HESI RN
Community Health HESI 2023 Quizlet
1. The healthcare professional is planning a health education workshop for a group of adolescents on the dangers of substance abuse. Which strategy is most likely to be effective?
- A. showing videos of the effects of substance abuse
- B. inviting individuals in recovery to share their stories
- C. providing statistical data on substance abuse
- D. distributing brochures on substance abuse prevention
Correct answer: B
Rationale: Inviting individuals in recovery to share their stories is the most effective strategy for educating adolescents about the dangers of substance abuse. Personal stories have a significant impact as they provide real-life examples of the consequences of substance abuse, making the information more relatable and emotionally engaging. This approach can evoke empathy, create a deeper understanding of the risks involved, and potentially deter adolescents from experimenting with substances. Showing videos of the effects of substance abuse (choice A) may be impactful, but personal narratives often have a stronger emotional connection. Providing statistical data (choice C) may not resonate as strongly with adolescents as personal stories. Distributing brochures (choice D) is informative but may not have the same emotional impact and engagement as hearing firsthand experiences.
2. The healthcare professional is preparing a presentation on the impact of substance abuse on families. Which approach is most effective for engaging the audience?
- A. showing statistical data on substance abuse rates
- B. sharing personal stories from individuals affected by substance abuse
- C. distributing informational brochures on substance abuse
- D. providing a list of local substance abuse treatment centers
Correct answer: B
Rationale: Sharing personal stories from individuals affected by substance abuse is the most effective approach for engaging the audience. Personal stories evoke emotions, create empathy, and make the impact of substance abuse more relatable and tangible for the audience. This approach helps in fostering a deeper understanding of the real-life consequences of substance abuse on families. The other options, such as showing statistical data (choice A), distributing informational brochures (choice C), and providing a list of treatment centers (choice D), may be informative but may not engage the audience on an emotional level as effectively as personal stories.
3. The healthcare provider is assessing a client who has just returned from hemodialysis. Which finding requires immediate intervention?
- A. Weight gain of 2 pounds.
- B. Dizziness.
- C. Blood pressure of 150/90 mm Hg.
- D. Heart rate of 88 beats per minute.
Correct answer: B
Rationale: Dizziness after hemodialysis can indicate hypovolemia, hypotension, or other complications that require immediate intervention to prevent further deterioration or adverse events. Weight gain of 2 pounds may not be immediately concerning post-hemodialysis. A blood pressure of 150/90 mm Hg is slightly elevated but may not require immediate intervention unless accompanied by symptoms. A heart rate of 88 beats per minute falls within the normal range and may not be an immediate cause for concern after hemodialysis.
4. A client with a history of alcohol abuse is admitted with acute pancreatitis. Which assessment finding requires immediate intervention?
- A. Amylase of 120 U/L.
- B. Lipase of 150 U/L.
- C. Calcium of 8.5 mg/dL.
- D. Temperature of 101°F (38.3°C).
Correct answer: D
Rationale: In a client with acute pancreatitis and a history of alcohol abuse, a temperature of 101°F (38.3°C) can indicate infection, which is a serious complication requiring immediate intervention. Elevated amylase and lipase levels are common in acute pancreatitis but do not directly indicate the need for urgent intervention. A calcium level of 8.5 mg/dL is within the normal range and does not require immediate action in this context.
5. The nurse is caring for a client with liver cirrhosis. Which assessment finding requires immediate intervention?
- A. Jaundice.
- B. Ascites.
- C. Peripheral edema.
- D. Spider angiomas.
Correct answer: D
Rationale: Spider angiomas are abnormal clusters of blood vessels near the skin surface and can be indicative of an underlying liver condition. In the context of liver cirrhosis, spider angiomas can suggest portal hypertension and liver dysfunction, which requires immediate intervention. Jaundice (choice A) is a common manifestation of liver cirrhosis but not typically an immediate intervention priority unless severe. Ascites (choice B) and peripheral edema (choice C) are also common in liver cirrhosis but do not require immediate intervention unless they are causing respiratory compromise or other urgent issues.
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