliminate vaccine-preventable diseases. While providing healthcare to all individuals and reducing child mortality are important goals, the primary focus of EPI is specifically on preventing diseases through immunization. Promoting healthy lifestyles, although beneficial, is not the primary aim of the EPI.
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