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Community Health HESI Exam
1. Which of the following measures the risk of dying from causes related to pregnancy, childbirth, and puerperium?
- A. maternal mortality
- B. neonatal death rate
- C. fetal death rate
- D. infant mortality rate
Correct answer: A
Rationale: The correct answer is A, maternal mortality. Maternal mortality specifically measures the risk of dying from pregnancy-related causes. Neonatal death rate, fetal death rate, and infant mortality rate focus on different populations and timeframes. Neonatal death rate refers to deaths within the first 28 days of life, fetal death rate measures stillbirths, and infant mortality rate includes deaths of infants under one year of age. Therefore, A is the most appropriate measure for assessing the risk of dying from causes related to pregnancy, childbirth, and puerperium.
2. Which of the following is the earliest school of nursing in the country?
- A. Iloilo Mission Hospital School of Nursing
- B. St. Paul's Hospital School of Nursing
- C. University of Sto. Tomas College of Nursing
- D. Manila Central University
Correct answer: A
Rationale: The correct answer is A: Iloilo Mission Hospital School of Nursing. This nursing school holds the distinction of being the earliest in the Philippines. St. Paul's Hospital School of Nursing, University of Sto. Tomas College of Nursing, and Manila Central University are not the oldest nursing schools in the country, making them incorrect choices.
3. 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.
4. Which of the following best describes the concept of 'health disparity'?
- A. Differences in health outcomes and their determinants between different segments of the population
- B. Providing equal healthcare services to all individuals
- C. Access to healthcare services regardless of income
- D. High-quality healthcare for everyone
Correct answer: A
Rationale: The correct answer is A: 'Differences in health outcomes and their determinants between different segments of the population.' Health disparity refers to variations in health status or health care utilization between different groups. Choice B is incorrect because providing equal healthcare services to all individuals is related to health equity, not health disparity. Choice C is also incorrect as it refers to universal access to healthcare, which is different from health disparity. Choice D is incorrect as it describes the concept of high-quality healthcare for everyone, not health disparity.
5. Environmental sanitation is the primary problem in community Y. As a stranger to the health unit, one of the major strategies in your plan is the improvement of the environmental health conditions of the community. To indicate this, which of the following would you do?
- A. meet with youth officials and parents' group leaders
- B. meet with religious and educational leaders
- C. request mayors to create a task force to help implement your project
- D. inform local announcers to disseminate the what and why of your project
Correct answer: C
Rationale: In this scenario, requesting mayors to create a task force is the most effective strategy to improve environmental health conditions in the community. Engaging with local government officials ensures the allocation of resources, coordination of efforts, and the implementation of sustainable solutions. While meeting with youth officials, parents' group leaders, religious and educational leaders are important, involving mayors in creating a task force will lead to broader community involvement and support. Informing local announcers about the project, although helpful for awareness, is not as impactful as engaging with local authorities for tangible change.
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