Community HESI

Health promotion efforts for a chronically ill client should include interventions related to primary prevention. What should this include? 1 Encouraging daily physical exercise 2 Performing yearly physical examinations 3 Providing hypertension screening programs 4 Teaching a person with diabetes how to prevent complications

Encouraging daily physical exercise

What role is the nurse expected to have in a community-based nursing practice if there is a sudden spread of malaria? 1 Educator 2 Collaborator 3 Epidemiologist 4 Client advocate

Epidemiologist

During a survey, the community nurse meets a client who has not visited a gynecologist after the birth of her second child. The client says that her mother or sister never had annual gynecologic examinations. Which factor is influencing the client's health practice? 1 Spiritual belief 2 Family practices 3 Emotional factors 4 Cultural background

Family practices

Which instruction would be most beneficial for an aging African-American client with hypertension? 1 "Check the pulse daily." 2 "Have an annual urinalysis." 3 "Record blood pressure weekly." 4 "Visit an ophthalmologist monthly."

Have an annual urinalysis

What is the most important nursing intervention for minority adolescents? 1 Identifying individuals at risk for substance abuse 2 Providing counseling to adolescents during rehabilitation 3 Helping ensure improved access to appropriate healthcare 4 Guiding minority adolescents to prevent injuries and accidental deaths

Helping ensure improved access to appropriate healthcare

A nurse is instructing a group of clients in the community about food preparation. Which statement indicates a client is at an increased risk for contracting botulism? 1 "I do not usually brush my teeth after I finish eating a meal." 2 "Sometimes I eat grapes before I have a chance to wash them." 3 "Utensils that I use to cut up chicken are put into the dishwasher." 4 "I save money when I buy the slightly damaged cans of vegetables."

I save money when I buy the slightly damaged cans of vegetables

A nurse is caring for a client who has recently been sleeping for 12 to 14 hours on weekend nights. The nurse instructs the client to sleep for no longer than 9 hours because excessive sleeping can lead to health issues. What reaction might the nurse expect if the client is in the maintenance stage? 1 "I've been following a proper sleep pattern for more than a year." 2 "I like to sleep; that's why I doze. I just don't care about all this health advice." 3 "I've tried to follow a proper sleep routine, but I end up sleeping for more than 12 hours." 4 "Please suggest a regimen that can help me stay awake or will help me normalize my sleep pattern."

I've been following a proper sleep pattern for more than a year

A nurse is preparing a community health program for senior citizens. The nurse teaches the group that what physical findings are typical in older adults? 1 A loss of skin elasticity and a decrease in libido 2 Impaired fat digestion and increased salivary secretions 3 Increased blood pressure and decreased hormone production 4 An increase in body warmth and some swallowing difficulties

Increased blood pressure and decreased hormone production

The nurse administers a pneumococcal vaccine to a 70-year-old client. The client asks "Will I have to get this every year like I do with the flu shot?" How should the nurse respond? 1 "You need to receive the pneumococcal vaccine every other year." 2 "The pneumococcal vaccine should be received in early autumn every year." 3 "You should get the flu and pneumococcal vaccines at your annual physical examination." 4 "It is unnecessary to have any follow-up injections of the pneumococcal vaccine after this dose."

It is unnecessary to have any follow up injections of the pneumococcal vaccine after this dose

What makes a crisis access hospital (CAH) different from an intensive care unit (ICU)? 1 It offers 24-hour emergency care. 2 It offers health care to acutely ill people. 3 It provides temporary care for 96 hours or less. 4 It provides the most expensive health care delivery.

It provides temporary care for 96 hours or less

The registered nurse is organizing a community health care program for administering tetanus vaccinations. Which member of the health care team is most suitable for delegating the task of administering vaccinations? 1 Nursing aide 2 Certified technician 3 Patient care associate 4 Licensed practical nurse

Licensed practical nurse

The nurse is teaching campfire safety to a group of community members and includes information about what to do if a person catches on fire. The nurse teaches the most effective method for putting out the flames. Which information from the group members indicates successful learning? 1 Slap at the flames. 2 Log-roll the victim in the grass. 3 Pour cold liquid over the flames. 4 Remove the victim's burning clothes.

Log roll the victim in the grass

The parent of a 17-year-old adolescent who is going to be a foreign exchange student asks the nurse why the child must have a tetanus toxoid immunization instead of the immune globulin. The nurse responds that the tetanus toxoid immunization provides what? 1 Lifelong passive immunity 2 Longer lasting active immunity 3 Temporary active natural immunity 4 Temporary passive natural immunity

Longer lasting active immunity

A senior high school student, whose immunization status is current, asks the school nurse which immunizations will be included in the precollege physical. Which vaccine should the nurse tell the student to expect to receive? 1 Hepatitis C (HepC) 2 Influenza type B (HIB) 3 Measles, mumps, rubella (MMR) 4 Diphtheria, tetanus, pertussis (DTaP)

Measles, mumps, rubella (MMR)

During a health symposium a nurse teaches the group how to prevent food poisoning. Which statement by one of the participants indicates the teaching is understood? 1 "Meats and cream-based foods need to be refrigerated." 2 "Once most food is cooked, it does not need to be refrigerated." 3 "Poultry should be stuffed and then refrigerated before cooking." 4 "Cooked food should be cooled before being put into the refrigerator."

