Community Health HESI Test Bank 2023

Community Health HESI Test Bank 2023 Related

Review Community Health HESI Test Bank 2023 related questions and content

What action is best for the community health nurse to take if the nurse suspects that an infant is being physically abused?

  • A. Follow agency protocols to report suspected abuse.
  • B. Report suspicions to the local child abuse reporting hotline.
  • C. Educate the child's caregivers about growth and development issues.
  • D. Call the police department to have the child removed from the home.
Correct Answer: A

Rationale: When a community health nurse suspects that an infant is being physically abused, the best course of action is to follow agency protocols to report the suspected abuse. This is essential to ensure that the appropriate authorities are informed, and proper interventions can be initiated. Reporting suspicions to the local child abuse reporting hotline (Choice B) can be a part of the agency protocols but may not cover all necessary steps. Educating the child's caregivers about growth and development (Choice C) is not appropriate in cases of suspected abuse, as the immediate focus should be on the safety and well-being of the infant. Calling the police department to have the child removed from the home (Choice D) is not the primary role of the nurse; the proper authorities should handle the removal process after an investigation.

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A Hispanic client refuses emergency room treatment until a curandero is called. The nurse understands that this person brings what to situations of illness?

  • A. Holistic healing
  • B. Spiritual advising
  • C. Herbal preparations
  • D. Witchcraft potions
Correct Answer: A

Rationale: A curandero practices holistic healing, which includes addressing the physical, spiritual, and emotional aspects of illness. Choice A is correct because holistic healing aligns with the curandero's approach. Choices B, C, and D are incorrect because while spiritual advising, herbal preparations, and witchcraft potions may be part of some cultural healing practices, they do not fully capture the comprehensive nature of holistic healing provided by a curandero.

Which family planning method is not advisable for women with extremely irregular menstrual periods?

  • A. oral contraceptives
  • B. diaphragm
  • C. natural family planning
  • D. vaginal contraceptives
Correct Answer: C

Rationale: Natural family planning relies on tracking menstrual cycles to determine fertile days for avoiding or achieving pregnancy. It may not be suitable for women with extremely irregular menstrual periods as it can be challenging to predict fertile days accurately. Oral contraceptives (A), diaphragms (B), and vaginal contraceptives (D) do not rely on regular menstrual cycles for their effectiveness, making them more suitable options for women with irregular periods.

During the beginning shift assessment of a client with asthma who is receiving oxygen via nasal cannula at 2 liters per minute, the nurse would be most concerned about which unreported finding?

  • A. Pulse oximetry reading of 89%
  • B. Crackles at the base of the lungs on auscultation
  • C. Rapid shallow respirations with intermittent wheezes
  • D. Excessive thirst with a dry cracked tongue
Correct Answer: C

Rationale: Rapid, shallow respirations with intermittent wheezes are concerning as they indicate a potential worsening of the client's asthma. This finding suggests airway narrowing, which can lead to respiratory failure. Immediate intervention is required to address this respiratory distress. A pulse oximetry reading of 89% is low and indicates hypoxemia, but the respiratory pattern described in option C takes priority as it directly reflects the client's respiratory status. Crackles at the base of the lungs suggest fluid accumulation, which is important but not as immediately critical as the respiratory distress in asthma. Excessive thirst and a dry cracked tongue may indicate dehydration, which is relevant but not as urgent as the respiratory compromise presented in option C.

Manny Pacquiao, a Filipino and world boxing champion, used to advertise a muscle pain-relieving drug popularly known in the Philippine market. What can be an equally effective medicinal alternative, especially in far-flung communities and provinces, to relieve muscles and joint pains and prove to be non-costly?

  • A. Sambong
  • B. Lagundi
  • C. Akapulko
  • D. Yerba Buena
Correct Answer: D

Rationale: Yerba Buena is a suitable alternative for muscle and joint pain relief, particularly in remote areas due to its cost-effectiveness and proven efficacy. Sambong is more commonly used for urinary tract problems, Lagundi is known for respiratory conditions, and Akapulko is primarily used for skin diseases, making them less effective alternatives for muscle and joint pain relief.

In this municipality, what should the nursing health care plan focus on?

  • A. Rehabilitative services
  • B. All of these services
  • C. Health promotion and disease prevention
  • D. Curative services
Correct Answer: C

Rationale: In this municipality, the nursing health care plan should primarily focus on health promotion and disease prevention. This approach addresses the underlying causes of health problems, promotes overall well-being, and helps prevent illnesses before they occur. While rehabilitative and curative services are important, health promotion and disease prevention are crucial for fostering a healthier community in the long term. Therefore, choices A, B, and D are not the best options as they do not prioritize preventing health issues at the root cause.

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