HESI LPN
Community Health HESI Study Guide
1. 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.
2. James is an 18-month-old child who has had a cough for 7 days with no general danger signs, a temperature of 37.5°C, and a respiratory rate of 41 breaths per minute. How will you classify James' breathing?
- A. Slow breathing
- B. Fast breathing
- C. Normal breathing
- D. Very fast breathing
Correct answer: C
Rationale: The correct answer is 'Normal breathing.' A respiratory rate of 41 breaths per minute is considered normal for an 18-month-old child. Choices A, B, and D are incorrect because a respiratory rate of 41 breaths per minute falls within the normal range for a child of James' age and does not indicate slow, fast, or very fast breathing.
3. Which of the following tools is used by community health nurses to identify the health needs of a population?
- A. Health survey
- B. Medical records
- C. Patient interviews
- D. Epidemiological studies
Correct answer: D
Rationale: Epidemiological studies are used by community health nurses to identify the health needs of a population. These studies involve investigating patterns, causes, and effects of health and disease conditions in defined populations. While health surveys, medical records, and patient interviews are valuable tools in healthcare, epidemiological studies provide a broader population-based perspective essential for understanding and addressing community health needs.
4. What is the ability to obtain, process, and understand basic health information and services needed to make appropriate health decisions known as?
- A. Health literacy
- B. Health equity
- C. Health disparity
- D. Health promotion
Correct answer: A
Rationale: Health literacy refers to the ability to obtain, process, and understand basic health information and services necessary to make informed health decisions. It empowers individuals to navigate the healthcare system, understand medical instructions, and advocate for their own health needs. - Choice B, Health equity, is the concept of everyone having a fair opportunity to attain their full health potential and not being disadvantaged due to their social or economic status. - Choice C, Health disparity, refers to differences in health outcomes or access to healthcare between different populations, often influenced by social, economic, or environmental factors. - Choice D, Health promotion, involves efforts to enhance and protect the health of individuals and communities through education, behavior change, and public health initiatives.
5. Which client has the highest risk for developing community-acquired pneumonia?
- A. a 40-year-old first-grade teacher who works with underprivileged children
- B. a 75-year-old retired secretary with exercise-induced wheezing
- C. a 60-year-old homeless person who is an alcoholic and smokes
- D. a 35-year-old aerobics instructor who skips meals and eats only vegetables
Correct answer: C
Rationale: The correct answer is C because homeless individuals who are alcoholics and smoke have a higher risk of developing community-acquired pneumonia due to factors like poor living conditions, compromised immune systems, and increased exposure to infections. Choice A is less likely as the teacher's profession, while involving contact with children, may not pose as high a risk as the factors in choice C. Choice B may have respiratory issues but does not have the same risk factors as choice C. Choice D, the aerobics instructor, may have a healthy lifestyle but skipping meals and a restrictive diet do not directly correlate with a higher risk of pneumonia compared to the risk factors in choice C.
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