HESI COMMUNITY HEALTH GUIDE
• Nurse Consultant
Correct answer : Serve as a resource persons to other occupational and environmental health nurses,
management, members of the occupational healthteam, and related organizations and agencies.
• Health Promotion Specialist
Correct answer : Occupational health nurse who develops andmonitors goalsand strategies
Develops primary, secondary, and tertiary prevention programs within the worksite.
• how are the biological agents pneumonic plague and smallpox spread?
Correct answer : transmitted person to person via inhalation
• Yersinia Pestis
Correct answer : (pneumonic plague) begins with high fever, dyspnea, hemop-tysis, nausea,
vomiting, diarrhea, and abdominal pain.
• Silica dust
Correct answer : can be inhaled in construction and cause resp issues
• Histoplasmosis
Correct answer : infection by a fungus found in the droppings of birds and batsin humid areas. It is not
serious if confined to the lungs but can be fatal if spreadthroughout the body
• Botulism Toxin Poisoning
Correct answer : Poisoning is characterized by neurological symp-toms includingsymmetric,
descending flaccid paralysis, blurred vision, double vision, blurred vision, drooping eyelids, slurred
speech, difficulty swallowing, andmuscle weakness that descends through the body starting with the
shoulders.
• Anthrax
,Correct answer : bioterrorism agent is at high risk for use as a potentialbiologicalweapon
that is readily transmitted by several portals of entry
Infection is acquired when anthrax spores enter a host
• Asbestos
Correct answer : particles in insulation that are assoc w lung cx
• Ricin Poisoning
Correct answer : Causes system specific reactions when poisoning occurs byinhalation,
ingestion, or injection (resulting in death).
• Carbon Monoxide poisoning
Correct answer : SOAHA
dizziness
nausea
(can get from working w gasoline powered pressure washer+ migrant workers athigh risk)
• Disaster Triage Color SystemCorrect
answer : priorities:
1) red-- massive bleeding or tension pneumothorax abd injury
2) yellow-- medium priority
3) green--walking wounded
4-aka no tx) black- dead or near dead, no hope of surviving provided currentresources
• Ancathosis Nigricans
Correct answer : a skin condition characterized by dark, thick, velvetyskin inarmpits, groin, or neck;
checking for lice and notice dark patch
• Anthrax
Correct answer : bacterial infection from coming in contact with spores from
infectedanimals or animal products think of sheep and animal hides; multipleroutes for infection;
treated with Cipro
,• Prioritizing home care: a) COPD pt with SOB b) pt who refuses to eat ordrink
c) pt with CHF who has gained 3 lbs
Correct answer : pt who has CHF and gained 3 lbs
• Battering communication
Correct answer : have the child leave the room and question thewoman aboutthe abuse since it
does not pertain to the child being abused
• Breast Cancer Risks
Correct answer : age 55+; direct family member; personal history; white; overweight; nulliparity;
pregnant after 30; smoking; HRT; menstrual before 12 ormenopause after 55
• COBRA
Correct answer : means that after losing job you can still have same health insurancefor a certain
amount of time, however the monthly cost of maintaining itsky rockets;already lost job so pretty hard to
afford the cost and usually end up losing it anyway.Main concern of COBRA pt is being able to pay
for expenses
• Ethnicity with highest risk for diabetesCorrect
answer : Native Americans
• Ethnicity with highest risk for cardiovascular diseaseCorrect
answer : African Americans
• Diabetes A1C
Correct answer : to determine effectiveness of program to decrease rates ofdiabetes in a
community, compare A1C
• Heat Stroke
Correct answer : if an adolescent is playing sports at school and goes to the school nurse with red, dry
skin and other symptoms of heat stroke the PRIORITY action is to call for emergency personnel NOT
assess
• Home Care Referral
, Correct answer : meals on wheels
• Influenza
Correct answer : can be prevented with Relenza
• working with the elderly population and they all want to a get surgery thatwill cure
glaucoma what is your priority?
Correct answer : assess the PREVALENCE ofglaucoma in the population
• kid has a rash and a fever Correct
answer : chicken pox
• Osteoporosis Prevention
Correct answer : weight-bearing exercises 30 min QDay; diet rich incalcium andvitamin D
• Ritalin and ADHD
Correct answer : priority is the teen's self-esteem; be sure to get theirfeedback on
improvement
• Ethnocentric
Correct answer : tendency to believe others think the same was as "they do," havethe same world view,
culture
• #1 cause of death in ages 1-3 (toddler)
Correct answer : Drowning
• additional education for parents of toddler Correct answer :
proper chemical storagestair gates
• Nurse Consultant
Correct answer : Serve as a resource persons to other occupational and environmental health nurses,
management, members of the occupational healthteam, and related organizations and agencies.
