HESI COMMUNITY HEALTH STUDY GUIDE
• The multidisciplinary home healthcare team is discussing a female client diagnosed with
Parkinson's disease. The home healthcare nurse re- ports thecient is getting worse and her
husband is no longer able to care for her in thehome. Which action should the home health
nurse implementfirst?
Assign a home health care aide to provide care daily
• A nurse working in a community health setting is performing primary health screenings.
Which individual is at highest risk for contracting an HIVinfection?
A 17-year-old who is sexually active with numerous partners
• Attendance at a community health clinic is rising and clients have long waitsfor service.
The charge nurse believes that a computer system would be helpfulin decreasing the time
needed to conduct intake and exitprocessing. What is the best way for the nurse to introduce
the idea of obtaining a computer systemfor the clinic?
Submit a written proposal to theBoard of Directors abouthardware and software improvement
needs
• The home health nurse is admitting a client with Parkinson's disease to the home
healthcare service. In planning care for this client which nursing diagnosis has priority?
Impaired physical mobility related to muscle rigidity andweakness
• During a home health visit, a male client reports to the nurse that he felt a solid
testicular mass during self-exam, but that is wasn't painful. Whatinstruction should the nurse
provide the client?
Schedule an appointment withthe healthcare provider forprompt evaluation
• A home health nurse knows that a 70-year-old male client who is convalescing at home
following a hip replacement, is at risk for developing decubitus ulcers. Which physical
characteristic of aging contributes to sucha risk?
Thinning of the skin with loss of elasticity
,• A college student asks the nurse in the Campus Student Health Cen-ter about obtaining
medication for motion sickness before a scuba diving trip. Whatinstruction should the nurse
give the student regarding the use of prescription- strength scopolamine (Transderm-V)?
"Apply the skin patch behind the ear 12 hours before your trip."
• 5 A's of Health Care Access
availability, accessibility, affordability, accept-ability, andaccommodation
• Vulnerable populations
low income, less education, homelessness, militaryveterans,immigrants, prisoners, migrant
and seasonal farm workers and their families, chronic illness, mental illness
• Ethnocentric
tendency to believe others think the same was as "they do,"have the same world view, culture
• Breast Cancer Risks
age 55+; direct family member; personal history; white; overweight; nulliparity; pregnant after
30; smoking; HRT; menstrual before 12 ormenopause after 55
• Osteoporosis Prevention
weight bearing 30 min daily and Ca supplementsstarting @30but esp after menopause
• #1 cause of death in women
heart disease
• Ethnicity with highest risk for cardiovascular disease
African Americans
• Ethnicity with highest risk for diabetes
, Native Americans
• Screening priority with hypothyroidism
T4 levels in newborns (congenitalhypothyroidism untreatedleads to intellectual deficits)
• #1 cause of infant mortality
Suffocation
• A 12-year-old female is seen by the school nurse after recently ex- periencingincreasing
difficulty sitting and paying attention in class, and increasingly illegiblehandwriting. The
nurse observes that the child has protruding eyeballs and a staring expression. What action
should the nursetake next?
Gather additional data by taking a health history andmeasuring vitalsigns
• When asked to help develop interventions to combat obesity among children,the
community health nurse should stress the importance of im- plementing which activity?
Set goals that are focused on developing healthierlifestyles
• A terrorist attack has occurred and several people have inhaled Ricin.Whichintervention
should the emergency department nurse implement when caring for these clients?
Provide supportive nursing care until antitoxinis available
• A young woman tells the public health nurse that a friend was recently diagnosed with
Hepatitis B and she is concerned about getting the disease. During the assessment interview,
which question is most important for the nurseto ask this woman?
"Have you shared any needles or had sex with yourfriend?"
• Which example should the nurse identify as a significant outcome for theLeadingHealth
indicators of Healthy People 2020?
, A community has adopteda no smoking policy
• Which intervention should the public health nurse implement when attemptingto address
one of the leading health indicators of Healthy People2020?
Design and implement a no smoking campaign at the localhigh school
• Lillian Wald was a significant person in the history of American Nursing.Which
contributions can be attributed to her? (Select all)
-Development of Public health nursing practice
-First nursing service for occupational health
-Established committee that was the forerunner of the NLN
-Instituted a sliding scale fee for service
• A male client is brought to the emergency department as the resultof a motorcycle
accident. He was not wearing a helmet at the time of the accident, and states that he has no
intention of ever wearing one. Within the
framework of the Transtheoretical Model (TTM), which response should thenurseprovide?
"Wearing a helmet or not is certainly an individual decision."
• After accepting the position of school nurse in a public elementary school, what strategy
is best for the nurse to use to obtain an overview of the studentbody?
Conduct a windshield survey of the geographic areas servedbythe school
• A nurse organizes a community action group to help resolve health problemsin a low
income neighborhood with a large population of recent immigrants from Africa. What problem
should the nurse address first?
