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Community Health HESI Practice Questions
1. A health program that aims to reduce the incidence of chronic diseases through lifestyle modifications is an example of:
- A. Primary prevention
- B. Secondary prevention
- C. Tertiary prevention
- D. Quaternary prevention
Correct answer: A
Rationale: The correct answer is A: Primary prevention. Primary prevention focuses on preventing the development of diseases or injuries before they occur by promoting healthy behaviors and lifestyles. In this scenario, the health program targeting lifestyle modifications to reduce chronic diseases aligns with primary prevention efforts. Choice B, secondary prevention, involves early detection and treatment to prevent the progression of disease. Choice C, tertiary prevention, focuses on managing and treating existing diseases to prevent complications. Choice D, quaternary prevention, relates to actions taken to mitigate or avoid the consequences of unnecessary or excessive interventions in healthcare.
2. Which of the following is an example of a social determinant of health?
- A. Blood pressure
- B. Genetic mutations
- C. Housing conditions
- D. Age
Correct answer: C
Rationale: The correct answer is C: Housing conditions. Social determinants of health are the conditions in which people are born, grow, live, work, and age. Housing conditions directly impact health outcomes as they can affect exposure to toxins, safety, and overall well-being. Choice A, blood pressure, is a physiological measure and not a social determinant. Choice B, genetic mutations, relates to an individual's genetic makeup and is not influenced by social factors. Choice D, age, is a demographic factor and not a social determinant of health.
3. A nurse is practicing community health nursing when:
- A. leading a support group for obese adolescents
- B. visiting an old woman in her condominium to change her postsurgical dressing
- C. being in a clinic instructing a couple about newborn care
- D. performing any of these activities
Correct answer: D
Rationale: Correct! Community health nursing involves a broad scope of activities that focus on promoting and preserving the health of populations rather than individuals. This includes leading support groups, providing home care, and educating communities. The other options represent different aspects of nursing care such as home health nursing, wound care, and maternal-child health - which are not exclusive to community health nursing.
4. What is the measure of the number of new cases of a disease in a specific population during a certain time period called?
- A. Prevalence
- B. Incidence
- C. Mortality rate
- D. Morbidity rate
Correct answer: B
Rationale: The correct answer is B, Incidence. Incidence refers to the number of new cases of a disease in a specific population during a certain time period. Prevalence (choice A) refers to the total number of cases of a disease in a population at a specific point in time. Mortality rate (choice C) is the measure of the number of deaths in a particular population due to a specific cause. Morbidity rate (choice D) is a broader term that encompasses the incidence and prevalence of a disease in a population.
5. The following are functions of the Provincial Nurse Supervisor except:
- A. interpreting policies, guidelines, and SDP to nursing and midwifery staff of the province
- B. assessing training needs and planning staff development programs for nursing and midwifery staff
- C. participating in planning, developing, and evaluating OJT for nurses and midwives conducted by the department
- D. collecting, consolidating, analyzing, and interpreting health records and reports and making recommendations as needed
Correct answer: D
Rationale: The correct answer is D. Collecting, consolidating, analyzing, and interpreting health records is not a primary function of a Provincial Nurse Supervisor. The primary functions of a Provincial Nurse Supervisor include interpreting policies, guidelines, and SDP to nursing and midwifery staff, assessing training needs, planning staff development programs, and participating in planning, developing, and evaluating OJT for nurses and midwives. While health records may be accessed for specific purposes, the core responsibilities of a Provincial Nurse Supervisor focus on staff management and development rather than direct involvement in health record analysis.
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