HESI LPN
Community Health HESI Exam
1. Which of the following best describes the goal of primary health care?
- A. Treating chronic diseases
- B. Providing specialized medical services
- C. Promoting health and preventing illness
- D. Conducting medical research
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.
2. The nurse is evaluating the effectiveness of a community health program aimed at reducing teen pregnancy rates. Which outcome indicates the program was successful?
- A. increased attendance at health education classes
- B. decreased number of repeat pregnancies among teens
- C. higher number of teens seeking prenatal care
- D. greater use of contraception among teens
Correct answer: D
Rationale: The correct answer is D: greater use of contraception among teens. This outcome indicates successful prevention of pregnancies by demonstrating that teens are taking proactive steps to avoid unintended pregnancies. Increased attendance at health education classes (choice A) may show improved knowledge but does not directly measure the prevention of pregnancies. While a decreased number of repeat pregnancies among teens (choice B) is positive, it does not necessarily indicate prevention of initial pregnancies. A higher number of teens seeking prenatal care (choice C) is important for maternal and fetal health but does not directly reflect the prevention of teen pregnancies.
3. 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.
4. A client with schizophrenia is receiving haloperidol (Haldol). The nurse should monitor the client for which of the following side effects?
- A. Tachycardia
- B. Hypotension
- C. Extrapyramidal symptoms
- D. Hyperglycemia
Correct answer: C
Rationale: The correct answer is C: Extrapyramidal symptoms. Haloperidol is a first-generation antipsychotic that can lead to extrapyramidal symptoms such as tardive dyskinesia and akathisia. These side effects are common with the use of typical antipsychotics. Choice A, Tachycardia, is not a common side effect of haloperidol. Choice B, Hypotension, is also not a typical side effect associated with haloperidol use. Choice D, Hyperglycemia, is not directly linked to haloperidol administration, as it is more commonly associated with other medications like atypical antipsychotics or certain medical conditions.
5. What is the measure of the number of existing cases of a disease in a specific population at a given time?
- A. Incidence
- B. Prevalence
- C. Mortality rate
- D. Morbidity rate
Correct answer: B
Rationale: Prevalence is the correct answer as it refers to the number of existing cases of a disease in a specific population at a given time. Incidence, on the other hand, refers to the number of new cases of a disease in a defined population over a specific period. Mortality rate is the measure of the number of deaths in a particular population due to a specific cause, while morbidity rate is the frequency of a disease in a specific population.
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