Meats and cream based foods need to be refrigerated

A nursing student is listing factors that may improve the quality of life of clients in the community with chronic leg ulcers. Which factor listed by the nursing student needs correction? 1 "Nursing wound care specialists should offer suggestions to improve a client's level of independence." 2 "Nursing wound care specialists should inform clients that the cost of care may be expensive and that the level of pain may increase." 3 "Nursing wound care specialists should inform clients that as their wounds heal, their capability and desire to socialize with others may increase." 4 "Nursing wound care specialists should understand that some clients have depression and anxiety related to the chronic nature of their wounds."

Nursing wound care specialists should inform clients that the cost of care may be expensive and that the level of pain may increase

A community nurse takes the initiative to vaccinate people against diseases. What kind of health care service is this? 1 Continuing care 2 Preventive care 3 Restorative care 4 Secondary acute care

Preventive care

A client who has become a mother for the first time appears anxious about her new parenting role. The nurse recommends that she join a support group for new mothers at the local YWCA. Which type of prevention is this? 1 Tertiary 2 Primary 3 Secondary 4 Therapeutic

Primary

A nurse advises a client to refrain from adding salt to food as a way to help ease high blood pressure. What kind of health care service is this? 1 Tertiary care 2 Primary care 3 Preventive care 4 Restorative care

Primary care

A nurse is teaching a birthing/prenatal class about breast-feeding. Which hormone stimulates the production of milk during lactation? 1 Inhibin 2 Estrogen 3 Prolactin 4 Progesterone

Prolactin

What should the community nurse teach about the risk of adolescent pregnancy? 1 Risk for premature birth 2 Risk for having a large baby 3 Risk for chromosomal defects 4 Risk for increased weight gain

Risk for premature birth

The nurse at a health fair has taken a client's blood pressure twice, 10 minutes apart, in the same arm while the client is seated. The nurse records the two blood pressures of 172/104 mm Hg and 164/98 mm Hg. What is the appropriate nursing action in response to these readings? 1 Refer the client to a nutritionist after providing health teaching about a low-sodium diet. 2 Place the client in a recumbent position and call the paramedics for transport to the hospital. 3 Talk with the client to assess whether there is stress in the client's life and refer to a counseling service. 4 Take the client's blood pressure in the other arm and then schedule a healthcare practitioner's appointment for as soon as possible.

Take the clients blood pressure on the other arm and then schedule a schedule a healthcare practitioner's appointment for as soon as possible

A nurse working in the health services center of a college is reviewing the vaccination records of a young adult who plans to enroll. Which immunizations are required to meet admission criteria according to the American Academy of Pediatrics (Canada: Canadian Pediatric Society)? 1 One dose of diphtheria toxoid, oral poliomyelitis, live measles, live rubella, and mumps vaccines 2 Two doses of diphtheria toxoid and; oral poliomyelitis vaccine and one dose of live measles, live rubella, and mumps vaccine 3 Three doses of diphtheria toxoid and oral poliomyelitis vaccine and one dose of live measles, live rubella, and mumps vaccine 4 Three doses of diphtheria toxoid vaccine; two doses of oral poliomyelitis vaccine; and one dose of live measles, live rubella, and mumps vaccine

Three doses of diphtheria toxoid and oral poliomyelitis vaccine and one dose of live measles, live rubella, and mumps vaccine

A nurse is teaching a health class about heart disease to older adult women. The nurse discusses the most common prodromal symptom reported by women with acute coronary heart disease that usually is not experienced by men. Which response indicates a woman in the group understands the teaching? 1 Unusual fatigue 2 Shortness of breath 3 Crushing pain in the chest 4 Substernal pressure radiating to the neck

Unusual fatigue

A registered nurse is educating a nursing student about community health nursing. Which point made by the student nurse needs correction? 1 Community health nursing is focused on preserving, protecting, promoting, or maintaining health. 2 Community health nursing emphasizes improving the quality of health and life within that community. 3 Community health nursing does not provide direct or indirect care services to subpopulations in a community. 4 Community health nursing is nursing practice in the community, with the primary focus being the health care of individuals, families, and groups in that community.

community health nursing does not provide direct or indirect care services to sub populations in a community

