HESI RN
HESI Community Health
1. The healthcare provider is planning a health education session for teenagers on the importance of physical activity. Which strategy is most likely to be effective?
- A. lecturing about the benefits of physical activity
- B. showing videos of athletes
- C. organizing interactive physical activities
- D. distributing pamphlets on physical fitness
Correct answer: C
Rationale: Organizing interactive physical activities is the most effective strategy for educating teenagers on the importance of physical activity. This approach engages the teenagers actively, making the learning experience more enjoyable and memorable. Lecturing (choice A) may not be as engaging for teenagers, potentially leading to disinterest. Showing videos of athletes (choice B) may capture attention momentarily but may not have a lasting impact on understanding the importance of physical activity. Distributing pamphlets (choice D) is a passive method that may not effectively convey the message or engage teenagers in a meaningful way.
2. A client presents at a community-based clinic with complaints of shortness of breath, headache, often uses a gasoline-powered pressure washer to clean equipment and farm buildings. Which type of poisoning is the most likely etiology of this client's symptoms?
- A. asbestos
- B. silica dust
- C. histoplasmosis
- D. carbon monoxide
Correct answer: D
Rationale: The correct answer is D, carbon monoxide poisoning. This client's symptoms of shortness of breath and headache are consistent with carbon monoxide exposure, which can result from using gasoline-powered equipment in poorly ventilated areas. Asbestos (choice A) is linked to respiratory issues but does not typically present with these acute symptoms. Silica dust (choice B) exposure is associated with lung damage, not the symptoms described. Histoplasmosis (choice C) is a fungal infection and would not typically manifest with the symptoms presented by the client.
3. The healthcare professional is planning a health education workshop for a group of adolescents on the dangers of substance abuse. Which strategy is most likely to be effective?
- A. showing videos of the effects of substance abuse
- B. inviting individuals in recovery to share their stories
- C. providing statistical data on substance abuse
- D. distributing brochures on substance abuse prevention
Correct answer: B
Rationale: Inviting individuals in recovery to share their stories is the most effective strategy for educating adolescents about the dangers of substance abuse. Personal stories have a significant impact as they provide real-life examples of the consequences of substance abuse, making the information more relatable and emotionally engaging. This approach can evoke empathy, create a deeper understanding of the risks involved, and potentially deter adolescents from experimenting with substances. Showing videos of the effects of substance abuse (choice A) may be impactful, but personal narratives often have a stronger emotional connection. Providing statistical data (choice C) may not resonate as strongly with adolescents as personal stories. Distributing brochures (choice D) is informative but may not have the same emotional impact and engagement as hearing firsthand experiences.
4. A community health nurse is addressing the issue of domestic violence in the community. Which intervention should the nurse implement first?
- A. establishing a support group for survivors of domestic violence
- B. developing educational materials on recognizing signs of abuse
- C. partnering with local law enforcement to increase awareness
- D. conducting a community needs assessment to identify resources
Correct answer: D
Rationale: Conducting a community needs assessment is the most appropriate initial intervention when addressing domestic violence in the community. This step helps the nurse identify existing resources, gaps, and specific needs of the community related to domestic violence. By understanding the community's needs through a needs assessment, the nurse can tailor subsequent interventions effectively. Option A, establishing a support group, may be beneficial later but should not be the first step. Developing educational materials (Option B) and partnering with law enforcement (Option C) are important strategies; however, without understanding the community's specific needs through a needs assessment, the interventions may not be as targeted or effective.
5. A client with a history of hypertension is admitted with a blood pressure of 180/110 mm Hg. Which medication should the nurse prepare to administer?
- A. Atenolol (Tenormin)
- B. Nifedipine (Procardia)
- C. Hydrochlorothiazide (Microzide)
- D. Clonidine (Catapres)
Correct answer: D
Rationale: In this scenario of severe hypertension (180/110 mm Hg), the nurse should prepare to administer Clonidine (Catapres), which is an antihypertensive medication commonly used to rapidly lower blood pressure in acute situations. Atenolol and Nifedipine are also antihypertensive medications, but Clonidine is more appropriate for immediate blood pressure reduction in this critical situation. Hydrochlorothiazide is a diuretic often used for long-term management of hypertension, not for rapid lowering of severely elevated blood pressure.
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