HESI LPN
Community Health HESI Questions
1. You assisted the midwife in formulating the objectives of the plan of care for Barangay Mabulaklak. Which of the following is a well-stated objective?
- A. to reduce the number of children with ascariasis by the end of two years
- B. to protect the water sources from pollution
- C. to conduct health teachings on proper nutrition
- D. to reduce the number of underweight children by 10%
Correct answer: D
Rationale: A specific, measurable objective like reducing the number of underweight children by 10% is well-stated. This objective is clear, quantifiable, and time-bound, making it easier to track progress and evaluate the effectiveness of the plan. Choices A, B, and C are not as well-stated as they lack specificity, measurability, and a quantifiable target.
2. The nurse uses the DRG (Diagnosis Related Group) manual to
- A. Classify nursing diagnoses from the client's health history
- B. Identify findings related to a medical diagnosis
- C. Determine reimbursement for a medical diagnosis
- D. Implement nursing care based on case management protocol
Correct answer: C
Rationale: The DRG manual is used to determine the reimbursement rate for medical diagnoses and treatments under the prospective payment system used by healthcare facilities. Choice A is incorrect because the DRG manual is not used to classify nursing diagnoses, but rather to group medical diagnoses for billing purposes. Choice B is incorrect as the DRG manual is not used to identify findings related to medical diagnoses, but rather to standardize payments for medical services. Choice D is incorrect as the DRG manual is not used to implement nursing care based on case management protocol, but rather to set reimbursement rates.
3. Which ethnic group has the highest risk for diabetes?
- A. African Americans
- B. Hispanic Americans
- C. Asian Americans
- D. Native Americans
Correct answer: D
Rationale: Native Americans have the highest risk for diabetes compared to other ethnic groups. This is due to genetic predisposition, lifestyle factors, and limited access to healthcare. African Americans, Hispanic Americans, and Asian Americans also have an increased risk of developing diabetes, but statistically, Native Americans have the highest prevalence of the disease. Therefore, choices A, B, and C are incorrect.
4. Community health nurses help influence the health of communities through which of the following actions?
- A. legislating health behavior
- B. recording health status of individuals in a similar geographic region
- C. influencing health status and behavior, and engaging in health promotion
- D. none of the above
Correct answer: C
Rationale: Community health nurses play a crucial role in influencing the health of communities by engaging in health promotion activities and influencing health behaviors. Choice A is incorrect as community health nurses do not legislate health behavior but rather educate and promote healthy behaviors. Choice B is incorrect as while community health nurses may record health data, their main focus is on proactive health promotion and intervention, not just documenting health status. Choice D is incorrect because community health nurses actively work to influence health status and behaviors.
5. Occupational health nursing is concerned with the following except:
- A. educating workers about health
- B. immediate diagnosis of illness prevailing in the work field
- C. appropriate and effective ways of promoting health
- D. planning of administering health services
Correct answer: B
Rationale: Occupational health nursing focuses on educating workers about health, promoting health through appropriate and effective ways, and planning and administering health services in the workplace. Immediate diagnosis of illness prevailing in the work field is typically not the primary role of occupational health nursing, as it usually involves prevention, education, and health promotion rather than diagnosing acute conditions.
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