Community Health HESI Exam - Nurselytic

Questions 56

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Community Health HESI Exam Questions

Question 1 of 5

Which topic should the nurse include in planning a primary prevention class for adolescents?

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.

Question 2 of 5

In planning the use of resources for secondary prevention in a community clinic serving migrant families, which activity should be the priority?

Correct Answer: A

Rationale: The correct answer is A: Skin testing for tuberculosis. In a community clinic serving migrant families, tuberculosis is a significant health concern due to close living conditions and potential exposure during migration. Skin testing for tuberculosis is crucial for secondary prevention as it helps in early detection and prevention of the spread of the disease within the community.

Choices B, C, and D are important health screenings but may not be the priority in this specific population where tuberculosis poses a higher risk.

Question 3 of 5

After accepting the position of school nurse in a public elementary school, what strategy is best for the nurse to use to obtain an overview understanding of the student body?

Correct Answer: D

Rationale: Conducting a windshield survey is the best strategy for the nurse to obtain an overview understanding of the student body. This method allows the nurse to observe the community, its resources, potential health hazards, and demographic information. Reviewing health records (
Choice
A) would provide detailed health information but not an overview of the student body. Talking with the parent-teacher association (
Choice
B) may offer insights but not a comprehensive overview. Sending a survey form to parents (
Choice
C) may provide specific information but may not capture a broad understanding of the student body.

Question 4 of 5

A male client is brought to the emergency department as the result of a motorcycle accident. He was not wearing a helmet at the time of the accident and states that he has no intention of ever wearing one. Within the framework of the Transtheoretical Model (TTM), which response should the nurse provide?

Correct Answer: C

Rationale: In the context of the Transtheoretical Model (TTM), the correct response is option C: "Riding a motorcycle with a helmet increases your safety." This response aligns with the principles of the TTM by providing the client with factual information that supports the behavior change of wearing a helmet. At this stage, the client may be in the contemplation or preparation stage, where they are more open to considering the benefits of wearing a helmet for their safety.

Option A is incorrect because it does not provide any guidance or education to the client regarding the importance of helmet use. Option B is not as effective as option C because it does not emphasize the safety benefits of wearing a helmet. Option D is also incorrect as it dismisses the client's perspective without providing any constructive information.

In an educational context, it is crucial for nurses to apply theoretical models like the TTM to promote positive health behaviors. By providing evidence-based information and support, nurses can help clients move through the stages of behavior change towards adopting healthier practices, such as wearing a helmet for motorcycle safety. This approach not only enhances individual health outcomes but also contributes to the overall well-being of the community.

Question 5 of 5

A community health nurse is planning to implement an outreach program for a community group. Which criteria should the nurse clarify about the program when examining sources for funding?

Correct Answer: B

Rationale: Identifying populations and individuals in need of healthcare services is essential when seeking funding for an outreach program. This criterion helps demonstrate the relevance and impact of the program on specific groups requiring healthcare services.
Choice A is incorrect because while addressing multiple health problems is important, identifying the target population in need of services is more critical for funding considerations.
Choice C is incorrect as evaluating variations in health services and status, though valuable, is not directly related to securing funding.
Choice D is incorrect as offering services in various community locations is a component of the program's implementation, not a criterion for funding.

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