HESI RN TEST BANK
HESI Community Health
The healthcare professional is developing a program to promote healthy eating habits in a community with high rates of obesity. Which strategy is most likely to be effective?
A. distributing educational pamphlets about nutrition
B. offering cooking classes that focus on healthy recipes
C. launching a social media campaign about the risks of obesity
D. providing free health screenings at community events
Correct Answer:
Rationale: Offering cooking classes that focus on healthy recipes is the most effective strategy among the choices provided. These classes not only provide valuable knowledge about nutrition but also offer hands-on experience in preparing healthy meals. This practical approach can significantly impact participants' behavior and increase the likelihood of them adopting healthier eating habits. Distributing educational pamphlets may not have the same level of engagement and interaction as cooking classes. A social media campaign, while informative, may not result in direct behavioral changes. Providing free health screenings, though beneficial for early detection, does not directly address the promotion of healthy eating habits, unlike the hands-on approach of cooking classes.
The communi ty health nurse is planning a series of educational courses about the heal thcare system and meeti ng heal thcare needs for t he community center. Which adjunct issue shoul d the nurs e address for a group of ol der adul ts.
- A. peer concerns
- B. adul t daycare
- C. reti rement i ssues
- D. vocati onal concerns -
Correct Answer: C
Rationale: Retirement often brings specific healthcare needs and concerns that are crucial to address for older adults.
The nurse is caring for a client with cirrhosis of the liver. Which laboratory result requires immediate intervention?
- A. Serum albumin of 3.5 g/dL.
- B. Prothrombin time (PT) of 12 seconds.
- C. Hemoglobin of 10 g/dL.
- D. Serum ammonia level of 180 mcg/dL.
Correct Answer: D
Rationale: The correct answer is D, the serum ammonia level of 180 mcg/dL. An elevated serum ammonia level indicates hepatic dysfunction and can lead to hepatic encephalopathy, which is a medical emergency requiring immediate intervention. Options A, B, and C are within normal ranges or slightly abnormal values for clients with cirrhosis and do not pose an immediate threat. Serum albumin levels may indicate malnutrition, prothrombin time may reflect liver synthetic function, and hemoglobin levels can be affected by various factors but do not require immediate intervention in this scenario.
A client with a history of alcohol abuse is admitted with acute pancreatitis. Which laboratory result requires immediate intervention?
- A. Amylase of 120 U/L.
- B. Lipase of 150 U/L.
- C. Calcium of 8.5 mg/dL.
- D. Blood glucose of 250 mg/dL.
Correct Answer: D
Rationale: Blood glucose of 250 mg/dL in a client with acute pancreatitis requires immediate intervention to prevent complications.
A public health nurse is working with a community to improve vaccination rates. Which intervention is most likely to be effective?
- A. Setting up vaccination clinics in accessible locations
- B. Distributing flyers with information about vaccines
- C. Offering incentives for getting vaccinated
- D. Partnering with local businesses to promote vaccination
Correct Answer: A
Rationale: Setting up vaccination clinics in accessible locations is the most effective intervention to improve vaccination rates. This intervention ensures easy access to vaccination services for community members, removing barriers such as transportation or time constraints. Distributing flyers (Choice B) may increase awareness but may not directly address access issues. Offering incentives (Choice C) might temporarily boost vaccination rates but may not lead to sustained behavior change. Partnering with local businesses (Choice D) could be beneficial for promotion but may not directly impact vaccination accessibility.