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Community Health HESI Questions
1. What is the aim of the Magna Carta of Public Health Workers?
- A. Develop skills and capabilities of health workers to deliver health projects/programs
- B. All of these
- C. Encourage those with proper qualifications to remain in government service
- D. Promote social and economic well-being of health workers
Correct answer: B
Rationale: The correct answer is B - 'All of these.' The Magna Carta of Public Health Workers aims to achieve multiple objectives, including developing the skills and capabilities of health workers to deliver health projects/programs, encouraging those with proper qualifications to remain in government service, and promoting the social and economic well-being of health workers. Choice A, C, and D are all part of the comprehensive goals outlined in the Magna Carta for Public Health Workers.
2. Community Health Nursing (CHN) in the Philippines encompasses healthcare provisions affecting four clients: individuals, families, population groups, and communities. In the course of our community health work, traditional, non-traditional, alternative, or complementary health care strategies are utilized. The legal basis for this action may be derived from the:
- A. PhilHealth Act
- B. Traditional and Alternative Health Care Law
- C. Philippine Nursing Act
- D. Philippine Medical Act
Correct answer: B
Rationale: The correct answer is B: Traditional and Alternative Health Care Law. This law provides the legal basis for integrating alternative health care strategies. The PhilHealth Act (Choice A) focuses on health insurance, the Philippine Nursing Act (Choice C) regulates the nursing profession, and the Philippine Medical Act (Choice D) pertains to the medical profession. These laws are not directly related to the integration of traditional, non-traditional, alternative, or complementary health care strategies in community health work.
3. You organize community groups to participate in community activities. You can BEST motivate participation in the community health development program by:
- A. Conducting group work
- B. Instructing the people to agree with your plans
- C. Allowing the people to exercise decision-making
- D. Assigning people participative roles
Correct answer: C
Rationale: Allowing people to exercise decision-making is the best way to motivate participation in community activities. By involving the community in decision-making processes, you empower them and make them feel valued, which can lead to increased engagement and commitment. Choices A, B, and D do not foster a sense of ownership and empowerment among the community members, which are crucial for sustainable participation in community programs.
4. The nurse is working in a community health clinic that serves a diverse population. Which of the following actions best demonstrates cultural competence?
- A. Learning about the cultural practices of the clinic's client population
- B. Providing translation services for non-English speaking clients
- C. Treating all clients the same regardless of their background
- D. Encouraging clients to adopt mainstream health practices
Correct answer: A
Rationale: Learning about the cultural practices of the clinic's client population is the best way to demonstrate cultural competence. This action shows respect for the diverse backgrounds of the clients and helps in providing care that is sensitive to their cultural beliefs and practices. Providing translation services (Choice B) is important for effective communication but may not address the deeper aspects of cultural competence. Treating all clients the same (Choice C) may overlook the unique needs that arise from cultural differences. Encouraging clients to adopt mainstream health practices (Choice D) may not be appropriate or respectful of their cultural traditions and preferences.
5. A client with hypothyroidism is receiving levothyroxine (Synthroid). The nurse should monitor the client for which of the following side effects?
- A. Tachycardia
- B. Hypotension
- C. Weight gain
- D. Bradycardia
Correct answer: A
Rationale: The correct answer is A: Tachycardia. Levothyroxine, used to treat hypothyroidism, can lead to increased metabolism, causing tachycardia as a side effect. Monitoring for tachycardia is essential to ensure the client's safety. Choices B, Hypotension, and C, Weight gain, are incorrect as levothyroxine is not typically associated with causing hypotension or weight gain. Choice D, Bradycardia, is also incorrect as levothyroxine-induced bradycardia is not a common side effect.
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