Community Health HESI Exam

Community Health HESI Exam Related

Review Community Health HESI Exam related questions and content

When planning the care for a young adult client diagnosed with anorexia nervosa, which of these concerns should the nurse determine to be the priority for long term mobility?

  • A. Digestive problems
  • B. Amenorrhea
  • C. Electrolyte imbalance
  • D. Blood disorders
Correct Answer: B

Rationale: The correct answer is B: Amenorrhea. Amenorrhea, or the absence of menstruation, is a common long-term consequence of anorexia nervosa due to low body weight and hormonal imbalances. Addressing amenorrhea is crucial for the patient's overall health and reproductive potential.

Choice A, Digestive problems, may also be a concern in anorexia nervosa, but in terms of long-term mobility, amenorrhea takes priority because of its impact on hormonal balance and bone health.

Choice C, Electrolyte imbalance, is important to address in anorexia nervosa due to potential cardiac complications, but it is not directly linked to long-term mobility concerns.

Choice D, Blood disorders, while they can occur in anorexia nervosa, are not as directly related to long-term mobility as amenorrhea, which can significantly affect bone health and mobility in the future.

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An infant weighed 7 pounds 8 ounces at birth. If growth occurs at a normal rate, what would be the expected weight at 6 months of age?

  • A. Double the birth weight
  • B. Triple the birth weight
  • C. Gain 6 ounces each week
  • D. Add 2 pounds each month
Correct Answer: A

Rationale: The correct answer is A: 'Double the birth weight.' Infants typically double their birth weight by 6 months of age. This is a common milestone in healthy infant growth and development. Choice B is incorrect because tripling the birth weight would be excessive and not in line with normal growth patterns. Choice C, 'Gain 6 ounces each week,' is not accurate as infant growth is not linear each week. Choice D, 'Add 2 pounds each month,' is also incorrect as this rate of growth would be too rapid and unrealistic for healthy infant development.

Which of the following would be the best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes?

  • A. Provide written pre and post tests
  • B. Ask questions during practice
  • C. Allow another diabetic to assist
  • D. Observe a return demonstration
Correct Answer: D

Rationale: The best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes is to observe a return demonstration. This method ensures that the client can correctly perform the technique. Providing written pre and post tests (choice A) may assess knowledge but not application. Asking questions during practice (choice B) may help with understanding but not necessarily with the actual performance. Allowing another diabetic to assist (choice C) may provide peer support but does not guarantee correct technique demonstration.

The nurse is evaluating the effectiveness of a community health program aimed at reducing teen pregnancy rates. Which outcome indicates the program was successful?

  • A. increased attendance at health education classes
  • B. decreased number of repeat pregnancies among teens
  • C. higher number of teens seeking prenatal care
  • D. greater use of contraception among teens
Correct Answer: D

Rationale: The correct answer is D: greater use of contraception among teens. This outcome indicates successful prevention of pregnancies by demonstrating that teens are taking proactive steps to avoid unintended pregnancies. Increased attendance at health education classes (choice A) may show improved knowledge but does not directly measure the prevention of pregnancies. While a decreased number of repeat pregnancies among teens (choice B) is positive, it does not necessarily indicate prevention of initial pregnancies. A higher number of teens seeking prenatal care (choice C) is important for maternal and fetal health but does not directly reflect the prevention of teen pregnancies.

A community health action that focuses on reducing the frequency and severity of asthma in inner-city children by requiring a local incinerator to install particulate filters is an example of:

  • A. downstream intervention
  • B. risk management
  • C. primary prevention
  • D. upstream intervention
Correct Answer: D

Rationale: The correct answer is D: upstream intervention. Upstream thinking addresses the root causes of health problems to create long-term solutions. In this scenario, requiring the incinerator to install particulate filters tackles the root cause of asthma triggers, which is pollution, rather than just managing the symptoms or risks associated with asthma. Choice A, downstream intervention, would focus more on treating asthma symptoms after they have already occurred rather than preventing them. Choice B, risk management, typically involves strategies to assess, control, or mitigate risks, which may not directly address the root cause. Choice C, primary prevention, usually refers to actions taken to prevent a disease or condition before it occurs, but in this case, the action is targeting the underlying cause rather than preventing asthma itself.

What is the main focus of secondary prevention?

  • A. Early detection and treatment
  • B. Rehabilitation
  • C. Health promotion
  • D. Palliative care
Correct Answer: A

Rationale: The main focus of secondary prevention is early detection and treatment of disease. This approach aims to identify health conditions in their early stages when they are easier to treat or manage effectively. Choice B, rehabilitation, is more aligned with restoring function after an illness or injury has occurred. Choice C, health promotion, concentrates on educating and empowering individuals to adopt healthy behaviors to prevent the onset of diseases. Choice D, palliative care, is focused on providing comfort and improving the quality of life for individuals with serious illnesses or at the end of life, rather than on early detection and treatment.

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