A nurse is teaching a community group about the basics of nutrition. A participant questions why fluoride is added to drinking water. The nurse should respond that it is a necessary element added to drinking water to promote what? 1 Dental health 2 Growth and development 3 Improved hearing 4 Night vision

dental health

A nurse is preparing to teach a mental health course at a community health center. What information should the nurse include as one of the most effective ways to limit the occurrence of mental illness in the community? 1 Developing multiple coping strategies 2 Reporting strange behaviors by others 3 Correcting myths about mentally ill people 4 Addressing genetic issues related to mental illness

developing multiple coping strategies

Health promotion efforts for a chronically ill client should include interventions related to primary prevention. What should this include? 1 Encouraging daily physical exercise 2 Performing yearly physical examinations 3 Providing hypertension screening programs 4 Teaching a person with diabetes how to prevent complications

encouraging daily physical exercise

In teaching a class about sexually transmitted infections, the nurse discusses manifestations associated with each and effects of delaying treatment. During the discussion, gummas, which are tumors that break and ulcerate, and mental and physical disability are described. Which infection is the nurse describing? 1 Chlamydia trachomatis 2 Trichomoniasis 3 Gonorrhea 4 Syphilis

syphilis

The school nurse presents a class on female reproduction to a group of junior high school girls. Which statement by a student after the class indicates a need for clarification of the teaching? 1 "A girl can get pregnant before she's had her first period." 2 "Women with big breasts have more milk after they have a baby." 3 "Girls lose less than 5 tablespoons of blood when they have a period." 4 "When a girl is born she already has all of the eggs that she'll ever have."

"Women with big breasts have more milk after they have a baby"

A client arrives at the outpatient clinic with a painful leg ulcer, and the nurse performs a physical assessment. Which clinical findings in the lower extremity support a diagnosis of an arterial ulcer? Select all that apply. 1 Lack of hair 2 Thickened toenails 3 Pain at the ulcer site 4 Diminished pedal pulse 5 Brown skin discoloration

1, 2, 3, 4

A nurse needs to provide preventive and primary care to adults during a health camp. Which of these actions should the nurse perform? Select all that apply. 1 The nurse should discuss vaccinations. 2 The nurse should discuss family planning. 3 The nurse should discuss adult day care services. 4 The nurse should instruct the health camp about the self-care at home. 5 The nurse should instruct the health camp about road safety measures

1, 2, 5

The registered nurse is teaching a community event about health promotion activities appropriate for good skin health. Which instructions given by the nurse would be beneficial? Select all that apply. 1 "Eat foods rich in vitamin B." 2 "Sleep for longer periods of time." 3 "Use alkaline soaps for better hygiene." 4 "Use sunscreen of sun protection factor (SPF) 30 daily." 5 "Avoid exposure to sun after administering ketoconazole."

1, 2, 5

A nursing student is recalling the various stages of health behavior change. What are the characteristics of the preparation stage? Select all that apply. 1 The client requires assistance to plan changes in health behavior. 2 The client intends to make changes in health behavior in the next 6 months. 3 The client becomes actively engaged in strategies to change health behavior. 4 The client understands that the advantages of health behavior change exceed the disadvantages. 5 The client makes small changes in health behavior in preparation for major changes in the next month.

1, 4, 5

During a regular checkup, a pregnant client reports constipation. Which strategies should the nurse recommend? Select all that apply. 1 Exercise regularly. 2 Take a mild laxative before breakfast. 3 Drink at least one caffeinated beverage daily. 4 Add a few tablespoons of wheat bran to cereal at breakfast. 5 Plan to have a bowel movement at the same time every day.

1, 4, 5

The nurse is trained to work as a member of a disaster preparedness team. Which activities should the nurse be prepared to perform if a disaster were to occur? Select all that apply. 1 Triage 2 Palliative care 3 Home visits to newborns 4 Decontamination procedures 5 Evaluation of the disaster plan

1, 4, 5

A nurse notes that a client is in the habit of skipping breakfast and lunch and educates the client on the harmful effects of not getting enough nutrition. Which responses are signs that the client has reached the action stage of health behavior change? Select all that apply. 1 "I still tend to skip breakfast when I'm in a hurry to get to work." 2 "I can't compromise my career for the sake of good eating habits." 3 "I know that it's not good to skip meals, but my health seems fine." 4 "I've been having my breakfast and lunch on time for the past 6 months." 5 "I follow a proper eating schedule, but sometimes it gets in the way of my work."

