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?
- A. Wearing a helmet or not is certainly an individual decision.
- B. You should seriously consider wearing a helmet.
- C. Riding a motorcycle with a helmet increases your safety.
- D. I really think you don't have the facts about helmet use.
Correct answer: C
Rationale: Providing information on safety aligns with the TTM framework.
2. What title should be given to this occupational health nurse job description? A registered nurse who functions in a comprehensive executive role to set goals, formulate policy, and direct and evaluate the health service.
- A. manager
- B. researcher
- C. health educator
- D. health promotion specialist
Correct answer: A
Rationale: The correct answer is 'manager.' In the job description provided, the role involves setting goals, formulating policy, and directing and evaluating health services, which aligns with the responsibilities of a manager. A 'researcher' primarily focuses on conducting research, a 'health educator' specializes in educating individuals about health-related topics, and a 'health promotion specialist' concentrates on promoting health and wellness initiatives. Therefore, 'manager' is the most suitable title for the described role.
3. The home health care agency can expect to obtain Medicare reimbursement for which home visit performed by a registered nurse or a practical nurse?
- A. assessment of the speech pattern of a mobile adult who had a mild stroke last year
- B. safety teaching for an older male client whose wife complains that he uses an unsafe ladder while painting
- C. wound care for a client who had postoperative infection following abdominal surgery two weeks ago
- D. evaluation of crutch use by a 65-year-old client who broke his tibia while snow skiing
Correct answer: C
Rationale: The correct answer is C because wound care for a postoperative infection qualifies for Medicare reimbursement. Medicare typically covers skilled nursing care, like wound care, required due to a postoperative infection. Choices A, B, and D involve assessments, teaching, and evaluation, which may not always be eligible for Medicare reimbursement unless they are directly related to skilled nursing care for a specific medical condition.
4. The family presents several problems. Which of the following criteria is considered in determining the priority health problem?
- A. expected consequence of the problem
- B. cooperation and support of the family
- C. involvement of the family members in the problem
- D. modifiability of the problem
Correct answer: D
Rationale: When determining the priority health problem within a family, one key criterion to consider is the modifiability of the problem. This means assessing whether the health issue can be changed or improved through interventions. Choices A, B, and C are not directly related to the priority of the health problem within the family. The expected consequence of the problem, cooperation and support of the family, and involvement of family members are important factors but do not specifically address the priority of the health issue based on modifiability.
5. A unit of Girl Scouts went hiking over Mt. Makiling. While resting, scout Jaymee, 14 years of age, complained of a sudden moderately bearable toothache. In checking their first-aid kit, they found none of mefenamic acid, BUT they luckily chanced upon a home that uses alternative pain-relieving medicinal plants. What would this plant be?
- A. Bawang
- B. Lagundi
- C. Sambong
- D. Tsaang gubat
Correct answer: A
Rationale: The correct answer is A, Bawang (garlic), which is traditionally used for its pain-relieving properties. While Lagundi, Sambong, and Tsaang gubat are also medicinal plants with various health benefits, they are not specifically known for their pain-relieving properties like garlic.
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