HESI review 2 community Question And
(Answers+Rationale) Latest
-community health program plannings improve the health of the community by setting
priorities based on
{{{Answer}}} (community perception of the problem
percent of population of affected
supporting data
degree of risk
likelihood to make an impact with interventions)
-A community health nurse is planning to establish a community garden to address the
lack of nutritious food options in the area. Which of the following actions should the
nurse take first to initiate the plan?
A.) Identify community members who demonstrate an interest in the project
B.) Hold a community information session to inform the residents of the plan
C.) Select residents to take on leadership roles in the project
D.) Monitor the progress of the project to keep the project on course
{{{Answer}}} (A.) Identify community members who demonstrate an interest in the
project
The first action the nurse should take when using the nursing process is to assess the
community. The nurse can establish a local support group who will assist in engaging
other community residents with establishing the garden.)
-The nurse should instruct the family to implement what type of precautions while
providing care for a client who has C. difficile?
{{{Answer}}} (The nurse should instruct the family to implement contact precautions
while providing care for a client who has C. difficile. Contact precautions eliminate the
exposure to contaminated body fluids and items.
Droplet precautionsThe nurse should implement droplet precautions when providing
care for a client who has diphtheria or mumps. Droplet precautions require the use of
appropriate hand hygiene, the wearing of a surgical mask when within 3 feet of the
client, and the use of dedicated care equipment.
Airborne precautionsThe nurse should implement airborne precautions when providing
care for a client who has varicella, pulmonary tuberculosis, or measles. This type of
precaution requires a negative airflow room and the wearing of an N95 mask.
,Protective environmentThe nurse should implement protective environment precautions
for clients who are highly susceptible to infections, such as clients who have severe
dermatitis, major burns, leukemia, or who are undergoing chemotherapy.)
-A community health nurse is discussing the role of a faith community nurse with a
chaplain. Which of the following information shoudl the nurse include in the discussion?
A.) The faith community nurse can provide pharmacological pain management for
clients who have a terminal illness
B.) The faith community nurse can plan workplace safety training for employees in a
local factory
C.) The faith community nurse can provide wound care for clients in their homes
D.) The faith community nurse can facilitate substance abuse support groups
{{{Answer}}} (D.) The faith community nurse can facilitate substance abuse support
groups)
-A home care nurse is visiting an older adult and notes that unwashed dishes are piled
up and newspapers cover the front steps. Which of the following questions should the
nurse to ask the client to determine if he is socially isolated?
A.) "Why haven't you brought in your newspapers?"
B.) "Do you need help completing your housework?"
C.) "How often do you have visitors come to see you?"
D.) "Have you considered moving to an assisted living facility?"
{{{Answer}}} (C.) "How often do you have visitors come to see you?")
-A faith community nurse is teaching the daughter of a client who has a terminal illness
about her role as a member of the client's health care team. Which of the followign
statements by the daughter indicates an understanding of the teaching?
A.) "You will be able to access my mother's hospital medical records for us to review."
B.) "You will be able to give my mother pain medication."
C.) "You can submit invoices to Medicare to reimburse you for your services."
D.) "You will coordinate with volunteers who will come to help my mother."
{{{Answer}}} (D.) "You will coordinate with volunteers who will come to help my mother."
A faith community nurse can assist with receiving services from various volunteers
within the client's spiritual community to provide additional support and comfort to the
client during the dying process.
Faith community nurses work within a specific spiritual agency to combine health and
spiritual healing. They do not have access to hospital medical records.
"You will be able to give my mother pain medication." The client will require assistance
from a hospice nurse to receive pain medication during the dying process.
,"You can submit invoices to Medicare to reimburse you for your services." The services
that a faith community nurse provides are either on a volunteer basis or financially
supported through the faith agency.)
-A community health nurse is providing teaching about health promotion to a group of
adolescents. Which of the following topics is the most important for the nurse to include
in an attempt to lower adolescent mortality rates?
A.) Underage smoking
B.) Safer sex practices
C.) Safety belt use
D.) Heart-healthy diet
{{{Answer}}} (C.) Safety belt use
Automobile crashes are currently the leading cause of death among adolescents.
Therefore, this topic is most important to discuss.)
-A nurse is developing a genogram for a client to determine education needs. Which of
the following health risk information should the nurse expect to obtain with this tool?
A.) Biological
B.) Behavioral
C.) Social
D.) Economic
{{{Answer}}} (A.) Biological. A family genogram tracks the incidence of disease over
multiple generations of a family and will identify biological risk factors.
