a male client is brought to the emergency department as the result of a motorcycle accident he was not wearing a helmet at the time of the accident an
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Nursing Elites

HESI LPN

Community Health HESI Exam

1. A male client is brought to the emergency department as the result of a motorcycle accident. He was not wearing a helmet at the time of the accident and states that he has no intention of ever wearing one. Within the framework of the Transtheoretical Model (TTM), which response should the nurse provide?

Correct answer: C

Rationale: Providing information on safety aligns with the TTM framework.

2. The nurse is conducting a process evaluation of a prevention education program for older adults who are at risk for substance abuse. Which data source provides the information the nurse needs to conduct this process evaluation?

Correct answer: D

Rationale: Correct! Documentation of client education in the nursing record is the most appropriate data source for conducting a process evaluation of a prevention education program. This documentation provides insight into the educational process, its implementation, and the quality of education delivered. Choices A and B focus on assessing the clients directly for substance abuse, which is different from evaluating the educational process. Choice C, the most recent community census data, is not directly related to evaluating the specific prevention education program for older adults at risk for substance abuse.

3. A client with acute pancreatitis is experiencing severe abdominal pain. The nurse should implement which of the following interventions?

Correct answer: B

Rationale: The correct intervention for a client with acute pancreatitis experiencing severe abdominal pain is to administer opioid analgesics. Opioids are effective in managing the severe pain associated with acute pancreatitis. Encouraging oral intake may exacerbate the symptoms and is contraindicated due to the need for bowel rest. Applying a heating pad to the abdomen can worsen inflammation and should be avoided. Placing the client in a supine position may not provide relief and could potentially lead to increased discomfort.

4. The nurse is discussing dietary intake with an adolescent who has acne. The most appropriate statement for the nurse is:

Correct answer: A

Rationale: The most appropriate advice for an adolescent with acne is to eat a balanced diet for their age. A balanced diet that includes a variety of nutrients is essential for overall health, including skin health. While protein and Vitamin A are important for skin health, focusing solely on increasing these nutrients may not address the overall dietary needs. Similarly, solely decreasing fatty foods or avoiding caffeine may not be the most effective advice for managing acne. Therefore, the best advice is to promote a balanced diet tailored to the adolescent's age.

5. What title should be given to this professional role in occupational health? A registered nurse who develops researchable questions, conducts research, and communicates the findings to occupational and environmental health professionals, other peers, and the public.

Correct answer: B

Rationale: The correct answer is 'B: researcher.' In this context, the individual is primarily involved in developing research questions, conducting research, and disseminating findings, which aligns with the responsibilities of a researcher. Choice 'A: manager' is incorrect because the role described does not primarily involve managerial duties. Choice 'C: clinician/practitioner' is also incorrect as the focus is on research activities rather than direct clinical practice. Choice 'D: health promotion specialist' does not encompass the full scope of responsibilities described in the scenario.

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