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Community Health HESI Test Bank 2023
1. When assisting a family who fails to take action during a sick member despite suggestions, you will:
- A. explain the consequences of inaction
- B. identify the courses of action open to the family and the resources needed for each
- C. discuss the consequences of each course of action available
- D. influence the family to act on what you think is best for the situation
Correct answer: B
Rationale: When helping a family decide on actions to take, it is essential to identify the courses of action available to them and the resources needed for each. This empowers the family to make informed decisions based on their specific situation. Explaining the consequences of inaction (Choice A) may be necessary but does not provide a range of options. Discussing the consequences of each course of action (Choice C) is important but does not actively guide the family on the available actions. Influencing the family (Choice D) to act based on personal judgment undermines their autonomy and may not lead to the best outcome.
2. The community health nurse is planning a series of educational courses about the healthcare system and meeting healthcare needs for the community center. Which adjunct issue should the nurse address for a group of older adults?
- A. Peer concerns.
- B. Adult daycare.
- C. Retirement issues.
- D. Vocational concerns.
Correct answer: B
Rationale: When planning educational courses for older adults, addressing adult daycare is crucial as it is a relevant issue that can impact their daily lives and access to healthcare services. Peer concerns may not be directly related to healthcare needs, retirement issues are important but not as immediate in terms of healthcare access, and vocational concerns are more pertinent to working-age individuals.
3. 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.
4. Which of the following statements about TB treatment is INCORRECT?
- A. Combination of 3-4 anti-TB drugs is the treatment of choice
- B. Single drug therapy is appropriate
- C. Treatment renders patients non-infectious and cured
- D. Tuberculosis is a curable disease
Correct answer: B
Rationale: The correct answer is B. Single drug therapy is not appropriate for TB due to the risk of developing resistance. The most effective approach to TB treatment is a combination of 3-4 anti-TB drugs. This combination helps to prevent the development of drug resistance and improve treatment outcomes. Choice C is correct as TB treatment, when completed successfully, renders patients non-infectious and cured. Choice D is also correct as tuberculosis is indeed a curable disease with appropriate treatment. Therefore, the incorrect statement is B.
5. A health program that aims to reduce the incidence of chronic diseases through lifestyle modifications is an example of:
- A. Primary prevention
- B. Secondary prevention
- C. Tertiary prevention
- D. Quaternary prevention
Correct answer: A
Rationale: The correct answer is A: Primary prevention. Primary prevention focuses on preventing the development of diseases or injuries before they occur by promoting healthy behaviors and lifestyles. In this scenario, the health program targeting lifestyle modifications to reduce chronic diseases aligns with primary prevention efforts. Choice B, secondary prevention, involves early detection and treatment to prevent the progression of disease. Choice C, tertiary prevention, focuses on managing and treating existing diseases to prevent complications. Choice D, quaternary prevention, relates to actions taken to mitigate or avoid the consequences of unnecessary or excessive interventions in healthcare.
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