2024 LATEST HESI Community Health

The community health nurses is counseling a group of 14 year olds about safe sexual practices. Which health teaching strategy would be most effective for the nurse to use with this age group? A.Encourage group members to describe personal experiences in practicing safe sex B. Provide the group with statistical data about behaviors leading to venereal diseases C. Tell the group that for aids prevention abstinence is the best safe sex practice D. Role play situations in which the adolescent is rewarded for practicing safe sex - correct answersD. Role play situations in which the adolescent is rewarded for practicing safe sex A young adult man goes to an emergency treatment area after finishing a marathon run. He is weak dizzy and remains thirsty after drinking a pint of a flavored sports drink. What action should the nurse implement first? A. Instruct the runner that a urine sample is needed B. Send for the automatic external defibrillator C. Determine if there are friends or family nearby D. Give the runner another pint of fluids to drink - correct answersD. Give the runner another pint of fluids to drink An older adult male who fractured his right hip is discharged to home one week following an arthroplasty. Which adjustment to the clients home environment is most important for the home health nurse to implement? A. Lower the temperature on the clients water heater B. Encourage the client to wear rubber soled shoes C. Ensure that an elevated toilet seat is installed D. Leave motion activated light in the living room - correct answersC. Ensure that an elevated toilet seat is installed The nurse is caring for four clients in a women's health clinic. Which client should the nurse assess for risk for pelvic inflammatory disease? A. 30 year old with endometriosis B. 40 year old with leiomyoma C. 50 year old perimenopause D. 20 year old with gonorrhea - correct answersD. A 20 year old with gonorrhea The nurse is teaching a group of adults at a health fair about healthy life style choices. Which information is most important for the nurse to emphasize? A. Completely stop the use of cigarette and tobacco products B. Eat a diet high in fruits vegetables and whole grains C. Avoid the midday sun and use sunscreen D. Perform monthly self examination of breasts and testes - correct answersA. Completely stop the use of cigarette and tobacco products The school nurse who is reviewing immunization records of students who will start kindergarten within the next month notes that most of the students have only received on does of the measles mumps rubella vaccine. Which intervention should the nurse implement? A. Note in the student records that the second dose of the MMR vaccine should be administered prior to entering first grade B. Send notices home with the children on the first day of class advising that MMR vaccine series must be completed C. Contact kindergarten parents to remind them that the second dose of MMR is due at eh start of the school year D. Speak at the next parent teacher association meeting to teach parents the benefits of immunizing their children - correct answersB. Send notices home with the children on the first day of class advising that MMR vaccine series must be completed A middle aged male client presents for his annual health visit at a community clinic. He is 5 ft 10 in tall weighs 250 pounds, and works as an accountant. He smokes at least one pack of cigarettes every day for the last 15 years. Which secondary prevention measure should the nurse recommend the client to follow? A. Compliance with antihypertensive and lipid lowering agents. B. Increase physical activity and diet low in saturated fat C. Smoking cessation D. Blood pressure and lipid screening - correct answersD. Blood pressure and lipid screening A male high school student is referred to the school nurse because he lost consciousness during gymnastics class. His neurological vital signs are with normal limits, and his blood pressure is 100/62. He is 6 ft 3 in tall wighs 135 pound and his body mass index is 16.9. which assessment data should the nurse obtain first? A. Serial bp reading every 30 minutes B. Twenty-four hour diet recall C. Use of performance enhancing drugs D. Recent exposure to allergens - correct answersB. Twenty-four hour diet recall The nurse is planning to implement a health education program on breast screening for Hispanic women at a community center. Which component of the teaching plan best provides culturally competent care? A. Provide handouts and brochures in the English and Spanish languages B. Ask a Hispanic breast cancer survivor to present the educational class C. Include treatment modalities with survival statistics for Hispanic women D. Design flyers that target Hispanic women encouraging their attendance - correct answersA. Provide handouts and brochures in the English and Spanish The nurse is planning a health education program for 10-year old. Which setting is most likely to increase the preadolescent's participation in the program? A. The school classroom B. Community center C. Home of one of the children D. A local place of worship - correct answersA. The school classroom The public health nurse receives grant funding to implement primary prevention strategies for migrant farm workers and their families. Which action should the nurse plan to include? A. Teach a class in providing first aid for heat exhaustion B. Organize free community wide tuberculosis screenings C. Distribute brochures on measures to avoid pesticide exposure D. Ask a physical therapist to speak about managing low back pain - correct answersC. Distribute brochures on measures to avoid pesticide exposure The parish nurse notes that an elderly male client has had a 5 lbs weight loss since his check up one month ago. The client has good hygiene, still drives a car and lives alone. To which agency should the nurse refer this client? A. The adult day care center B. The social security administration office C. The women infant and children office D. The senior citizen center - correct answersD. The senior citizen center The nurse is screening for hypertension at a local health fair. One of the community residents has a blood pressure reading of 138/80. Which interventions should the nurse implement for this client? (Select all that apply) A. Obtain another blood pressure to verify the first reading B. Ask the client about any current antihypertensive medications C. Recommend further evaluation for possible pre-hypertension D. Encourage the client to keep doing whatever you are doing E. Assess clients life style and other risk factors for hypertension - correct answersA. Obtain another blood pressure to verify the first reading B. Ask the client about any current antihypertensive medications C. Recommend further evaluation for possible pre-hypertension Which intervention should the nurse implement to help prevent client from getting a vector born infectious disease? A. Demonstrate the correct way to remove ticks imbedded in the skin B. Discuss the importance of wearing insect repellent when camping C. Instruct the client to drink only bottled water when traveling abroad