HESI RN
HESI Community Health Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is caring for a client with the sexually transmitted disease HPV. The client reports having had prior sexually transmitted infections. Which response should the nurse provide?
Correct Answer: B
Rationale: The correct response for the nurse to provide in this situation is option B: instruct the client of the importance of notifying sexual partners. This response is the most appropriate because it focuses on a crucial aspect of managing sexually transmitted diseases (STDs), which is partner notification to prevent further spread of the infection. By informing sexual partners, they can seek testing and treatment, thus breaking the chain of transmission. Option A is incorrect because while safe sex practices are important in preventing STD transmission, in this scenario, the client already has HPV, so the focus should be on managing the current infection. Option C is incorrect as complications can indeed occur if HPV is left untreated or unmanaged. Reassuring the client that complications will not occur may lead to a false sense of security. Option D is also incorrect as it is not relevant to the situation at hand. While contraceptives may offer some protection against certain infections, they do not protect against all STDs, including HPV. From an educational perspective, this question highlights the importance of comprehensive STD management, which includes not only treating the current infection but also taking steps to prevent its spread to others. It emphasizes the nurse's role in educating clients about responsible sexual behavior and partner notification to promote public health and prevent further transmission of STDs.
Question 4 of 5
A community health nurse is planning a program to address the rising rates of obesity in the community. Which intervention should the nurse prioritize?
Correct Answer: A
Rationale: In the context of addressing rising rates of obesity in a community, the priority intervention for a community health nurse should be organizing community exercise programs (Option A). This intervention is the most effective as it not only promotes physical activity but also fosters social support and community engagement, which are crucial factors for sustaining healthy behaviors long-term. By providing a structured and accessible opportunity for community members to engage in physical activity, the nurse can directly impact obesity rates and promote overall health and well-being. Distributing educational materials on healthy eating (Option B) is important but may not be as effective in isolation since knowledge alone does not always translate into behavior change. Partnering with local grocery stores to provide discounts on healthy foods (Option C) is a valuable initiative but may not address the root causes of obesity or reach all community members. Conducting health screenings for early detection of obesity-related conditions (Option D) is essential for individual health management but may not have as broad of an impact on population health as community-wide interventions like exercise programs. In an educational context, it is important for students to understand the principles of community health nursing and the significance of evidence-based interventions in addressing public health issues. By prioritizing interventions that have a greater potential for population-level impact, nurses can maximize their effectiveness in promoting health and preventing disease within communities.
Question 5 of 5
A nurse is planning a community health fair to promote cardiovascular health. Which activity should be included to best engage participants?
Correct Answer: A
Rationale: In community health nursing, engaging participants in health promotion activities is crucial for successful outcomes. The correct answer is A) free blood pressure screenings because it is a hands-on, interactive activity that directly involves participants in assessing their cardiovascular health. This activity not only raises awareness but also provides immediate feedback, promoting early detection and prevention of cardiovascular issues. Option B) lectures on heart-healthy diets may be informative but may not be as engaging for all participants, as passive learning methods are not always as effective in community settings where diverse learning styles are present. Option C) distribution of pamphlets on heart disease is informative but lacks the interactive component needed to actively engage participants and may not ensure that the information is understood or retained. Option D) cooking demonstrations of healthy recipes, while beneficial, may not be as inclusive for all participants who may have dietary restrictions or preferences, limiting their engagement. By incorporating free blood pressure screenings, the nurse can create a more interactive and inclusive environment that promotes active participation and empowers individuals to take control of their cardiovascular health. This approach aligns with best practices in community health nursing by focusing on participant engagement and empowerment for better health outcomes.