Behavioral
To obtain information regarding behavioral risks, including personal and family health
habits, the nurse should conduct a lifestyle risk assessment.
Social
To obtain information regarding social risks, including living in a high-stress environment
like a high-crime neighborhood, the nurse should conduct an environmental risk
assessment.
Economic
To obtain information regarding economic risks, including the relationship between
family resources and the demand for those resources, the nurse should conduct an
environmental risk assessment.)
-Community leaders have requested a meeting with a community health nurse to
discuss creating a mobile meals program. Which of the following should the community
health nurse assess first?
A.) The leadership support of the community
, B.) The accessibility of residences
C.) The availability of volunteers
D.) The need for the program
{{{Answer}}} (D.) The need for the program. Using the urgent vs. nonurgent approach to
client care, the nurse should first assess the need for the mobile meals program. This
action allows the nurse to collect data on the client, which is the community, and meets
the first step of program planning. The needs of the community will determine all other
steps of the planning process.
While the support afforded by the leaders of the community should be determined prior
to implementing the program, it is not the first thing the nurse should assess.
The accessibility of residences
While the accessibility of residences will need to be determined prior to implementing
the program, it is not the first thing the nurse should assess.
The availability of volunteers
While the availability of volunteers will need to be determined prior to implementing the
program, it is not the first thing the nurse should assess.)
-A nurse is developing a community education program about risk factors for family
violence. The nurse should include which of the following circumstances as a risk factor
for intimate partner abuse?
A.) Attempting to end the relationship
B.) Lacking supportive friends outside the relationship
C.) Having health issues that limit independence
D.) Taking antianxiety or sedative medications
{{{Answer}}} (A.)Attempting to end the relationship
Clients who are in a relationship with a potential or actual abuser heighten their risk for
intimate partner abuse when they attempt to leave the relationship.)
-A community health nurse is participating in a quality improvement plan for a local
health department. Which of the following techniques should the nurse use for process
evaluation of the facility? (Select all that apply).
A.) Focus groups
B.) Written audits
C.) Satisfaction survey
D.) Interviews
E.) Values self-study
{{{Answer}}} (A.) Focus groups
B.) Written audits
C.) Satisfaction survey
D.) Interviews)
(Answers+Rationale) Latest
-community health program plannings improve the health of the community by setting
priorities based on
{{{Answer}}} (community perception of the problem
percent of population of affected
supporting data
degree of risk
likelihood to make an impact with interventions)
-A community health nurse is planning to establish a community garden to address the
lack of nutritious food options in the area. Which of the following actions should the
nurse take first to initiate the plan?
A.) Identify community members who demonstrate an interest in the project
B.) Hold a community information session to inform the residents of the plan
C.) Select residents to take on leadership roles in the project
D.) Monitor the progress of the project to keep the project on course
{{{Answer}}} (A.) Identify community members who demonstrate an interest in the
project
The first action the nurse should take when using the nursing process is to assess the
community. The nurse can establish a local support group who will assist in engaging
other community residents with establishing the garden.)
-The nurse should instruct the family to implement what type of precautions while
providing care for a client who has C. difficile?
{{{Answer}}} (The nurse should instruct the family to implement contact precautions
while providing care for a client who has C. difficile. Contact precautions eliminate the
exposure to contaminated body fluids and items.
Droplet precautionsThe nurse should implement droplet precautions when providing
care for a client who has diphtheria or mumps. Droplet precautions require the use of
appropriate hand hygiene, the wearing of a surgical mask when within 3 feet of the
client, and the use of dedicated care equipment.
Airborne precautionsThe nurse should implement airborne precautions when providing
care for a client who has varicella, pulmonary tuberculosis, or measles. This type of
precaution requires a negative airflow room and the wearing of an N95 mask.
,Protective environmentThe nurse should implement protective environment precautions
for clients who are highly susceptible to infections, such as clients who have severe
dermatitis, major burns, leukemia, or who are undergoing chemotherapy.)
-A community health nurse is discussing the role of a faith community nurse with a
chaplain. Which of the following information shoudl the nurse include in the discussion?
A.) The faith community nurse can provide pharmacological pain management for
clients who have a terminal illness
B.) The faith community nurse can plan workplace safety training for employees in a
local factory
C.) The faith community nurse can provide wound care for clients in their homes
D.) The faith community nurse can facilitate substance abuse support groups
{{{Answer}}} (D.) The faith community nurse can facilitate substance abuse support
groups)
-A home care nurse is visiting an older adult and notes that unwashed dishes are piled
up and newspapers cover the front steps. Which of the following questions should the
nurse to ask the client to determine if he is socially isolated?
