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Community Health HESI Test Bank
1. A nurse is preparing to administer a tuberculosis (TB) test to a client. Which of the following is the correct method for administering this test?
- A. Intradermal injection on the forearm
- B. Subcutaneous injection on the upper arm
- C. Intramuscular injection on the deltoid
- D. Oral administration
Correct answer: A
Rationale: The correct method for administering a tuberculosis (TB) test is through an intradermal injection on the forearm. This technique allows for the proper administration of the test under the skin to assess the body's response to the TB antigen. Choices B, C, and D are incorrect because the TB test specifically requires an intradermal injection, not subcutaneous, intramuscular, or oral administration.
2. What is the focus of health promotion activities?
- A. Treating existing health conditions
- B. Preventing the onset of disease
- C. Providing palliative care
- D. Conducting clinical trials
Correct answer: B
Rationale: The correct answer is B: Preventing the onset of disease. Health promotion activities aim to prevent illnesses and promote overall well-being through education, lifestyle changes, and preventive measures. Choice A is incorrect as health promotion is not primarily about treating existing health conditions but rather preventing them. Choice C is incorrect because palliative care focuses on providing relief and comfort to patients with serious illnesses, not on preventing diseases. Choice D is also incorrect as conducting clinical trials is a research activity to test new treatments or interventions, not a focus of health promotion.
3. The nurse is assessing a newborn the day after birth. A high-pitched cry, irritability, and lack of interest in feeding are noted. The mother signed her own discharge against medical advice. What intervention is appropriate nursing care?
- A. Reduce the environmental stimuli
- B. Offer formula every 2 hours
- C. Talk to the newborn while feeding
- D. Rock the baby frequently
Correct answer: A
Rationale: The correct intervention is to reduce the environmental stimuli. In this scenario, the newborn is displaying signs of overstimulation and distress, which can be exacerbated by environmental factors. Offering formula every 2 hours (Choice B) may not address the underlying issue of overstimulation. Talking to the newborn while feeding (Choice C) and rocking the baby frequently (Choice D) may further stimulate the newborn, which is not appropriate in this case.
4. The Healthy People initiative is a national agenda that aims to:
- A. Provide healthcare to all citizens
- B. Reduce health disparities and improve the health of all Americans
- C. Promote medical research
- D. Develop new healthcare technologies
Correct answer: B
Rationale: The Healthy People initiative is a national agenda that focuses on reducing health disparities and improving the health of all Americans. Choice A is incorrect because the initiative is more about improving health outcomes and access rather than providing healthcare to all citizens. Choice C is not the main goal of the initiative, which is more about public health goals than medical research. Choice D is also not the primary aim of the Healthy People initiative, as it is more focused on setting objectives to improve public health.
5. When the Public Health Nurse assesses needs and plans health interventions for a group of people in coordination with other health professionals, they are demonstrating which of the following features of community health nursing:
- A. CHN involves interdisciplinary collaboration
- B. The use of an epidemiologic approach is an essential part of nursing practice
- C. CHN is oriented towards populations
- D. CHN encourages the client's participation in determining their own health
Correct answer: A
Rationale: The correct answer is A. Interdisciplinary collaboration is a fundamental feature of community health nursing. In this scenario, the nurse works with other health professionals to assess needs and plan interventions for a group of people, emphasizing the importance of teamwork and cooperation. Choice B is incorrect because while epidemiology plays a role in community health nursing, it is not the primary focus of this particular situation. Choice C is incorrect as it describes the population-focused nature of community health nursing, which is related but not directly demonstrated in the given scenario. Choice D is incorrect because while client participation is essential in community health nursing, it is not the primary feature demonstrated in the scenario provided.
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