HESI LPN
Community Health HESI Questions
1. The client with Parkinson's disease spends over 1 hour to dress for scheduled therapies. What is the most appropriate action for the nurse to take in this situation?
- A. Ask family members to dress the client
- B. Encourage the client to dress more quickly
- C. Allow the client the time needed to dress
- D. Demonstrate methods on how to dress more quickly
Correct answer: C
Rationale: The most appropriate action for the nurse is to allow the client the time needed to dress. Patients with Parkinson's disease may experience difficulties with activities of daily living due to their condition. Allowing the client sufficient time to dress promotes independence and dignity, which are essential aspects of patient-centered care. Asking family members to dress the client may undermine the client's autonomy and self-esteem. Encouraging the client to dress more quickly may lead to frustration and feelings of inadequacy. Demonstrating methods on how to dress more quickly may not address the underlying challenges the client faces and could be perceived as insensitive or dismissive of the client's needs.
2. What is the measure of the number of existing cases of a disease in a specific population at a given time?
- A. Incidence
- B. Prevalence
- C. Mortality rate
- D. Morbidity rate
Correct answer: B
Rationale: Prevalence is the correct answer as it refers to the number of existing cases of a disease in a specific population at a given time. Incidence, on the other hand, refers to the number of new cases of a disease in a defined population over a specific period. Mortality rate is the measure of the number of deaths in a particular population due to a specific cause, while morbidity rate is the frequency of a disease in a specific population.
3. Care provided by specialists in health facilities such as medical centers, regional, and provincial hospitals falls under which level of care?
- A. Secondary level care
- B. Primary care
- C. Tertiary care
- D. Intermediate care
Correct answer: C
Rationale: Tertiary care is the correct answer because it involves specialized care provided by medical centers and regional or provincial hospitals. Primary care (Choice B) refers to basic healthcare services usually delivered by general practitioners, nurses, and other healthcare professionals. Secondary care (Choice A) involves specialized services provided by medical specialists and other health professionals who generally do not have first contact with patients. Intermediate care (Choice D) is not a recognized level of care in the typical healthcare system hierarchy; it may cause confusion as it's not a standard term used to describe levels of care.
4. Which of these statements by the nurse is incorrect to use to reinforce information about cancers to a group of young adults?
- A. "You can reduce your risk of this serious type of stomach cancer by eating lots of fruits and vegetables, limiting red meat, and avoiding nitrate-containing foods."
- B. "Prostate cancer is the most common cancer in American men, impacting sexuality and life quality."
- C. "Colorectal cancer is the second-leading cause of cancer-related deaths in the United States."
- D. "Lung cancer is the leading cause of cancer deaths in the United States. However, it is the most preventable of all cancers."
Correct answer: A
Rationale: The corrected statement in choice A emphasizes limiting red meat for the prevention of stomach cancer, which is more accurate than avoiding all meats. By focusing on red meat specifically, it provides clearer guidance to young adults. Choice B is not the correct answer as it provides accurate information about prostate cancer being the most common cancer in American men and its impact on sexuality and life quality. Choice C is also a valid statement, correctly highlighting colorectal cancer as the second-leading cause of cancer-related deaths in the United States. Choice D provides accurate information about lung cancer being the leading cause of cancer deaths in the United States and emphasizes its preventability among cancers, making it a valid statement for reinforcing information about cancers to young adults.
5. In order to establish priorities in planning and implementing the occupational health program, which of the following data will the nurse need?
- A. disease trends, birth and death rates, and social environmental conditions
- B. birth and death rates
- C. disease trends
- D. social environmental conditions
Correct answer: A
Rationale: To effectively plan and implement an occupational health program, the nurse needs comprehensive data, including disease trends, birth and death rates, and social environmental conditions. This holistic approach ensures that the program addresses a wide range of health aspects impacting the target population. Option A is the correct choice as it considers multiple factors influencing occupational health. Choices B, C, and D are each individually important but do not provide the breadth of information required to establish priorities in a comprehensive occupational health program.
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