HESI LPN
Community Health HESI Study Guide
1. The nurse is screening children at a local community health clinic for infectious diseases. Which child is at highest risk for hepatitis B virus (HBV)?
- A. A newborn.
- B. A 3-year-old.
- C. A 7-year-old.
- D. An 11-year-old.
Correct answer: A
Rationale: The correct answer is A: a newborn. Newborns are at the highest risk for HBV due to potential transmission from the mother. The hepatitis B virus can be transmitted from an infected mother to her baby during childbirth. Choices B, C, and D are incorrect because newborns have a higher risk due to this mode of transmission, making them more vulnerable compared to older children.
2. In order to facilitate the planning and implementation of an income-generating project in a barangay, which of the following actions should the Public Health Nurse NOT do?
- A. Form working groups or committees
- B. Enlist the help of technical professionals for training and guiding the people
- C. Form a core group to coordinate the various projects
- D. Give the people complete freedom to do what they want
Correct answer: D
Rationale: Giving people complete freedom without any guidance or structure can lead to disorganization, lack of focus, and ultimately project failure. In the context of implementing an income-generating project, it is crucial to provide support, direction, and coordination to ensure the project's success. Forming working groups, enlisting technical professionals for training, and establishing a core group for coordination are essential steps to enhance efficiency, productivity, and the overall success of the project.
3. A public health nurse is working with a community to develop a disaster response plan. Which of the following is the priority action?
- A. Identifying available resources and services
- B. Conducting disaster drills
- C. Educating the community about disaster preparedness
- D. Developing a communication plan
Correct answer: A
Rationale: Identifying available resources and services is the priority action when developing a disaster response plan. This step is crucial as it helps the community understand what resources and services are already in place and what additional support may be needed during a disaster. Conducting disaster drills, educating the community about disaster preparedness, and developing a communication plan are important steps in disaster preparedness but come after identifying available resources and services. Without knowing the available resources, it would be challenging to effectively plan and respond to a disaster.
4. This refers to trained community health workers or health auxiliary volunteers:
- A. Village health workers
- B. Barangay health workers
- C. All of the above
- D. None of the above
Correct answer: C
Rationale: The correct answer is C, 'All of the above.' Both village health workers and barangay health workers are trained community health workers or health auxiliary volunteers. Choice A, 'Village health workers,' is correct as they are trained community health workers. Choice B, 'Barangay health workers,' is also correct as they also refer to trained community health workers. Therefore, since both options A and B are accurate, the correct answer is C, 'All of the above.' Choice D, 'None of the above,' is incorrect as both village health workers and barangay health workers fit the description provided in the question.
5. A community health nurse is planning to implement an outreach program for a community group. Which criteria should the nurse clarify about the program when examining sources for funding?
- A. Focuses on addressing multiple health problems or concerns.
- B. Identifies populations and individuals in need of healthcare services.
- C. Evaluates differences in health services and health status among populations.
- D. Provides healthcare services to community members in local factories, schools, and churches.
Correct answer: B
Rationale: Identifying populations and individuals in need of healthcare services is essential when seeking funding for an outreach program. This criterion helps demonstrate the relevance and impact of the program on specific groups requiring healthcare services. Choice A is incorrect because while addressing multiple health problems is important, identifying the target population in need of services is more critical for funding considerations. Choice C is incorrect as evaluating variations in health services and status, though valuable, is not directly related to securing funding. Choice D is incorrect as offering services in various community locations is a component of the program's implementation, not a criterion for funding.
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