several employees who have a 10 year or longer history of smoking ask the occupational nurse for assistance with smoking cessation the rn develops a 2

HESI LPN

Community Health HESI Practice Questions

1. Several employees who have a 10-year or longer history of smoking ask the occupational nurse for assistance with smoking cessation. The RN develops a 2-month program that includes weekly group sessions on lifestyle changes and use of OTC products. Which measurement provides the best indication of the program's effectiveness?

A. Encourage the employees to disclose if they have joined another smoking cessation group.
B. Ask the employees to inform the group if they stop smoking and if they start back up again.
C. Survey the employees about their smoking habits.
D. Observe if the employees are smoking in the designated smoking areas.

Correct answer: C

Rationale: Surveying the employees about their smoking habits provides measurable data on program effectiveness. By collecting data directly from the employees through surveys, the occupational nurse can track changes in smoking habits, frequency, and quantity of cigarettes smoked. This direct feedback allows for a more accurate assessment of the program's impact on smoking cessation. Choices A and B rely on self-disclosure and may not provide reliable or objective data. Choice D does not directly measure changes in smoking habits but rather observes behavior in designated areas, which may not reflect overall smoking cessation progress.

2. A public health nurse is working with a community to develop a disaster response plan. Which of the following is the priority action?

A. Identifying available resources and services
B. Conducting disaster drills
C. Educating the community about disaster preparedness
D. Developing a communication plan

Correct answer: A

Rationale: Identifying available resources and services is the priority action when developing a disaster response plan. This step is crucial as it helps the community understand what resources and services are already in place and what additional support may be needed during a disaster. Conducting disaster drills, educating the community about disaster preparedness, and developing a communication plan are important steps in disaster preparedness but come after identifying available resources and services. Without knowing the available resources, it would be challenging to effectively plan and respond to a disaster.

3. The nurse is caring for a child who has just returned from surgery following a tonsillectomy and adenoidectomy. Which action by the nurse is appropriate?

A. Offer ice chips every 2 hours
B. Place the child in a semi-Fowler's position
C. Encourage the child to drink from a cup
D. Observe swallowing patterns

Correct answer: D

Rationale: Observing swallowing patterns is crucial post-tonsillectomy and adenoidectomy to detect signs of bleeding. Offering ice chips instead of ice cream helps prevent throat irritation. Placing the child in a semi-Fowler's position promotes airway patency and reduces the risk of aspiration. Encouraging the child to drink from a cup instead of a straw minimizes the risk of dislodging the surgical site.

4. 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.

5. Certain health policies/strategies serve as guidelines in the delivery of services. Which of these is incorrect?

A. A growth monitoring chart is a tool recommended for assessing and recording the child's health condition.
B. Voluntary blood donation should be promoted through the organization of walking blood banks in rural areas.
C. Public sectors should collaborate with the private sector for effective utilization of resources.
D. Traditional birth attendants should be trained and allowed to provide prenatal care to mothers.

Correct answer: C

Rationale: Choice C is incorrect because public sectors are encouraged to collaborate with the private sector for effective utilization of resources, not work separately. Collaborating with the private sector can lead to improved resource allocation, better service delivery, and enhanced healthcare outcomes. Choices A, B, and D are correct as growth monitoring charts are indeed recommended for assessing child health, promoting voluntary blood donation through walking blood banks is beneficial, and training traditional birth attendants to provide prenatal care can improve maternal health.