Community Health HESI Test Bank

Community Health HESI Test Bank Related

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Which of the following statements can motivate a couple to practice family planning?

  • A. Family planning helps families improve their standard of living.
  • B. Family planning reduces or eliminates fear of unwanted pregnancies.
  • C. Family planning affords family members time to study or pursue personal interests.
  • D. All of the above
Correct Answer: D

Rationale: The correct answer is D because all the listed statements provide valid reasons to motivate couples to practice family planning. Option A highlights how family planning can lead to an improvement in the standard of living by allowing families to better manage their resources. Option B emphasizes the importance of family planning in reducing or eliminating the fear of unwanted pregnancies, which can have significant emotional and financial implications for couples. Option C points out that family planning can also afford family members time to focus on personal development, such as studying or pursuing personal interests, without the added responsibilities of unplanned pregnancies. Therefore, all these factors combined can serve as strong motivators for couples to consider and practice family planning. Choices A, B, and C are incorrect because each of them individually provides a valid reason to motivate couples, making the comprehensive answer D the most appropriate.

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An activity designed to diagnose and treat a disease or condition in its earliest stages, before it becomes full-blown, would be classified as:

  • A. primary prevention
  • B. secondary prevention
  • C. tertiary prevention
  • D. health education
Correct Answer: B

Rationale: The correct answer is B, secondary prevention. Secondary prevention focuses on early diagnosis and intervention to prevent the progression of a disease or condition. This involves detecting and treating the illness in its early stages to reduce its impact. Choice A, primary prevention, aims to prevent the development of a disease or injury before it occurs by promoting healthy behaviors. Choice C, tertiary prevention, involves managing and improving the quality of life of individuals with established conditions to prevent complications and further deterioration. Choice D, health education, refers to providing information and promoting awareness about health issues to enable individuals to make informed decisions and adopt healthy behaviors.

In the provision of preventive care to workers, the nurse must be aware of biological hazards that are harmful to workers and their families, such as:

  • A. bacteria, fungi, and insects
  • B. noise
  • C. toxic metals, poisonous gas fumes, and dust
  • D. stress
Correct Answer: A

Rationale: The correct answer is A: bacteria, fungi, and insects. Biological hazards in the workplace can include microorganisms like bacteria and fungi that can cause infections, as well as insects that may carry diseases. Noise (choice B) is considered a physical hazard, not a biological one. Toxic metals, poisonous gas fumes, and dust (choice C) are examples of chemical hazards, not biological hazards. While stress (choice D) can be a health concern in the workplace, it is not classified as a biological hazard.

A client with a history of deep vein thrombosis (DVT) is receiving warfarin (Coumadin). The nurse should monitor the client for which of the following laboratory values?

  • A. Prothrombin time (PT)
  • B. Serum potassium
  • C. Blood urea nitrogen (BUN)
  • D. White blood cell count (WBC)
Correct Answer: A

Rationale: The correct answer is A: Prothrombin time (PT). Prothrombin time is monitored to assess the effectiveness of warfarin therapy. Warfarin is an anticoagulant medication that works by inhibiting the synthesis of vitamin K-dependent clotting factors, including factors II, VII, IX, and X. Monitoring the PT helps ensure that the client's blood is clotting within the desired therapeutic range to prevent complications such as recurrent DVT or excessive bleeding. Choices B, C, and D are incorrect because serum potassium, blood urea nitrogen, and white blood cell count are not directly related to monitoring warfarin therapy in a client with a history of DVT.

To individualize care for a client and ensure maximum participation in that care, what should the nurse consider as the most important factor in planning the said care?

  • A. environment
  • B. educational attainment
  • C. health beliefs and practices
  • D. health status
Correct Answer: C

Rationale: The correct answer is C: health beliefs and practices. Health beliefs and practices directly influence a client's willingness and ability to participate in care. Understanding a client's health beliefs and practices helps the nurse tailor the care plan to align with the client's values and preferences. Choice A, environment, though important, may not be the most critical factor in individualizing care. Choice B, educational attainment, is relevant but not as significant as understanding the client's health beliefs and practices. Choice D, health status, is essential but does not address the individualization of care and maximizing participation as directly as health beliefs and practices.

A nurse organizes a community action group to help resolve health problems in a low-income neighborhood with a large population of recent immigrants from Africa. What problem should the nurse address first?

  • A. High rate of unemployment.
  • B. Low immunization rate of children.
  • C. Provision of substandard health care.
  • D. Access to bilingual care providers.
Correct Answer: B

Rationale: The correct answer is B: Low immunization rate of children. Addressing low immunization rates is crucial as it directly impacts the health of children and the community by preventing the spread of infectious diseases. Option A, high rate of unemployment, though important for overall well-being, is not the most immediate health concern. Option C, provision of substandard health care, is a significant issue but may not be as urgent as ensuring children are immunized. Option D, access to bilingual care providers, is important for effective communication but is not as critical as addressing low immunization rates in this scenario.

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