HESI LPN
Community Health HESI Study Guide
1. The Philippine Family Program seeks to improve and maintain which of the following life-saving measures?
- A. proper spacing of pregnancies
- B. proper timing of pregnancies
- C. fewer pregnancies
- D. all of the above
Correct answer: D
Rationale: The correct answer is D, all of the above. The Philippine Family Program aims to enhance and sustain proper spacing of pregnancies, proper timing of pregnancies, and reducing the number of pregnancies. These measures are essential for promoting maternal and child health, preventing complications, and ensuring better outcomes. Choices A, B, and C are all part of the comprehensive approach taken by the program to safeguard the well-being of families and contribute to overall public health.
2. A male client is brought to the emergency department as the result of a motorcycle accident. He was not wearing a helmet at the time of the accident and states that he has no intention of ever wearing one. Within the framework of the Transtheoretical Model (TTM), which response should the nurse provide?
- A. Wearing a helmet or not is certainly an individual decision.
- B. You should seriously consider wearing a helmet.
- C. Riding a motorcycle with a helmet increases your safety.
- D. I really think you don't have the facts about helmet use.
Correct answer: C
Rationale: Providing information on safety aligns with the TTM framework.
3. The nurse is working in a community health clinic that serves a diverse population. Which of the following actions best demonstrates cultural competence?
- A. Learning about the cultural practices of the clinic's client population
- B. Providing translation services for non-English speaking clients
- C. Treating all clients the same regardless of their background
- D. Encouraging clients to adopt mainstream health practices
Correct answer: A
Rationale: Learning about the cultural practices of the clinic's client population is the best way to demonstrate cultural competence. This action shows respect for the diverse backgrounds of the clients and helps in providing care that is sensitive to their cultural beliefs and practices. Providing translation services (Choice B) is important for effective communication but may not address the deeper aspects of cultural competence. Treating all clients the same (Choice C) may overlook the unique needs that arise from cultural differences. Encouraging clients to adopt mainstream health practices (Choice D) may not be appropriate or respectful of their cultural traditions and preferences.
4. The nurse is planning a nutrition class for a group of high school students emphasizing the goals for nutrition from Healthy People 2020. Which meal selection provides the best choices in meeting these goals?
- A. pasta with cheese sauce, garlic butter bread, and vegetable juice drink
- B. a 6-oz pork chop, creamed peas, cheese sauce on potatoes, coffee
- C. vegetable lasagna, lettuce salad, a whole wheat roll, 8 oz of 2% milk
- D. bacon, lettuce, tomato sandwich, whole grain chips, 8 oz. of whole milk
Correct answer: C
Rationale: The correct answer is C because vegetable lasagna, lettuce salad, and a whole wheat roll with 2% milk align with the nutrition goals of Healthy People 2020. These choices provide a balanced meal with vegetables, whole grains, and dairy, promoting a healthier dietary pattern. Choices A, B, and D do not offer as comprehensive a selection of food groups or as healthy options as choice C, making them less aligned with the nutrition goals of Healthy People 2020.
5. Which of the following statements is not correct regarding family planning?
- A. Family planning services should be made available to those who need them.
- B. It is the responsibility of every parent to determine whether to have children, when, or how many.
- C. Family planning is geared towards individual and family welfare.
- D. The ultimate goal of family planning is to prevent pregnancies.
Correct answer: D
Rationale: The correct answer is D because the ultimate goal of family planning is not solely to prevent pregnancies but to promote individual and family well-being. Family planning encompasses various aspects such as helping individuals and families make informed choices about the number and spacing of their children, access to healthcare services, and overall reproductive health. Option A is correct as making family planning services available to those who need them is essential for promoting reproductive health. Option B is also correct as it emphasizes the role of parents in making decisions about having children. Option C is correct as family planning indeed aims to improve the welfare of individuals and families. Therefore, option D is not correct as the ultimate goal of family planning is not limited to preventing pregnancies, but it includes broader aspects of promoting health and well-being.
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