HESI LPN
Community Health HESI Exam Questions
Question 1 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 2 of 5
A community health nurse is conducting a neighborhood discussion group about disaster planning. What information regarding the transmission of anthrax should the nurse provide to the group?
Correct Answer: A
Rationale: The correct information that the nurse should provide to the group is that anthrax infection occurs when spores enter a host. Choice B is incorrect because mature anthrax bacteria do not live dormant on inanimate objects. Choice C is incorrect because anthrax spores can survive for extended periods outside of a living host. Choice D is incorrect because anthrax is not transmitted by respiratory droplets from person to person; it is acquired through spores entering a host.
Question 3 of 5
The RN is making a home visit to a female client with end-stage heart disease. She has a living will and states she will never go back to the hospital. During the visit, the RN notes that the client is pale and SOB while speaking. The RN discovers 3+ edema in both ankles and bilateral pulmonary crackles. Which intervention should the RN implement first?
Correct Answer: B
Rationale: Obtaining a peripheral O2 saturation reading is the priority intervention in this scenario. It helps assess the client's oxygenation status quickly, which is crucial in a client with signs of respiratory distress, such as shortness of breath and bilateral pulmonary crackles. Ordering a chest X-ray (Choice A) may be necessary later but does not address the immediate need for oxygen assessment. Obtaining an order for a complete blood count (Choice C) is not the priority in this situation as it does not directly address the client's respiratory distress. Instructing the patient to stay in bed (Choice D) does not address the underlying issue of potential hypoxia and respiratory compromise.
Question 4 of 5
The RN is serving on a medical center committee to update goals and protocols based on the national standards. Which goal most directly addresses the Healthy People 2020 initiative?
Correct Answer: C
Rationale: The correct answer is C: 'Provide access to health services.' This goal most directly addresses the Healthy People 2020 initiative, which aims to improve health care access for all individuals. Option A, 'Reduce ED wait time for indigent clients,' focuses on efficiency rather than access. Option B, 'Providing transportation for medically challenged clients,' addresses a specific need but does not cover overall health service access. Option D, 'Refer clients to local health department for medical services,' involves referral rather than direct access to services.
Question 5 of 5
Community Health Nursing (CHN) in the Philippines encompasses healthcare provisions affecting four clients: individuals, families, population groups, and communities. In the course of our community health work, traditional, non-traditional, alternative, or complementary health care strategies are utilized. The legal basis for this action may be derived from the:
Correct Answer: B
Rationale: The correct answer is B: Traditional and Alternative Health Care Law. This law provides the legal basis for integrating alternative health care strategies. The PhilHealth Act (Choice A) focuses on health insurance, the Philippine Nursing Act (Choice C) regulates the nursing profession, and the Philippine Medical Act (Choice D) pertains to the medical profession. These laws are not directly related to the integration of traditional, non-traditional, alternative, or complementary health care strategies in community health work.