HESI LPN
Community Health HESI Study Guide
1. A public health nurse is working with a community to develop a disaster response plan. Which of the following is the priority action?
- A. Identifying available resources and services
- B. Conducting disaster drills
- C. Educating the community about disaster preparedness
- D. Developing a communication plan
Correct answer: A
Rationale: Identifying available resources and services is the priority action when developing a disaster response plan. This step is crucial as it helps the community understand what resources and services are already in place and what additional support may be needed during a disaster. Conducting disaster drills, educating the community about disaster preparedness, and developing a communication plan are important steps in disaster preparedness but come after identifying available resources and services. Without knowing the available resources, it would be challenging to effectively plan and respond to a disaster.
2. Which of the following statements is correct regarding community health nursing?
- A. Evaluation of the health status of individuals and families should be done in consultation with them.
- B. The public health nurse (PHN) who works with communication for 6 can solely determine the needs of the community.
- C. Provision of PHN care is not in any way affected by policies of the agency where the nurse works.
- D. Professional growth and development of the PHN is the responsibility of the Department of Health (DOH).
Correct answer: A
Rationale: The correct statement is that evaluation of the health status of individuals and families should be done in consultation with them. This approach ensures that the assessment is accurate and takes into account the perspectives and concerns of the individuals and families involved. Choice B is incorrect because determining the needs of the community should involve input from various stakeholders, not solely the PHN. Choice C is incorrect as the provision of PHN care can be influenced by the policies of the agency or organization where the nurse works. Choice D is also incorrect as while the DOH may play a role in setting standards, the professional growth and development of a PHN is typically a personal and professional responsibility.
3. In providing comprehensive family health care, the nurse utilizes four (4) basic processes. These are listed in the order in which they are carried out as follows:
- A. assessment, planning, intervention, and evaluation
- B. assessment, intervention, planning, and evaluation
- C. planning, assessment, intervention, and evaluation
- D. planning, intervention, evaluation, and assessment
Correct answer: A
Rationale: The correct order for the basic processes in providing comprehensive family health care is assessment, planning, intervention, and evaluation. Assessment is the first step to gather information, followed by planning to set goals and strategies, then intervention to implement the plan, and finally evaluation to assess the outcomes. Choice A is correct as it follows this logical sequence. Choices B, C, and D are incorrect because they do not follow the correct order of these essential processes in nursing care.
4. Which of the following is not classified as an essential health service?
- A. Provision of eye glasses and dentures for the elderly
- B. Maternal and child care
- C. Basic sanitation and prevention and control of locally endemic diseases
- D. Promotion of proper nutrition, adequate supply of safe water, and health education
Correct answer: A
Rationale: The provision of eyeglasses and dentures for the elderly is not classified as an essential health service. Essential health services typically focus on preventive, promotive, curative, and rehabilitative care that address the primary healthcare needs of individuals and communities. Choices B, C, and D are examples of essential health services as they directly contribute to improving and maintaining the health of populations. Maternal and child care, basic sanitation, disease prevention, nutrition promotion, safe water supply, and health education are essential components of public health initiatives.
5. The milk code aims to ensure that:
- A. the public receives accurate information about breastmilk and breastfeeding
- B. health workers do not provide samples of infant formula to pregnant women or mothers of infants
- C. companies consistently recognize the superiority of breastmilk
- D. health workers do not accept any incentives from milk companies
Correct answer: C
Rationale: The correct answer is C because the milk code emphasizes that companies should always acknowledge the superiority of breastmilk over formula. Choice A is incorrect because the focus is not on the public receiving information, but rather on companies recognizing breastmilk's superiority. Choice B is incorrect as it addresses health workers' actions, not the companies' behavior. Choice D is incorrect as the milk code is primarily concerned with regulating companies' practices, not health workers' acceptance of incentives.
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