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Community Health HESI Test Bank 2023
1. During which phase of the community organizing process are the leaders or groups given training to develop their knowledge, skills, and attitudes in managing their own programs?
- A. Sustenance and strengthening phase
- B. Pre-entry phase
- C. Organizing-building phase
- D. Entry phase
Correct answer: C
Rationale: The correct answer is C, the organizing-building phase. This phase involves providing training to leaders and groups to develop their knowledge, skills, and attitudes in managing their own programs. Choice A, the sustenance and strengthening phase, focuses more on maintaining and enhancing existing programs rather than training. Choice B, the pre-entry phase, occurs before actual organizing and training take place. Choice D, the entry phase, is about initiating the community organizing process, not specifically about training leaders and groups.
2. As community health nurses engage in the process of community empowerment, it is essential that they:
- A. gather data from the community
- B. form partnerships with people in the community
- C. make decisions for the people in the community
- D. accept responsibility for people's actions
Correct answer: B
Rationale: In the process of community empowerment, community health nurses should form partnerships with the community rather than making decisions for them, gathering data alone, or accepting responsibility for their actions. Forming partnerships ensures that the community is actively involved in decision-making processes, leading to sustainable and effective outcomes. Gathering data is important but not the central aspect of empowerment, while accepting responsibility for people's actions is not a core principle of empowerment but rather promoting accountability within the community.
3. What is a critical factor in determining community health?
- A. Number of hospitals
- B. Availability of healthcare services
- C. Socioeconomic status
- D. Population density
Correct answer: B
Rationale: The availability of healthcare services is a critical factor in determining community health. While the number of hospitals may contribute to healthcare accessibility, it is the overall availability of healthcare services that encompasses various factors including hospitals, clinics, healthcare providers, and resources. Socioeconomic status and population density are important determinants of health outcomes, but the direct availability of healthcare services plays a more immediate and direct role in promoting community health.
4. Which of the following best describes the goal of primary health care?
- A. Treating chronic diseases
- B. Providing specialized medical services
- C. Promoting health and preventing illness
- D. Conducting medical research
Correct answer: C
Rationale: The correct answer is C: 'Promoting health and preventing illness.' Primary health care aims to provide essential health services, promote health, prevent diseases, and manage common health problems. Choices A, B, and D are incorrect because primary health care focuses on a holistic approach to health that includes health promotion, disease prevention, treatment of common illnesses, and community participation, rather than specialized services, chronic disease treatment, or medical research.
5. A client with schizophrenia is receiving haloperidol (Haldol). The nurse should monitor the client for which of the following side effects?
- A. Tachycardia
- B. Hypotension
- C. Extrapyramidal symptoms
- D. Hyperglycemia
Correct answer: C
Rationale: The correct answer is C: Extrapyramidal symptoms. Haloperidol is a first-generation antipsychotic that can lead to extrapyramidal symptoms such as tardive dyskinesia and akathisia. These side effects are common with the use of typical antipsychotics. Choice A, Tachycardia, is not a common side effect of haloperidol. Choice B, Hypotension, is also not a typical side effect associated with haloperidol use. Choice D, Hyperglycemia, is not directly linked to haloperidol administration, as it is more commonly associated with other medications like atypical antipsychotics or certain medical conditions.
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