HESI RN
HESI Community Health Questions
Question 1 of 5
A government office worker is seen in the emergency room after opening an envelope containing a powder-like substance which is being tested for anthrax. Which discharge instruction should the nurse provide the client concerning inhalation anthrax?
Correct Answer: A
Rationale: The correct answer is A) return to the emergency room if flu-like symptoms develop within 42 days. This instruction is crucial because inhalation anthrax symptoms can mimic those of the flu initially, and early detection and treatment are key to a better prognosis. By advising the client to seek medical attention promptly if flu-like symptoms develop, the nurse is ensuring timely evaluation and appropriate management. Option B) notify co-workers to get the anthrax vaccine at the public health department is incorrect because there is no vaccine available for anthrax exposure. Anthrax vaccine is only recommended for prevention, not for post-exposure treatment. Option C) isolation from friends and family members is recommended for 3 weeks is incorrect as it is not necessary for inhalation anthrax. Anthrax is not transmitted person-to-person, so isolation is not required. Option D) cleanse all surfaces touched with pre-moistened anti-bacterial wipes is incorrect because anthrax is primarily spread through inhalation of spores, not through surface contact. While general hygiene practices are important, they are not the primary focus in managing inhalation anthrax exposure. In an educational context, understanding the specific instructions for managing anthrax exposure is vital for healthcare professionals working in community health settings. Providing accurate information and clear instructions to clients in such situations can significantly impact their outcomes and overall well-being.
Question 2 of 5
When developing a presentation on injury prevention for high school students in a health education class, which topic is most important for the nurse to include?
Correct Answer: C
Rationale: In the context of developing a presentation on injury prevention for high school students in a health education class, the most important topic for the nurse to include is seat belt safety (Option C). This is because motor vehicle accidents are a leading cause of injury and death among teenagers. By emphasizing the importance of seat belt use, the nurse can directly address a key risk factor for serious injuries in this age group. Sports-related injuries (Option A) are important to address, but they are more specific and may not apply to all students. Substance abuse (Option B) and pregnancy prevention (Option D) are also significant topics, but they do not directly pertain to injury prevention through seat belt safety, which is crucial for all high school students regardless of their personal situations. Educationally, focusing on seat belt safety provides a practical and universal message that can help students make safer choices every time they get in a vehicle. By highlighting this topic, the nurse can contribute to reducing the risk of serious injuries and fatalities among high school students, making a direct impact on their well-being and promoting lifelong safety habits.
Question 3 of 5
Which intervention by the community health nurse is an example of a secondary level of prevention?
Correct Answer: C
Rationale: In this scenario, option C, administering influenza vaccines to residents of a nursing home, is an example of a secondary level of prevention. Secondary prevention aims to detect and treat health conditions early to prevent their progression and complications. Administering vaccines helps prevent the spread of influenza among vulnerable populations, reducing the risk of severe illness and complications. Option A, providing a needle exchange program, falls under primary prevention as it aims to prevent the initial occurrence of disease by reducing risk factors such as needle sharing among intravenous drug users. Option B, developing an educational program for clients with diabetes mellitus, is more aligned with tertiary prevention, which focuses on managing and reducing the impact of existing conditions to prevent further complications. Option D, initiating contact notifications for sexual partners of an HIV client, is a form of disease control and partner notification, falling under the realm of primary prevention by aiming to prevent the spread of HIV to others. Understanding the levels of prevention is crucial for community health nurses as it helps in planning and implementing appropriate interventions to promote health and prevent disease within the community.
Question 4 of 5
After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. What action should the nurse implement to evaluate the effectiveness of the program?
Correct Answer: D
Rationale: The correct answer is D) measure the prevalence of pediculosis capitis among the children after four months. In community health nursing, evaluating the effectiveness of a program is crucial to determine its impact. By measuring the prevalence of pediculosis capitis after four months, the nurse can objectively assess if the program has been successful in eradicating the condition. This data provides concrete evidence of the program's effectiveness in achieving its goal. Option A is incorrect because it focuses on the teachers' ability to identify pediculosis capitis, which is not a direct measure of the program's effectiveness in eradicating the condition. Option B is incorrect as conducting an initial examination only provides baseline data and does not show the program's impact over time. Option C is incorrect as surveying parents about their understanding does not directly measure the program's success in eradicating the condition among the children. By choosing option D, the nurse can quantitatively assess the impact of the program on the prevalence of pediculosis capitis in the school population, providing valuable data for future program planning and evaluation in community health nursing practice.
Question 5 of 5
The nurse is developing a workshop on cancer prevention for a group of adults at a wellness bar. Which recommendation should the nurse include in the workshop?
Correct Answer: B
Rationale: In community health nursing, promoting cancer prevention strategies is crucial. Option B, maintaining a healthy weight and exercising regularly, is the most appropriate recommendation for the workshop. This is because obesity and physical inactivity are known risk factors for various cancers. Educating adults on the importance of weight management and regular exercise empowers them to make positive lifestyle choices to reduce their cancer risk. Option A, knowing the 4 warning signs of cancer, is important but is more focused on early detection rather than prevention. Option C, refraining from alcohol, is also a valid recommendation as excessive alcohol consumption is linked to certain types of cancer, but it is not as universally applicable as maintaining a healthy weight and exercising. Option D, obtaining sufficient sleep, while important for overall health, is not as directly linked to cancer prevention as the maintenance of a healthy weight and regular exercise. Educationally, emphasizing the impact of lifestyle choices on cancer risk empowers individuals to take control of their health. By providing evidence-based recommendations like maintaining a healthy weight and exercising regularly, nurses can equip adults with actionable steps to reduce their cancer risk, promoting overall well-being and longevity.