HESI LPN
Community Health HESI Study Guide
1. Which of the following behaviors is influenced by cultural expectations?
- A. talking openly about the details of the illness
- B. deciding whether to 'feed a cold' or 'starve a fever'
- C. taking herbal supplements to boost the immune system
- D. all of the above
Correct answer: D
Rationale: Cultural expectations can influence all the listed behaviors. Talking openly about the details of an illness may be culturally acceptable or taboo. The decision to 'feed a cold' or 'starve a fever' is often influenced by cultural beliefs and practices. Additionally, the use of herbal supplements to boost the immune system can also be shaped by cultural norms and traditions. Therefore, all the behaviors listed can be influenced by cultural expectations, making option D the correct answer. Choices A, B, and C are incorrect because cultural expectations can impact each of these behaviors.
2. Iwa, two years old, was brought to the health center because of diarrhea for 4 days. Assessment revealed that Iwa has under-nutrition. Which of the following actions will you take?
- A. Advise the mother to give milk and juices between meals at home
- B. Give nutritious food available at home
- C. Refer to the hospital for proper management
- D. Provide mother with ORS solution and show her how to give the solution
Correct answer: A
Rationale: In the case of a child with under-nutrition and diarrhea, advising the mother to give milk and juices between meals at home is the appropriate action. This helps address the nutritional needs of the child while also providing hydration. Option B, giving nutritious food available at home, may not be sufficient in addressing immediate needs such as dehydration. Option C, referring to the hospital, may be necessary in severe cases but is not the first-line action. Option D, providing ORS solution, is important but does not directly address the under-nutrition concern.
3. Which topic should the nurse include in planning a primary prevention class for adolescents?
- A. Risk factors for heart disease.
- B. Dietary management of obesity.
- C. Suicide risks and prevention.
- D. Coping with stressful situations.
Correct answer: C
Rationale: The correct topic that the nurse should include in planning a primary prevention class for adolescents is suicide risks and prevention. Adolescents are particularly vulnerable to mental health issues, including suicidal ideation. Educating them about suicide risks and prevention strategies is crucial for early intervention and support. Choices A, B, and D are important topics, but when considering primary prevention for adolescents, addressing suicide risks and prevention takes precedence due to its immediate life-saving implications.
4. Which of the following is a voluntary organization?
- A. NIH
- B. FDA
- C. CDC
- D. ADA
Correct answer: D
Rationale: The American Diabetes Association (ADA) is a voluntary organization that relies on voluntary contributions and membership fees. NIH (National Institutes of Health), FDA (Food and Drug Administration), and CDC (Centers for Disease Control and Prevention) are governmental agencies and not voluntary organizations. Therefore, the correct answer is D.
5. The family presents several problems. Which of the following criteria is considered in determining the priority health problem?
- A. expected consequence of the problem
- B. cooperation and support of the family
- C. involvement of the family members in the problem
- D. modifiability of the problem
Correct answer: D
Rationale: When determining the priority health problem within a family, one key criterion to consider is the modifiability of the problem. This means assessing whether the health issue can be changed or improved through interventions. Choices A, B, and C are not directly related to the priority of the health problem within the family. The expected consequence of the problem, cooperation and support of the family, and involvement of family members are important factors but do not specifically address the priority of the health issue based on modifiability.
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