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Community Health HESI Study Guide
1. Epidemiology is directly concerned with which of the following?
- A. factors influencing occurrence and distribution of diseases, defects, disability, or death of groups of individuals
- B. vital health statistics
- C. environmental sanitation
- D. treatment of a communicable disease
Correct answer: A
Rationale: Corrected Rationale: Epidemiology is the study of the distribution and determinants of health-related states or events in specified populations and the application of this study to the control of health problems. It focuses on identifying and understanding the factors that influence the occurrence and distribution of diseases, defects, disability, or death of groups of individuals. Therefore, the correct answer is A. Choice B, vital health statistics, is not the primary focus of epidemiology. While vital health statistics may be used in epidemiological studies, it is not the direct concern of epidemiology. Choice C, environmental sanitation, although important for public health, is not the main focus of epidemiology. Epidemiology is more concerned with the factors influencing disease occurrence and distribution, rather than environmental sanitation. Choice D, treatment of a communicable disease, is more related to clinical medicine rather than epidemiology. Epidemiology is more focused on prevention, control, and understanding the patterns and causes of diseases rather than their treatment.
2. With the present system, family planning programs at the municipal barangay levels are managed by:
- A. non-governmental organizations
- B. LGUs
- C. all these units/organizations are managing family planning programs
- D. other government organizations
Correct answer: C
Rationale: The correct answer is C because family planning programs at the municipal barangay levels are managed by a combination of non-governmental organizations (NGOs), Local Government Units (LGUs), and other government organizations. Therefore, all these units/organizations are involved in managing family planning programs. Choices A, B, and D are incorrect because they individually do not capture the full scope of the entities involved in managing family planning programs at the specified levels.
3. 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.
4. During a visit to the community health clinic, a 45-year-old Native American female, who has a BMI of 35, complains of changes in her vision. Which condition is most important for the RN to be aware of in the client's family history?
- A. Diabetes
- B. Glaucoma
- C. Hypertension
- D. Brain Tumor
Correct answer: A
Rationale: The correct answer is A: Diabetes. Given the client's Native American ethnicity, high BMI, and vision changes, diabetes is the most crucial condition for the nurse to be aware of in the client's family history. Diabetes is strongly associated with vision problems, especially diabetic retinopathy. Glaucoma (choice B) is a condition that affects the optic nerve and can lead to vision loss but is not as directly linked to the client's BMI and ethnic background. Hypertension (choice C) can also impact vision, but in this case, diabetes takes precedence based on the client's profile. Brain tumor (choice D) is less likely to be related to the client's BMI, ethnicity, and vision changes compared to diabetes.
5. In this municipality, what should the nursing health care plan focus on?
- A. Rehabilitative services
- B. All of these services
- C. Health promotion and disease prevention
- D. Curative services
Correct answer: C
Rationale: In this municipality, the nursing health care plan should primarily focus on health promotion and disease prevention. This approach addresses the underlying causes of health problems, promotes overall well-being, and helps prevent illnesses before they occur. While rehabilitative and curative services are important, health promotion and disease prevention are crucial for fostering a healthier community in the long term. Therefore, choices A, B, and D are not the best options as they do not prioritize preventing health issues at the root cause.
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