HESI LPN
Community Health HESI Exam
1. Under the present system, which of the following is the local government unit responsible for?
- A. Operation and maintenance of health facilities
- B. All of these activities
- C. Implementation of health programs/projects
- D. Delivery of health services
Correct answer: B
Rationale: Under the present system, the local government unit is responsible for all the listed activities. This includes the operation and maintenance of health facilities, implementation of health programs/projects, and delivery of health services. Therefore, choice B, 'All of these activities,' is the correct answer. Choices A, C, and D are incorrect because they are all responsibilities that fall under the local government unit's jurisdiction as well.
2. An example of the continuum health model of health and wellness would be:
- A. a person is either well or not, and the emphasis is on continuously and aggressively treating people who are ill
- B. predicting that a person will most likely continue good health practices, based on his or her health practices in the past, such as getting flu shots
- C. using acupuncture and therapeutic touch to cure disease instead of traditional medical therapies
- D. none of the above
Correct answer: B
Rationale: The continuum health model emphasizes ongoing health practices based on past behaviors. Choice A is incorrect as it describes a more binary approach to health. Choice C is incorrect as it focuses on alternative therapies rather than the continuity of health practices.
3. The school RN is assessing a group of middle school students for signs of scoliosis and discovers a female student with noticeable unequal symmetry of the upper and lower back. Which intervention is most important for the RN to implement?
- A. Send the student home
- B. Make a referral to have the scoliosis further evaluated.
- C. Withdraw the student from all physical activities
- D. Tell the student not to carry her backpack on her back
Correct answer: B
Rationale: Referring the student for further evaluation of scoliosis is crucial to confirm the diagnosis and determine the appropriate management plan. Sending the student home (choice A) without proper assessment and intervention is not the best course of action. Withdrawing the student from all physical activities (choice C) is not necessary and may cause unnecessary distress. Instructing the student not to carry her backpack on her back (choice D) does not address the underlying issue of scoliosis and is not the most important intervention at this point.
4. A community hospital is an example of which level of health care?
- A. Secondary level health care
- B. Primary health care
- C. Tertiary level care
- D. Intermediate level care
Correct answer: A
Rationale: A community hospital is categorized under secondary level health care. Secondary level health care facilities, like community hospitals, provide specialized outpatient care, diagnostic services, and treatment that are more complex than what is offered in primary health care settings. Choice B, primary health care, refers to basic and routine health care services typically provided by family doctors or general practitioners, which is not the level of care provided by community hospitals. Tertiary level care (choice C) involves highly specialized and complex medical services such as neurosurgery or organ transplants, which are beyond the scope of services provided by community hospitals. Intermediate level care (choice D) is not a recognized category in the hierarchy of health care levels.
5. This refers to trained community health workers or health auxiliary volunteers:
- A. Village health workers
- B. Barangay health workers
- C. All of the above
- D. None of the above
Correct answer: C
Rationale: The correct answer is C, 'All of the above.' Both village health workers and barangay health workers are trained community health workers or health auxiliary volunteers. Choice A, 'Village health workers,' is correct as they are trained community health workers. Choice B, 'Barangay health workers,' is also correct as they also refer to trained community health workers. Therefore, since both options A and B are accurate, the correct answer is C, 'All of the above.' Choice D, 'None of the above,' is incorrect as both village health workers and barangay health workers fit the description provided in the question.
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