1, 5

What services do community health centers provide in preventive and primary care services? Select all that apply. 1 Day care 2 Health screenings 3 Physical assessments 4 Disease management 5 Acute and chronic care management

2, 3, 4

A nurse instructs a client who avoids bathing to take a bath or shower each day as a means of maintaining hygiene and preventing infection. Which of these reactions should the nurse expect if the client is in the action stage? Select all that apply. 1 "I only take a bath once a week, but I don't see any infections on my skin." 2 "I try to take a shower every day, but I skip it sometimes because of my tight work schedule." 3 "I understand that bathing regularly is a good habit, but my bathroom is very cold in the mornings." 4 "Please tell me how to get into the habit of taking a bath daily so I can keep myself clean and healthy." 5 "I want to take a bath regularly, but I don't have time because I need to look after my kids and my parents."

2, 3, 5

A nurse has opted to work in a rural hospital. Which competencies are most important in this work setting? Select all that apply. 1 Spiritual values 2 Emergency care 3 Family dynamics 4 Physical assessment 5 Clinical decision-making

2, 4, 5

A nurse is conducting cholesterol screening for a manufacturing corporation during a health fair. A 50-year-old man who is 6 feet (183 cm) tall and weighs 293 pounds (133 kg) puts out his cigarette and asks the nurse how to modify his risk factors for coronary artery disease. On which risk factors should the nurse help the client focus? Select all that apply. 1 Age 2 Height 3 Weight 4 Smoking 5 Family history

3, 4

A nurse is teaching an adult health and wellness class about bladder cancer. Which activities should the nurse include in the teaching session that increase risk? Select all that apply. 1 Jogging 3 miles (4.8 km) a day 2 Drinking three cans of cola a day 3 Smoking two packs of cigarettes a day 4 Working with dyes used in rubber every day 5 Using a jackhammer and chainsaw every day

3, 4

Which nursing activities are examples of primary prevention? Select all that apply. 1 Preventing disabilities 2 Correcting dietary deficiencies 3 Establishing goals for rehabilitation 4 Assisting with immunization programs 5 Facilitating a program about smoking cessation

4, 5

A client tells the nurse, "I keep reverting to my old habit of drinking soda, although I have stopped drinking as much." What stage of health behavior change has the client reached? 1 Action stage 2 Preparation stage 3 Maintenance stage 4 Contemplation stage

Action Stage

How should a nurse characterize a sudden terrorist act that causes the deaths of thousands of adults and children and negatively affects their families, friends, communities, and the nation? 1 Recurring 2 Situational 3 Maturational 4 Adventitious

Adventitious

The mother of a large family asks the home health nurse for inexpensive sources of B vitamins. Which suggestion should the nurse make? 1 "Eat more red meat." 2 "Bake with whole wheat flour." 3 "Include more eggs in the diet." 4 "Sprinkle organic wheat germ on casseroles."

Bake with whole wheat flour

The home health nurse provides education to a client with cancer of the tongue who will begin gastrostomy feedings at home. Which statement by the client indicates teaching by the nurse is effective? 1 "Before I start the procedure, I will don sterile gloves." 2 "Before I start the procedure, I will obtain my body weight." 3 "Before I start the procedure, I will measure the residual volume." 4 "Before I start the procedure, I will instill one ounce (30 mL) of a carbonated liquid."

Before I start the procedure, I will measure the residual volume

How does a nurse play the role of a "change agent" in a community-based nursing practice? 1 By helping clients identify and clarify health problems 2 By establishing relationships with community service organizations 3 By establishing an appropriate plan of care, based on assessment of clients 4 By identifying and implementing new and more effective approaches to problems

By identifying and implementing new and effective approaches to problems

A nurse is teaching a community health class for middle-aged adults. Which topic is priority? 1 Cessation of smoking 2 Prevention of infection 3 Abstinence from alcohol 4 Decreasing high-density lipoproteins (HDL) levels

Cessation of smoking

What purpose does a community health center serve in preventive and primary care services? 1 Community health centers are outpatient clinics that provide primary care to a specific population. 2 Community health centers aim to increase worker productivity, decrease absenteeism, and reduce the use of costly medical care. 3 Community health centers emphasize program management, interdisciplinary collaboration, and community health principles. 4 Community health centers include a complete program designed for health promotion and accident or illness prevention in the workplace.

Community health centers are outpatient clinics that provide primary care to a specific population

The nurse is teaching first aid to a group of community members. A participant asks what first aid should be administered, after calling 911, to a person who suffers extensive burns. Which response by the nurse is best? 1 "Apply ice to burned areas; this decreases pain." 2 "Cover the burned areas with a bed sheet; this provides protection." 3 "Do nothing; attempting to treat the burned areas may cause further damage." 4 "Use first aid cream to burned areas; this prevents infection and decreases pain."

Cover the burned area with a bed sheet, this provides protection

A nursing student lists the preventive and primary care services available in schools, primary healthcare provider's offices, occupational health clinics, community health centers, and nursing centers. Which service provided by these centers is most expensive? 1 Running errands 2 Health education 3 Disease management 4 Routine physical examinations

Disease management