HESI RN
Community Health HESI 2023 Quizlet
1. 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.
2. A nurse is planning a community health fair to promote cardiovascular health. Which activity should be included to best engage participants?
- A. free blood pressure screenings
- B. lectures on heart-healthy diets
- C. distribution of pamphlets on heart disease
- D. cooking demonstrations of healthy recipes
Correct answer: A
Rationale: Offering free blood pressure screenings should be included in the community health fair to best engage participants. This activity provides immediate, valuable information about participants' cardiovascular health. Blood pressure screenings are interactive, engaging, and offer personalized insights that can motivate individuals to take action towards improving their heart health. Lectures on heart-healthy diets, distribution of pamphlets, and cooking demonstrations, although beneficial, may not have the same level of immediate impact and engagement as the hands-on experience of getting one's blood pressure checked.
3. Who is likely to have the most influence on these women's perceptions about their children's healthcare needs?
- A. husbands
- B. clinic healthcare provider
- C. older females
- D. tribal chief
Correct answer: C
Rationale: In many cultures, older women, such as grandmothers or aunts, hold significant influence over health-related decisions and practices within the family. They are often the ones consulted for advice on healthcare matters concerning children. Husbands (choice A) may have influence in other areas, but when it comes to healthcare decisions for children, older females are typically more influential. Clinic healthcare providers (choice B) may offer guidance, but the influence of older females within the community is usually stronger. Tribal chiefs (choice D) may hold authority but might not be as directly involved in individual healthcare decisions within families as older females.
4. A client with a history of hypertension is prescribed enalapril (Vasotec). Which statement by the client indicates a need for further teaching?
- A. I will monitor my blood pressure regularly.
- B. I will report any signs of infection to my healthcare provider.
- C. I will avoid using salt substitutes.
- D. I will increase my intake of potassium-rich foods.
Correct answer: D
Rationale: The correct answer is D. Increasing potassium intake can lead to hyperkalemia, especially in clients taking ACE inhibitors like enalapril. Hyperkalemia is a potential side effect of ACE inhibitors and can be exacerbated by consuming potassium-rich foods. Monitoring blood pressure regularly (A) is important when taking antihypertensive medications. Reporting signs of infection (B) is crucial as ACE inhibitors can lower the immune response. Avoiding salt substitutes (C) is necessary because they may contain potassium chloride, leading to increased potassium levels, which can be harmful in combination with ACE inhibitors.
5. The healthcare professional is developing a program to educate parents on the importance of immunizations. Which topic should be prioritized?
- A. the benefits of immunizations
- B. the potential side effects of vaccines
- C. the immunization schedule
- D. ways to comfort children during vaccinations
Correct answer: A
Rationale: Prioritizing the benefits of immunizations is crucial in helping parents comprehend the significance of vaccines in safeguarding their children against preventable diseases. Understanding the positive impact of immunizations can alleviate concerns and misconceptions that parents may have, ultimately encouraging them to make informed decisions regarding their children's health. Discussing potential side effects (choice B) is important but should come after highlighting the benefits to avoid instilling unnecessary fear. While the immunization schedule (choice C) is essential information, it may be overwhelming if presented as the initial focus. Comforting children during vaccinations (choice D) is valuable but secondary to ensuring parents understand the benefits of immunizations.
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