HESI LPN
Community Health HESI Study Guide
1. Which of the following is a contribution of community health nurses to the community's health?
- A. providing health education to vulnerable populations
- B. coordinating access to integrated care for the population
- C. developing comprehensive health care systems in various settings
- D. all of the above
Correct answer: D
Rationale: Community health nurses play a vital role in promoting community health by providing health education to vulnerable populations (Choice A), coordinating access to integrated care for the population (Choice B), and developing comprehensive health care systems in various settings (Choice C). These contributions work together to enhance the overall health and well-being of the community, making choice D, 'all of the above,' the correct answer. Choices A, B, and C are all essential aspects of the multifaceted approach that community health nurses take to improve the health outcomes of the community.
2. Which of the following health behavior choices are essential to promoting health and preventing diseases?
- A. Getting the right kind of food, adequate sleep, physical activity, and effectively handling stress
- B. Stopping smoking and taking vacations
- C. Making sure that all prescription medications are taken properly and at the right time
- D. Avoiding crowds during flu season
Correct answer: A
Rationale: The correct answer is A. Proper nutrition, adequate sleep, engaging in physical activity, and effective stress management are crucial for promoting health and preventing diseases. Choices B, C, and D do not encompass the comprehensive approach needed for overall health and disease prevention. Stopping smoking is important for health but is not the only factor to consider. Taking vacations can contribute to well-being but is not a core health behavior choice. Ensuring proper medication intake is essential for managing specific health conditions but does not cover all aspects of health promotion. Avoiding crowds during flu season is a preventive measure for infectious diseases but is not a fundamental health behavior choice for overall well-being.
3. What does the term 'social determinants of health' refer to?
- A. Genetic predispositions
- B. Lifestyle choices
- C. Conditions in which people are born, grow, live, work, and age
- D. Access to medical care
Correct answer: C
Rationale: The term 'social determinants of health' refers to the conditions in which people are born, grow, live, work, and age. This includes factors like socioeconomic status, education, physical environment, employment, and social support networks. These factors have a significant impact on health outcomes. Choices A, B, and D are incorrect because genetic predispositions, lifestyle choices, and access to medical care, although important, are not encompassed by the term 'social determinants of health.'
4. Which playroom activities should the nurse organize for a small group of 7-year-old hospitalized children?
- A. Sports and games with rules
- B. Finger paints and water play
- C. "Dress-up" clothes and props
- D. Chess and television programs
Correct answer: A
Rationale: Sports and games with rules are appropriate for the cognitive development stage of 7-year-olds.
5. From January 1 to 15, 1996, there were 8 cases of Tetanus neonatorum in San Lazaro Hospital. There were two deaths. What is the case fatality ratio of this disease?
- A. 20%
- B. 30%
- C. 28%
- D. 25%
Correct answer: D
Rationale: The case fatality ratio is calculated as (deaths/cases) * 100. In this case, there were 2 deaths out of 8 cases. Therefore, the calculation is (2/8) * 100 = 25%. Choices A, B, and C are incorrect as they do not match the correct calculation.
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