A.) "Why haven't you brought in your newspapers?"
B.) "Do you need help completing your housework?"
C.) "How often do you have visitors come to see you?"
D.) "Have you considered moving to an assisted living facility?"
{{{Answer}}} (C.) "How often do you have visitors come to see you?")
-A faith community nurse is teaching the daughter of a client who has a terminal illness
about her role as a member of the client's health care team. Which of the followign
statements by the daughter indicates an understanding of the teaching?
A.) "You will be able to access my mother's hospital medical records for us to review."
B.) "You will be able to give my mother pain medication."
C.) "You can submit invoices to Medicare to reimburse you for your services."
D.) "You will coordinate with volunteers who will come to help my mother."
{{{Answer}}} (D.) "You will coordinate with volunteers who will come to help my mother."
A faith community nurse can assist with receiving services from various volunteers
within the client's spiritual community to provide additional support and comfort to the
client during the dying process.
Faith community nurses work within a specific spiritual agency to combine health and
spiritual healing. They do not have access to hospital medical records.
"You will be able to give my mother pain medication." The client will require assistance
from a hospice nurse to receive pain medication during the dying process.
,"You can submit invoices to Medicare to reimburse you for your services." The services
that a faith community nurse provides are either on a volunteer basis or financially
supported through the faith agency.)
-A community health nurse is providing teaching about health promotion to a group of
adolescents. Which of the following topics is the most important for the nurse to include
in an attempt to lower adolescent mortality rates?
A.) Underage smoking
B.) Safer sex practices
C.) Safety belt use
D.) Heart-healthy diet
{{{Answer}}} (C.) Safety belt use
Automobile crashes are currently the leading cause of death among adolescents.
Therefore, this topic is most important to discuss.)
-A nurse is developing a genogram for a client to determine education needs. Which of
the following health risk information should the nurse expect to obtain with this tool?
A.) Biological
B.) Behavioral
C.) Social
D.) Economic
{{{Answer}}} (A.) Biological. A family genogram tracks the incidence of disease over
multiple generations of a family and will identify biological risk factors.
Behavioral
To obtain information regarding behavioral risks, including personal and family health
habits, the nurse should conduct a lifestyle risk assessment.
Social
To obtain information regarding social risks, including living in a high-stress environment
like a high-crime neighborhood, the nurse should conduct an environmental risk
assessment.
Economic
To obtain information regarding economic risks, including the relationship between
family resources and the demand for those resources, the nurse should conduct an
environmental risk assessment.)
-Community leaders have requested a meeting with a community health nurse to
discuss creating a mobile meals program. Which of the following should the community
health nurse assess first?
A.) The leadership support of the community
, B.) The accessibility of residences
C.) The availability of volunteers
D.) The need for the program
{{{Answer}}} (D.) The need for the program. Using the urgent vs. nonurgent approach to
client care, the nurse should first assess the need for the mobile meals program. This
action allows the nurse to collect data on the client, which is the community, and meets
the first step of program planning. The needs of the community will determine all other
steps of the planning process.
While the support afforded by the leaders of the community should be determined prior
to implementing the program, it is not the first thing the nurse should assess.
The accessibility of residences
While the accessibility of residences will need to be determined prior to implementing
the program, it is not the first thing the nurse should assess.
The availability of volunteers
While the availability of volunteers will need to be determined prior to implementing the
program, it is not the first thing the nurse should assess.)
-A nurse is developing a community education program about risk factors for family
violence. The nurse should include which of the following circumstances as a risk factor
for intimate partner abuse?
A.) Attempting to end the relationship
B.) Lacking supportive friends outside the relationship
C.) Having health issues that limit independence
D.) Taking antianxiety or sedative medications
{{{Answer}}} (A.)Attempting to end the relationship
Clients who are in a relationship with a potential or actual abuser heighten their risk for
intimate partner abuse when they attempt to leave the relationship.)
-A community health nurse is participating in a quality improvement plan for a local
health department. Which of the following techniques should the nurse use for process
evaluation of the facility? (Select all that apply).
A.) Focus groups
B.) Written audits
C.) Satisfaction survey
D.) Interviews
E.) Values self-study
{{{Answer}}} (A.) Focus groups
B.) Written audits
C.) Satisfaction survey
D.) Interviews)
