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Community Health HESI Exam
1. 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.
2. A Hispanic client confides in the nurse that she is concerned that staff may give her newborn the 'evil eye.' The nurse should communicate to other personnel that the appropriate approach is to
- A. Touch the baby after looking at him
- B. Talk very slowly while speaking to him
- C. Avoid touching the child
- D. Look only at the parents
Correct answer: A
Rationale: In some Hispanic cultures, touching the baby after looking at them is believed to prevent the 'evil eye.' Respecting this cultural belief can help build trust and comfort with the client. Choices B, C, and D are incorrect as they do not address the specific cultural concern raised by the client. Talking slowly or avoiding touching the child does not relate to the belief in the 'evil eye.' Similarly, focusing only on the parents does not address the client's worry about the newborn receiving the 'evil eye.'
3. Which intervention should the public health nurse implement to address one of the leading health indicators of Healthy People 2020?
- A. Lead a weekly water aerobics class for the elderly at a community center.
- B. Teach a class on cultural awareness to nursing students at the university.
- C. Design and implement a no smoking campaign at the local high school.
- D. Write a grant to help provide glucometers to individuals who cannot afford one.
Correct answer: C
Rationale: Designing and implementing a no smoking campaign aligns with the objective of reducing tobacco use, which is one of the leading health indicators of Healthy People 2020. This intervention directly targets a significant public health concern. Leading a water aerobics class, teaching cultural awareness, or providing glucometers, while beneficial in other contexts, do not specifically address the leading health indicators outlined by Healthy People 2020.
4. 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.
5. In order to be effective as an occupational health nurse, you should be equipped with knowledge and skills in which of the following:
- A. public health science
- B. research process
- C. interviewing and counseling
- D. oral and written communication
Correct answer: D
Rationale: To be effective as an occupational health nurse, having knowledge and skills in public health science, the research process, interviewing and counseling, and oral and written communication are all important. However, communication skills, both oral and written, are crucial for conveying information, educating employees, documenting findings, and collaborating with other healthcare professionals. While public health science, research process, interviewing, and counseling are essential, oral and written communication is fundamental for effective communication and coordination in the workplace, making it the most critical skill for an occupational health nurse.
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