HESI RN
Community Health HESI
1. The nurse is planning a community health fair to promote mental health awareness. Which activity is most likely to engage participants?
- A. a lecture on the signs and symptoms of depression
- B. a workshop on stress management techniques
- C. a panel discussion with mental health experts
- D. a booth distributing brochures on mental health resources
Correct answer: B
Rationale: A workshop on stress management techniques is the most engaging activity as it allows participants to actively participate, learn practical skills, and interact with others. This hands-on approach fosters engagement and provides attendees with tools they can directly apply in their lives. Choice A, a lecture, may be informative but lacks the interactive element that promotes engagement. Choice C, a panel discussion, might be informative but could be passive for attendees. Choice D, distributing brochures, is informative but lacks the interactive and engaging nature of a workshop.
2. What is the most important information for a nurse to obtain when an older female client expresses not deserving to eat due to lack of money?
- A. Client's thoughts about wanting to hurt herself
- B. Medication history for antipsychotic agents
- C. Availability of family members to provide meals
- D. Community resources to provide financial aid
Correct answer: A
Rationale: The correct answer is A: Client's thoughts about wanting to hurt herself. When a client expresses not deserving to eat due to lack of money, it raises concerns about her mental and emotional well-being. Assessing for suicidal ideation is crucial in this situation to ensure the client's immediate safety. Options B, C, and D are not the most critical information to obtain in this scenario. While medication history, family support, and community resources are important aspects of care, in this context, the client's mental health and risk of self-harm take precedence.
3. Prior to implementing a community health program targeting teenage smoking, which information is most important for the nurse to obtain?
- A. greater access to any healthcare provider
- B. allowance for early discharge
- C. Prevalence and patterns of smoking among teenagers
- D. approval by the network healthcare provider
Correct answer: C
Rationale: The most important information for the nurse to obtain before implementing a community health program targeting teenage smoking is the prevalence and patterns of smoking among teenagers. Understanding this data is crucial to tailor the program to the specific needs and behaviors of the target group, ensuring it addresses the root causes effectively. Choices A, B, and D are unrelated to the specific needs of the target group and do not provide essential information for designing an effective smoking cessation program for teenagers.
4. A nurse is developing a community health education program focused on preventing childhood obesity. Which intervention should be prioritized?
- A. Creating a school-based exercise program
- B. Distributing educational pamphlets on healthy eating
- C. Organizing a community health fair
- D. Partnering with local restaurants to offer healthy meal options
Correct answer: A
Rationale: The correct answer is A: Creating a school-based exercise program. This intervention directly addresses the need to increase physical activity among children, a crucial aspect in preventing childhood obesity. While distributing educational pamphlets on healthy eating (choice B) can be beneficial, promoting physical activity through a structured program is more effective in combating obesity. Organizing a community health fair (choice C) may raise awareness but may not lead to sustained behavior change like a structured exercise program. Partnering with local restaurants to offer healthy meal options (choice D) addresses nutrition but does not directly impact physical activity levels, which are essential in obesity prevention.
5. The healthcare provider is assessing a client with a suspected stroke. Which finding requires immediate intervention?
- A. Blood pressure of 160/90 mm Hg.
- B. Blood glucose level of 180 mg/dL.
- C. Difficulty speaking.
- D. Temperature of 99.8°F (37.7°C).
Correct answer: C
Rationale: Difficulty speaking is a classic symptom of a stroke, indicating a potential blockage of blood flow to the brain. Immediate intervention is crucial to minimize brain damage. While an elevated blood pressure (Choice A) may need management, it is not the most urgent concern in this scenario. A blood glucose level of 180 mg/dL (Choice B) is slightly elevated but does not require immediate intervention for a suspected stroke. A temperature of 99.8°F (37.7°C) (Choice D) falls within the normal range and is not a critical finding in this context.
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