RN HESI Community Health with NGN

Extract:

Question 1 of 5

A community health nurse who works in a Gulf Coast town that caters to tourists is conducting a disaster management class for residents and business owners. What is the most important content for the nurse to include in this class?

Correct Answer: C

Rationale: Given the geographical location of the Gulf Coast town, hurricane preparedness for families and businesses is the most important content to include in the class. Hurricanes are a common natural disaster in this area, and being prepared can help reduce the impact of such events.

Question 2 of 5

The community health nurse suspects that immunization rates in a lower-socioeconomic section of %%city are likely below the state health department's target. What should be the nurse's initial action to address this health problem?

A. Call a meeting of citizens to inform them of the importance of having their children immunized. B. Partner with a local children's hospital to set up free immunization clinics in the neighborhood. C. Join a political action group that focuses attention on the issue in the local news media. D. Review current epidemiological population data that might document a low immunization rate.

Correct Answer: D

Rationale: Reviewing current epidemiological population data would provide the nurse with a clear picture of the immunization rates in different sections of the city. This should be the initial step as it would guide subsequent actions, such as setting up immunization clinics in areas where they are most needed.

Question 3 of 5

A client comes to the clinic for an annual physical exam. When asked about their influenza vaccine status, the client responds, â€œI never get the vaccine because I don't get the flu.â€. Which aspect of the Health Belief Model is the client demonstrating?

A. Perceived barriers. B. Perceived susceptibility. C. Perceived severity. D. Perceived benefits.

Correct Answer: A

Rationale: The client's decision not to get the flu vaccine because they don't get the flu demonstrates perceived barriers, one aspect of the Health Belief Model. The client may perceive that the potential discomfort or inconvenience of getting the vaccine outweighs the benefits.

Question 4 of 5

A 42-year-old male client, who started experiencing mild flu-like symptoms 2 days ago, including an oral temperature of 101.2 Â°F (38.4 Â°C), came to the emergency department today due to increasing shortness of breath, cough, and chest pain. The client has no significant medical or surgical history. He occasionally drinks alcohol but denies smoking or drug use. He mentioned that he works in a government building and opened a package that was full of white powder. He may have inhaled some of the powder and coughed a few times but did not have any problems until a couple of days later. What actions should be taken?

A. Apply oxygen via a nasal cannula. B. Place the client on a cardiorespiratory monitor. C. Infuse IV fluid boluses. D. Administer antiviral medication.

Correct Answer: B

Rationale: Given the client's symptoms and potential exposure to an unknown substance, it is crucial to monitor his vital signs and cardiorespiratory status. This will help healthcare providers detect any changes in the client's condition and respond appropriately.

Question 5 of 5

An older adult client visits the community health clinic, reporting the onset of pain, redness, and swelling in the right eye. What is the most important for the clinic nurse to ask the client?

A. Do you have any discharge from the eye? B. Are all of your immunizations up-to-date? C. Have you started any new medications recently? D. How frequently do you wash your hands?

Correct Answer: A

Rationale: If an older adult client reports pain, redness, and swelling in the eye, asking about discharge from the eye is crucial. These symptoms could indicate a number of conditions, including conjunctivitis or uveitis. Discharge, especially if it is pus-like or sticky, could suggest an infection.