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. What action is best for the community health nurse to take if the nurse suspects that an infant is being physically abused?
- A. Follow agency protocols to report suspected abuse.
- B. Report suspicions to the local child abuse reporting hotline.
- C. Educate the child's caregivers about growth and development issues.
- D. Call the police department to have the child removed from the home.
Correct answer: A
Rationale: When a community health nurse suspects that an infant is being physically abused, the best course of action is to follow agency protocols to report the suspected abuse. This is essential to ensure that the appropriate authorities are informed, and proper interventions can be initiated. Reporting suspicions to the local child abuse reporting hotline (Choice B) can be a part of the agency protocols but may not cover all necessary steps. Educating the child's caregivers about growth and development (Choice C) is not appropriate in cases of suspected abuse, as the immediate focus should be on the safety and well-being of the infant. Calling the police department to have the child removed from the home (Choice D) is not the primary role of the nurse; the proper authorities should handle the removal process after an investigation.
3. In 1996, there were 15 cases of Acute Respiratory Infection (ARI) in Barangay B, while Barangay C had 20 cases. The total number of children who have ARI is:
- A. higher in Barangay C than in Barangay B
- B. not comparable in Barangay B and C
- C. higher in Barangay B than in Barangay C
- D. data given is insufficient
Correct answer: A
Rationale: The correct answer is A: 'higher in Barangay C than in Barangay B.' This is because Barangay C had more cases of ARI (20) compared to Barangay B (15). Therefore, the total number of children who have ARI is higher in Barangay C. Choices B and C are incorrect because the data clearly shows that Barangay C had more cases than Barangay B. Choice D is also incorrect as there is sufficient data provided to compare the number of ARI cases between the two barangays.
4. A nurse manager is using the technique of brainstorming to help solve a problem. One nurse criticizes another nurse’s contribution and begins to find objections to the suggestion. The nurse manager's best response is to
- A. Let’s move on to a new action that deals with the problem.
- B. I think you need to reserve judgment until after all suggestions are offered.
- C. Very well thought out. Your analytic skills and interest are incredible.
- D. Let’s move to the ‘what if…’ as related to these objections for an exploration of spin-off ideas.
Correct answer: D
Rationale: Encouraging the group to explore 'what if' scenarios based on the objections helps to maintain a positive and creative brainstorming atmosphere, while also validating the concerns raised by the nurse. Choice A is dismissive and does not address the issue at hand. Choice B suggests postponing judgment, which may not resolve the tension caused by the criticism. Choice C is complimentary but does not address the critical feedback provided by the nurse, missing an opportunity to turn objections into opportunities for further exploration.
5. The following are functions of the Provincial Nurse Supervisor except:
- A. interpreting policies, guidelines, and SDP to nursing and midwifery staff of the province
- B. assessing training needs and planning staff development programs for nursing and midwifery staff
- C. participating in planning, developing, and evaluating OJT for nurses and midwives conducted by the department
- D. collecting, consolidating, analyzing, and interpreting health records and reports and making recommendations as needed
Correct answer: D
Rationale: The correct answer is D. Collecting, consolidating, analyzing, and interpreting health records is not a primary function of a Provincial Nurse Supervisor. The primary functions of a Provincial Nurse Supervisor include interpreting policies, guidelines, and SDP to nursing and midwifery staff, assessing training needs, planning staff development programs, and participating in planning, developing, and evaluating OJT for nurses and midwives. While health records may be accessed for specific purposes, the core responsibilities of a Provincial Nurse Supervisor focus on staff management and development rather than direct involvement in health record analysis.
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