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Community Health HESI Study Guide
1. The delivery of basic health services was decentralized to the local government units. The legal basis for this is embodied in:
- A. RA 7035
- B. EO 119
- C. RA 7160
- D. PD 999
Correct answer: C
Rationale: The correct answer is C, RA 7160. This law, also known as the Local Government Code, decentralizes health services to local government units. RA 7035 is not the legal basis for decentralizing basic health services. EO 119 and PD 999 are also not the correct legal bases for the decentralization of health services.
2. What role does a community health nurse play in disaster management?
- A. Providing direct patient care
- B. Conducting research on disaster impacts
- C. Coordinating emergency response efforts
- D. Developing new healthcare policies
Correct answer: C
Rationale: Community health nurses are primarily responsible for coordinating emergency response efforts during disasters. This involves organizing and implementing strategies to address the health needs of the community in crisis situations. Providing direct patient care (Choice A) is often carried out by other healthcare professionals such as doctors and paramedics during disasters. Conducting research on disaster impacts (Choice B) is important for understanding the effects of disasters but is not the primary role of a community health nurse. Developing new healthcare policies (Choice D) is typically the responsibility of policymakers and public health officials rather than community health nurses.
3. An example of the continuum health model of health and wellness would be:
- A. a person is either well or not, and the emphasis is on continuously and aggressively treating people who are ill
- B. predicting that a person will most likely continue good health practices, based on his or her health practices in the past, such as getting flu shots
- C. using acupuncture and therapeutic touch to cure disease instead of traditional medical therapies
- D. none of the above
Correct answer: B
Rationale: The continuum health model emphasizes ongoing health practices based on past behaviors. Choice A is incorrect as it describes a more binary approach to health. Choice C is incorrect as it focuses on alternative therapies rather than the continuity of health practices.
4. After accepting the position of school nurse in a public elementary school, what strategy is best for the nurse to use to obtain an overview understanding of the student body?
- A. Review all health records of the students currently enrolled in classes.
- B. Talk with the current members of the parent-teacher association.
- C. Send a survey form to parents of third-grade students.
- D. Conduct a windshield survey of the geographic areas served by the school.
Correct answer: D
Rationale: Conducting a windshield survey is the best strategy for the nurse to obtain an overview understanding of the student body. This method allows the nurse to observe the community, its resources, potential health hazards, and demographic information. Reviewing health records (Choice A) would provide detailed health information but not an overview of the student body. Talking with the parent-teacher association (Choice B) may offer insights but not a comprehensive overview. Sending a survey form to parents (Choice C) may provide specific information but may not capture a broad understanding of the student body.
5. As a community health nurse engaged in the process of community empowerment, which action is essential for you to take?
- A. Gathering data from the community
- B. Making decisions for people in the community
- C. Forming partnerships with people in the community
- D. Accepting responsibility for people’s actions
Correct answer: C
Rationale: In the process of community empowerment, forming partnerships with people in the community is essential. This fosters collaboration, engagement, and shared decision-making, enabling the community to identify its needs, resources, and priorities. Gathering data from the community (Choice A) is important for understanding the community's health status but forming partnerships goes beyond data collection by actively involving community members in decision-making. Making decisions for people in the community (Choice B) undermines empowerment as it takes away their autonomy and control. Accepting responsibility for people’s actions (Choice D) is not synonymous with empowerment and can lead to disempowerment by creating dependency rather than fostering self-reliance and self-determination.
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