HESI LPN
Community Health HESI Exam
1. Which of the following is an example of a modifiable risk factor for chronic diseases?
- A. Age
- B. Gender
- C. Genetic predisposition
- D. Physical inactivity
Correct answer: D
Rationale: Physical inactivity is a modifiable risk factor for chronic diseases because individuals have control over their level of physical activity. By increasing physical activity, the risk of chronic diseases can be reduced. Choices A, B, and C are not modifiable risk factors: Age is a non-modifiable factor, gender is a biological characteristic, and genetic predisposition is inherent and cannot be altered.
2. A nurse working in a community health setting is performing primary health screenings. Which individual is at highest risk for contracting an HIV infection?
- A. A 17-year-old who is sexually active with numerous partners.
- B. A 45-year-old lesbian who has been sexually active with two partners in the past year.
- C. A 30-year-old cocaine user who inhales the drug and works in a topless bar.
- D. A 34-year-old male homosexual who is in a monogamous relationship.
Correct answer: A
Rationale: The correct answer is A. A 17-year-old who is sexually active with numerous partners is at the highest risk for contracting an HIV infection due to engaging in risky sexual behavior with multiple partners, increasing the likelihood of exposure to the virus. Choice B is less risky as the individual has had a relatively lower number of sexual partners in the past year. Choice C, although involving drug use, does not directly correlate with a higher risk of contracting HIV unless needles are shared. Choice D, a 34-year-old male homosexual in a monogamous relationship, has a lower risk compared to choice A as long as the relationship remains monogamous.
3. As a community Health Nurse, you are a change agent. Which of the following roles must you play to succeed as a change agent?
- A. information provider
- B. information seeker
- C. motivator
- D. leader
Correct answer: B
Rationale: To succeed as a change agent, being an information seeker is crucial. While being an information provider, motivator, and leader are important roles, actively seeking information is fundamental to understanding the community's needs, concerns, and challenges before implementing effective changes. This active information seeking helps in making informed decisions and developing strategies that address the specific issues faced by the community. Therefore, the correct choice is B. Choices A, C, and D are also important roles but may not be as fundamental as actively seeking information.
4. In which of the following settings would a community health nurse be less likely to be involved?
- A. neighborhood clinic, community clinic, or senior center
- B. physician's office with a focus on individual client care
- C. home-based care
- D. neighborhood planning board
Correct answer: B
Rationale: Community health nurses are less likely to be involved in a physician's office with a focus on individual client care because their role primarily revolves around promoting and maintaining the health of populations and communities rather than providing direct care to individual clients. Options A, C, and D are more aligned with the community health nurse's role as they involve working in community-based settings, providing home-based care, and participating in community planning and advocacy.
5. A unit of Girl Scouts went hiking over Mt. Makiling. While resting, scout Jaymee, 14 years of age, complained of a sudden moderately bearable toothache. In checking their first-aid kit, they found none of mefenamic acid, BUT they luckily chanced upon a home that uses alternative pain-relieving medicinal plants. What would this plant be?
- A. Bawang
- B. Lagundi
- C. Sambong
- D. Tsaang gubat
Correct answer: A
Rationale: The correct answer is A, Bawang (garlic), which is traditionally used for its pain-relieving properties. While Lagundi, Sambong, and Tsaang gubat are also medicinal plants with various health benefits, they are not specifically known for their pain-relieving properties like garlic.
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