HESI LPN
Community Health HESI Study Guide
1. Which of the following qualifications is not required for a Nurse Supervisor at the provincial level?
- A. BSN, RN
- B. at least 3 years experience
- C. Master's in public health
- D. at least 5 years experience in public health
Correct answer: B
Rationale: The correct answer is B because the qualifications for a Nurse Supervisor at the provincial level include a BSN, RN, and a Master's in public health, along with a minimum of 5 years of experience in public health. Choice B, which states 'at least 3 years experience,' is incorrect as the requirement is for at least 5 years of experience in public health. Choices A, C, and D are necessary qualifications for a Nurse Supervisor at the provincial level based on the provided information.
2. The client with Raynaud's phenomenon would benefit most by which teaching intervention?
- A. Stop smoking
- B. Keep feet dry
- C. Reduce stress
- D. Avoid caffeine
Correct answer: A
Rationale: The correct answer is A: Stop smoking. Smoking causes vasoconstriction, worsening the symptoms of Raynaud's phenomenon. Quitting smoking is crucial in managing this condition effectively. Choices B, C, and D are not as directly related to the pathophysiology of Raynaud's phenomenon. While keeping feet dry and reducing stress can be beneficial for overall health, they are not as directly linked to managing Raynaud's phenomenon as smoking cessation.
3. The nurse is evaluating the effectiveness of a community health program aimed at reducing teen pregnancy rates. Which outcome indicates the program was successful?
- A. increased attendance at health education classes
- B. decreased number of repeat pregnancies among teens
- C. higher number of teens seeking prenatal care
- D. greater use of contraception among teens
Correct answer: D
Rationale: The correct answer is D: greater use of contraception among teens. This outcome indicates successful prevention of pregnancies by demonstrating that teens are taking proactive steps to avoid unintended pregnancies. Increased attendance at health education classes (choice A) may show improved knowledge but does not directly measure the prevention of pregnancies. While a decreased number of repeat pregnancies among teens (choice B) is positive, it does not necessarily indicate prevention of initial pregnancies. A higher number of teens seeking prenatal care (choice C) is important for maternal and fetal health but does not directly reflect the prevention of teen pregnancies.
4. Which family planning method is not advisable for women with extremely irregular menstrual periods?
- A. oral contraceptives
- B. diaphragm
- C. natural family planning
- D. vaginal contraceptives
Correct answer: C
Rationale: Natural family planning relies on tracking menstrual cycles to determine fertile days for avoiding or achieving pregnancy. It may not be suitable for women with extremely irregular menstrual periods as it can be challenging to predict fertile days accurately. Oral contraceptives (A), diaphragms (B), and vaginal contraceptives (D) do not rely on regular menstrual cycles for their effectiveness, making them more suitable options for women with irregular periods.
5. In evaluating your client's level of wellness, which of the following indicators can you see?
- A. Appropriate nutritional level
- B. Sense of personal security
- C. Acceptance of oneself and one's limitations
- D. Maladaptations to one's environment
Correct answer: C
Rationale: When evaluating a client's level of wellness, indicators such as appropriate nutritional level, sense of personal security, and acceptance of oneself and one's limitations are crucial. Option C, 'Acceptance of oneself and one's limitations,' directly relates to mental wellness and self-awareness, making it a key indicator of overall well-being. Options A, B, and D are not as directly tied to the psychological and emotional aspects of wellness, making them less relevant indicators in this context. Therefore, the correct answer is C.
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