• The multidisciplinary home healthcare team is discussing a female client diagnosed with
Parkinson's disease. The home healthcare nurse re- ports thecient is getting worse and her
husband is no longer able to care for her in thehome. Which action should the home health
nurse implementfirst?
Assign a home health care aide to provide care daily
• A nurse working in a community health setting is performing primary health screenings.
Which individual is at highest risk for contracting an HIVinfection?
A 17-year-old who is sexually active with numerous partners
• Attendance at a community health clinic is rising and clients have long waitsfor service.
The charge nurse believes that a computer system would be helpfulin decreasing the time
needed to conduct intake and exitprocessing. What is the best way for the nurse to introduce
the idea of obtaining a computer systemfor the clinic?
Submit a written proposal to theBoard of Directors abouthardware and software improvement
needs
• The home health nurse is admitting a client with Parkinson's disease to the home
healthcare service. In planning care for this client which nursing diagnosis has priority?
Impaired physical mobility related to muscle rigidity andweakness
• During a home health visit, a male client reports to the nurse that he felt a solid
testicular mass during self-exam, but that is wasn't painful. Whatinstruction should the nurse
provide the client?
Schedule an appointment withthe healthcare provider forprompt evaluation
• A home health nurse knows that a 70-year-old male client who is convalescing at home
following a hip replacement, is at risk for developing decubitus ulcers. Which physical
characteristic of aging contributes to sucha risk?
Thinning of the skin with loss of elasticity
,• A college student asks the nurse in the Campus Student Health Cen-ter about obtaining
medication for motion sickness before a scuba diving trip. Whatinstruction should the nurse
give the student regarding the use of prescription- strength scopolamine (Transderm-V)?
"Apply the skin patch behind the ear 12 hours before your trip."
• 5 A's of Health Care Access
availability, accessibility, affordability, accept-ability, andaccommodation
• Vulnerable populations
low income, less education, homelessness, militaryveterans,immigrants, prisoners, migrant
and seasonal farm workers and their families, chronic illness, mental illness
• Ethnocentric
tendency to believe others think the same was as "they do,"have the same world view, culture
• Breast Cancer Risks
age 55+; direct family member; personal history; white; overweight; nulliparity; pregnant after
30; smoking; HRT; menstrual before 12 ormenopause after 55
• Osteoporosis Prevention
weight bearing 30 min daily and Ca supplementsstarting @30but esp after menopause
• #1 cause of death in women
heart disease
• Ethnicity with highest risk for cardiovascular disease
African Americans
• Ethnicity with highest risk for diabetes
, Native Americans
• Screening priority with hypothyroidism
T4 levels in newborns (congenitalhypothyroidism untreatedleads to intellectual deficits)
• #1 cause of infant mortality
Suffocation
• A 12-year-old female is seen by the school nurse after recently ex- periencingincreasing
difficulty sitting and paying attention in class, and increasingly illegiblehandwriting. The
nurse observes that the child has protruding eyeballs and a staring expression. What action
should the nursetake next?
Gather additional data by taking a health history andmeasuring vitalsigns
• When asked to help develop interventions to combat obesity among children,the
community health nurse should stress the importance of im- plementing which activity?
Set goals that are focused on developing healthierlifestyles
• A terrorist attack has occurred and several people have inhaled Ricin.Whichintervention
should the emergency department nurse implement when caring for these clients?
Provide supportive nursing care until antitoxinis available
• A young woman tells the public health nurse that a friend was recently diagnosed with
Hepatitis B and she is concerned about getting the disease. During the assessment interview,
which question is most important for the nurseto ask this woman?
"Have you shared any needles or had sex with yourfriend?"
• Which example should the nurse identify as a significant outcome for theLeadingHealth
indicators of Healthy People 2020?
, A community has adopteda no smoking policy
• Which intervention should the public health nurse implement when attemptingto address
one of the leading health indicators of Healthy People2020?
Design and implement a no smoking campaign at the localhigh school
• Lillian Wald was a significant person in the history of American Nursing.Which
contributions can be attributed to her? (Select all)
-Development of Public health nursing practice
-First nursing service for occupational health
-Established committee that was the forerunner of the NLN
-Instituted a sliding scale fee for service
• A male client is brought to the emergency department as the resultof a motorcycle
accident. He was not wearing a helmet at the time of the accident, and states that he has no
intention of ever wearing one. Within the
framework of the Transtheoretical Model (TTM), which response should thenurseprovide?
"Wearing a helmet or not is certainly an individual decision."
• After accepting the position of school nurse in a public elementary school, what strategy
is best for the nurse to use to obtain an overview of the studentbody?
Conduct a windshield survey of the geographic areas servedbythe school
• A nurse organizes a community action group to help resolve health problemsin a low
income neighborhood with a large population of recent immigrants from Africa. What problem
should the nurse address first?
