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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. A community that uses the resources of a neighborhood church to provide a latchkey children program, to sponsor prayer/support groups for people who are ill, and to grow a community health garden that sends vegetables to elderly shut-ins is engaged in what kind of activity?
- A. disease prevention
- B. health protection
- C. risk management
- D. health balance
Correct answer: B
Rationale: In this scenario, the community activities described focus on supporting and promoting overall well-being, which aligns with the concept of health protection. Choice A, disease prevention, is incorrect as the activities are more about supporting health rather than preventing specific diseases. Choice C, risk management, does not fit as the activities are not primarily about managing risks. Choice D, health balance, is not the most appropriate choice as the activities are aimed at protecting and enhancing health rather than achieving a balance.
3. While explaining an illness to a 10-year-old, what should the nurse keep in mind about the cognitive development at this age?
- A. They are able to make simple associations of ideas
- B. They are able to think logically in organizing facts
- C. Interpretation of events originates from their own perspective
- D. Conclusions are based on previous experiences
Correct answer: B
Rationale: Correct answer: At the age of 10, children are in the stage of concrete operational thought, where they can think logically and organize facts. Choice A is incorrect as simple associations of ideas are more characteristic of earlier developmental stages. Choice C is incorrect as while children at this age are developing perspective-taking skills, their interpretations are not solely limited to their own perspective. Choice D is incorrect as while previous experiences influence their thinking, the ability to think logically and organize facts is more prominent in this stage of cognitive development.
4. Which individual has the highest risk of developing community-acquired pneumonia?
- A. A 40-year-old first-grade teacher who works with underprivileged children.
- B. A 75-year-old retired secretary with exercise-induced wheezing.
- C. A 60-year-old homeless person who is an alcoholic and smokes.
- D. A 35-year-old aerobics instructor who skips meals and eats only vegetables.
Correct answer: C
Rationale: The correct answer is the 60-year-old homeless person who is an alcoholic and smokes. This individual has the highest risk of developing community-acquired pneumonia due to factors such as homelessness, alcoholism, and smoking, which weaken the immune system and make them more susceptible to respiratory infections. Choice A is incorrect as working with underprivileged children, while potentially exposing the individual to various illnesses, does not directly increase the risk of pneumonia. Choice B is less likely as exercise-induced wheezing may suggest asthma but does not directly correlate with pneumonia risk. Choice D, an aerobics instructor who eats only vegetables and skips meals, does not have the same level of risk factors for pneumonia as the homeless person in choice C.
5. Which organization is primarily responsible for global public health?
- A. World Health Organization (WHO)
- B. Centers for Disease Control and Prevention (CDC)
- C. National Institutes of Health (NIH)
- D. United Nations (UN)
Correct answer: A
Rationale: The correct answer is A: World Health Organization (WHO). The WHO is the primary organization responsible for global public health initiatives, coordinating international health efforts, setting norms and standards, providing technical support, and monitoring health trends. Choices B, C, and D are incorrect because while they play significant roles in health and global affairs, they do not have the primary responsibility for global public health like the WHO does.
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