HESI LPN
Community Health HESI Exam
1. As the immediate supervisor of the Rural Health Midwives, the PHN prepares a supervisory plan. Which of the following would be the PHN's activity?
- A. performing needs assessment
- B. listing supervisory activities
- C. identifying the training needs
- D. formulating objectives for supervision
Correct answer: B
Rationale: The correct answer is B: listing supervisory activities. When preparing a supervisory plan, the Public Health Nurse (PHN) needs to list the specific supervisory activities that need to be carried out. This helps in organizing and outlining the tasks that need to be accomplished to ensure effective supervision. Choices A, C, and D are incorrect because although needs assessment, identifying training needs, and formulating objectives are important aspects of supervisory planning, they are not specifically related to the act of preparing a detailed list of supervisory activities.
2. Under which level of primary health care workers does a rural sanitary inspector fall?
- A. Village health workers
- B. Intermediate level health workers
- C. Barangay health workers
- D. All of the above
Correct answer: B
Rationale: Rural sanitary inspectors are classified as intermediate level health workers. They are not categorized under village health workers or barangay health workers. Therefore, the correct answer is B.
3. What does the term 'social determinants of health' refer to?
- A. Genetic predispositions
- B. Lifestyle choices
- C. Conditions in which people are born, grow, live, work, and age
- D. Access to medical care
Correct answer: C
Rationale: The term 'social determinants of health' refers to the conditions in which people are born, grow, live, work, and age. This includes factors like socioeconomic status, education, physical environment, employment, and social support networks. These factors have a significant impact on health outcomes. Choices A, B, and D are incorrect because genetic predispositions, lifestyle choices, and access to medical care, although important, are not encompassed by the term 'social determinants of health.'
4. The social ecological model considers the complex interplay between which levels of influence?
- A. Individual, interpersonal, organizational, community, and policy
- B. Genetic, biological, environmental, social, and economic
- C. Personal, family, community, national, and global
- D. Health, wealth, education, environment, and politics
Correct answer: A
Rationale: The correct answer is A: Individual, interpersonal, organizational, community, and policy. The social ecological model examines how individual, interpersonal, organizational, community, and policy factors interact to influence health and well-being. Choice B is incorrect because it includes genetic and biological factors that are not part of the social ecological model. Choice C is incorrect as it does not include organizational and policy levels of influence. Choice D is incorrect as it includes wealth and politics, which are not typically considered in the social ecological model.
5. Under the present system, which of the following is the local government unit responsible for?
- A. Operation and maintenance of health facilities
- B. All of these activities
- C. Implementation of health programs/projects
- D. Delivery of health services
Correct answer: B
Rationale: Under the present system, the local government unit is responsible for all the listed activities. This includes the operation and maintenance of health facilities, implementation of health programs/projects, and delivery of health services. Therefore, choice B, 'All of these activities,' is the correct answer. Choices A, C, and D are incorrect because they are all responsibilities that fall under the local government unit's jurisdiction as well.
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