• Health Promotion Specialist
Correct answer : Occupational health nurse who develops andmonitors goalsand strategies
Develops primary, secondary, and tertiary prevention programs within the worksite.
• how are the biological agents pneumonic plague and smallpox spread?
Correct answer : transmitted person to person via inhalation
• Yersinia Pestis
Correct answer : (pneumonic plague) begins with high fever, dyspnea, hemop-tysis, nausea,
vomiting, diarrhea, and abdominal pain.
• Silica dust
Correct answer : can be inhaled in construction and cause resp issues
• Histoplasmosis
Correct answer : infection by a fungus found in the droppings of birds and batsin humid areas. It is not
serious if confined to the lungs but can be fatal if spreadthroughout the body
• Botulism Toxin Poisoning
Correct answer : Poisoning is characterized by neurological symp-toms includingsymmetric,
descending flaccid paralysis, blurred vision, double vision, blurred vision, drooping eyelids, slurred
speech, difficulty swallowing, andmuscle weakness that descends through the body starting with the
shoulders.
• Anthrax
,Correct answer : bioterrorism agent is at high risk for use as a potentialbiologicalweapon
that is readily transmitted by several portals of entry
Infection is acquired when anthrax spores enter a host
• Asbestos
Correct answer : particles in insulation that are assoc w lung cx
• Ricin Poisoning
Correct answer : Causes system specific reactions when poisoning occurs byinhalation,
ingestion, or injection (resulting in death).
• Carbon Monoxide poisoning
Correct answer : SOAHA
dizziness
nausea
(can get from working w gasoline powered pressure washer+ migrant workers athigh risk)
• Disaster Triage Color SystemCorrect
answer : priorities:
1) red-- massive bleeding or tension pneumothorax abd injury
2) yellow-- medium priority
3) green--walking wounded
4-aka no tx) black- dead or near dead, no hope of surviving provided currentresources
• Ancathosis Nigricans
Correct answer : a skin condition characterized by dark, thick, velvetyskin inarmpits, groin, or neck;
checking for lice and notice dark patch
• Anthrax
Correct answer : bacterial infection from coming in contact with spores from
infectedanimals or animal products think of sheep and animal hides; multipleroutes for infection;
treated with Cipro
,• Prioritizing home care: a) COPD pt with SOB b) pt who refuses to eat ordrink
c) pt with CHF who has gained 3 lbs
Correct answer : pt who has CHF and gained 3 lbs
• Battering communication
Correct answer : have the child leave the room and question thewoman aboutthe abuse since it
does not pertain to the child being abused
• Breast Cancer Risks
Correct answer : age 55+; direct family member; personal history; white; overweight; nulliparity;
pregnant after 30; smoking; HRT; menstrual before 12 ormenopause after 55
• COBRA
Correct answer : means that after losing job you can still have same health insurancefor a certain
amount of time, however the monthly cost of maintaining itsky rockets;already lost job so pretty hard to
afford the cost and usually end up losing it anyway.Main concern of COBRA pt is being able to pay
for expenses
• Ethnicity with highest risk for diabetesCorrect
answer : Native Americans
• Ethnicity with highest risk for cardiovascular diseaseCorrect
answer : African Americans
• Diabetes A1C
Correct answer : to determine effectiveness of program to decrease rates ofdiabetes in a
community, compare A1C
• Heat Stroke
Correct answer : if an adolescent is playing sports at school and goes to the school nurse with red, dry
skin and other symptoms of heat stroke the PRIORITY action is to call for emergency personnel NOT
assess
• Home Care Referral
, Correct answer : meals on wheels
• Influenza
Correct answer : can be prevented with Relenza
• working with the elderly population and they all want to a get surgery thatwill cure
glaucoma what is your priority?
Correct answer : assess the PREVALENCE ofglaucoma in the population
• kid has a rash and a fever Correct
answer : chicken pox
• Osteoporosis Prevention
Correct answer : weight-bearing exercises 30 min QDay; diet rich incalcium andvitamin D
• Ritalin and ADHD
Correct answer : priority is the teen's self-esteem; be sure to get theirfeedback on
improvement
• Ethnocentric
Correct answer : tendency to believe others think the same was as "they do," havethe same world view,
culture
• #1 cause of death in ages 1-3 (toddler)
Correct answer : Drowning
• additional education for parents of toddler Correct answer :
proper chemical storagestair gates
