the home health nurse is admitting a client with parkinsons disease to the home healthcare service in planning care for this client which nursing diag
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Nursing Elites

HESI LPN

Community Health HESI Practice Exam

1. When admitting a client with Parkinson's disease to the home healthcare service, which nursing diagnosis should have priority in planning care?

Correct answer: A

Rationale: The correct answer is A: 'Impaired physical mobility related to muscle rigidity and weakness.' For a client with Parkinson's disease, impaired physical mobility is a priority nursing diagnosis because of the characteristic motor symptoms such as muscle rigidity, bradykinesia, and postural instability. Addressing impaired physical mobility is crucial to enhance the client's quality of life. Choices B, C, and D are not the priority nursing diagnoses for a client with Parkinson's disease. Ineffective coping (Choice B) and fear of seizures (Choice D) may be concerns but are not the priority. Ineffective breathing pattern (Choice C) is not typically associated with Parkinson's disease.

2. Which of the following is not classified as an essential health service?

Correct answer: A

Rationale: The provision of eyeglasses and dentures for the elderly is not classified as an essential health service. Essential health services typically focus on preventive, promotive, curative, and rehabilitative care that address the primary healthcare needs of individuals and communities. Choices B, C, and D are examples of essential health services as they directly contribute to improving and maintaining the health of populations. Maternal and child care, basic sanitation, disease prevention, nutrition promotion, safe water supply, and health education are essential components of public health initiatives.

3. Which of the following best describes the goal of primary health care?

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.

4. The Food Fortification Act of 2000 provides for the mandatory fortification of staple foods, which includes:

Correct answer: A

Rationale: The correct answer is A: Flour with iron. The Food Fortification Act of 2000 mandates the fortification of flour with iron to address iron deficiency in the population. Refined sugar is not typically fortified with iron, making choice B incorrect. While cooking oil fortification with vitamin A is common in some regions, it is not specified under the Food Fortification Act of 2000, rendering choice C incorrect. Similarly, rice fortification with vitamin A is not included in the mandatory fortification list according to the act, making choice D incorrect.

5. In order to facilitate the planning and implementation of an income-generating project in a barangay, which of the following actions should the Public Health Nurse NOT do?

Correct answer: D

Rationale: Giving people complete freedom without any guidance or structure can lead to disorganization, lack of focus, and ultimately project failure. In the context of implementing an income-generating project, it is crucial to provide support, direction, and coordination to ensure the project's success. Forming working groups, enlisting technical professionals for training, and establishing a core group for coordination are essential steps to enhance efficiency, productivity, and the overall success of the project.

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