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Community Health HESI Test Bank 2023
1. 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.
2. 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.
3. In planning the use of resources for secondary prevention in a community clinic serving migrant families, which activity should be the priority?
- A. Skin testing for tuberculosis.
- B. Glucose monitoring for diabetes.
- C. Blood work for cardiovascular disease.
- D. Height and weight for altered nutrition.
Correct answer: A
Rationale: The correct answer is A: Skin testing for tuberculosis. In a community clinic serving migrant families, tuberculosis is a significant health concern due to close living conditions and potential exposure during migration. Skin testing for tuberculosis is crucial for secondary prevention as it helps in early detection and prevention of the spread of the disease within the community. Choices B, C, and D are important health screenings but may not be the priority in this specific population where tuberculosis poses a higher risk.
4. In combating myths and misconceptions about family planning in the community, what should you do first as a health educator?
- A. Identify the influential leaders of the community
- B. Select an approach to be used in correcting myths and misconceptions
- C. Decide who will be involved in the conference
- D. Identify myths and misconceptions prevailing in the community and their sources
Correct answer: D
Rationale: The correct answer is to identify myths and misconceptions prevailing in the community and their sources. This is the initial step in addressing misconceptions effectively. By understanding the specific myths and where they originate from, a health educator can tailor their approach to correct these misconceptions. Choice A is incorrect because while influential leaders can play a role, identifying myths comes first. Choice B is incorrect as selecting an approach should come after understanding the myths. Choice C is incorrect as deciding who will be involved in a conference is not the primary step in combating myths and misconceptions.
5. You attended a home delivery with the Rural Health midwife. The newborn is premature. Which of the following should be included in premature infant care at home?
- A. establishing and maintaining good respiration
- B. proper management of feeding
- C. minimum handling of the baby
- D. regulation of body temperature
Correct answer: D
Rationale: Corrected Rationale: Regulation of body temperature is crucial for the survival of a premature infant. Premature infants have difficulty regulating their body temperature, making it essential to keep them warm. While establishing and maintaining good respiration and proper feeding management are important aspects of infant care, they are not as critical as regulating body temperature for premature infants. Additionally, while minimizing handling to reduce stress can be beneficial, it is not as vital as temperature regulation for premature infants.
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