Community Health HESI Study Guide

Community Health HESI Study Guide Related

Review Community Health HESI Study Guide related questions and content

Mark, 9 months old, is given oral rehydration solution because of diarrhea with some dehydration. In your follow-up visit, you observed that Mark's eyes become puffy. Which one of the following would you advise Mark's mother?

  • A. continue giving ORS but more slowly
  • B. show mother how much solution to give
  • C. stop ORS and give plain water or milk
  • D. reassess patient to determine how much ORS to give
Correct Answer: A

Rationale: In this scenario, observing puffy eyes in a child being treated with oral rehydration solution may indicate fluid overload. Continuing to give ORS but more slowly is the correct course of action as it helps manage hydration without overloading fluids. Choice B is not the best option in this situation as the issue is not about the quantity of the solution, but the rate of administration. Choice C is incorrect because plain water or milk is not a suitable alternative for rehydration in cases of dehydration. Choice D is also incorrect as reassessing the patient does not directly address the issue of puffy eyes, which suggests a need to adjust the administration of ORS.

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This refers to trained community health workers or health auxiliary volunteers:

  • A. Village health workers
  • B. Barangay health workers
  • C. All of the above
  • D. None of the above
Correct Answer: C

Rationale: The correct answer is C, 'All of the above.' Both village health workers and barangay health workers are trained community health workers or health auxiliary volunteers. Choice A, 'Village health workers,' is correct as they are trained community health workers. Choice B, 'Barangay health workers,' is also correct as they also refer to trained community health workers. Therefore, since both options A and B are accurate, the correct answer is C, 'All of the above.' Choice D, 'None of the above,' is incorrect as both village health workers and barangay health workers fit the description provided in the question.

You organize community groups to participate in community activities. You can BEST motivate participation in the community health development program by:

  • A. Conducting group work
  • B. Instructing the people to agree with your plans
  • C. Allowing the people to exercise decision-making
  • D. Assigning people participative roles
Correct Answer: C

Rationale: Allowing people to exercise decision-making is the best way to motivate participation in community activities. By involving the community in decision-making processes, you empower them and make them feel valued, which can lead to increased engagement and commitment. Choices A, B, and D do not foster a sense of ownership and empowerment among the community members, which are crucial for sustainable participation in community programs.

The delivery of basic health services was decentralized to the local government units. The legal basis for this is embodied in:

  • A. RA 7035
  • B. EO 119
  • C. RA 7160
  • D. PD 999
Correct Answer: C

Rationale: The correct answer is C, RA 7160. This law, also known as the Local Government Code, decentralizes health services to local government units. RA 7035 is not the legal basis for decentralizing basic health services. EO 119 and PD 999 are also not the correct legal bases for the decentralization of health services.

A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse should monitor the client for which of the following side effects?

  • A. Hypertension
  • B. Muscle spasms
  • C. Drowsiness
  • D. Tachycardia
Correct Answer: C

Rationale: The correct answer is C: Drowsiness. Baclofen, a muscle relaxant commonly used to treat conditions like multiple sclerosis, can cause drowsiness as a side effect. Monitoring for drowsiness is important to ensure the client's safety and well-being. Choice A, Hypertension, is incorrect because baclofen is not known to cause hypertension. Choice B, Muscle spasms, is not a common side effect of baclofen but rather the symptom it is used to treat. Choice D, Tachycardia, is also incorrect as baclofen is not associated with causing an increase in heart rate.

When teaching a responsible family member how to perform a certain procedure for the patient, what is the best approach?

  • A. Perform all these steps
  • B. Arrange for the practice of the procedure
  • C. Describe the procedure
  • D. Demonstrate the procedure
Correct Answer: D

Rationale: The best approach when teaching a responsible family member a procedure for the patient is to demonstrate the procedure. By demonstrating, the family member can visually see how it is done, making it easier for them to understand and replicate. This hands-on approach is more effective than just describing the procedure (choice C) or arranging for practice (choice B) without a visual demonstration. Performing all the steps (choice A) may not be practical or necessary when the goal is to teach someone else how to do it.

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