HESI COMMUNITY HEALTH PROCTORED EXAM 2022

Community HESI A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use Correct Answer: educate children about nutrition and exercise at a daycare center A community health nurse is developing health promotion activities for a community. Which of the following is the highest priority action Correct Answer: participate in community assessment to identify community health problems A home health nurse is scheduling client visits for the day. Which of the following clients should the nurse plan to visit first Correct Answer: a 79-year-old client with an exacerbation of COPD a state public health nurse is asked to determine which country has the most people living in it with a diagnosis of Alzheimer's disease. Which of the following measures will determine this information Correct Answer: analytic epidemiology A community health nurse is reviewing laboratory results for his case load of clients. Which of the following is the highest priority finding Correct Answer: sputum specimen that is positive for tuberculosis A nurse is triaging victims of a commuter train crash. Which of the following clients should be transported to the Emergency Department first Correct Answer: an ambulatory client whose nose is bleeding and who reports feeling dizzy A community health nurse is caring for clients in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group Correct Answer: include both hot and cold food items on a Hispanic client's menu A nurse is caring for a client who has questions about his treatment plan. Which of the following should the nurse perform as a client advocate (select all that apply) Correct Answer: -provide education to the client about the diagnosis -inform the client about the provider's responsibility to provide information -assist the client in preparing questions for the provider -affirm the client's decision about the treatment plan A nurse is working with a client who is homeless. Which of the following is the first step that the nurse should take to advocate for this client Correct Answer: refer the client to a public homeless shelter A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in this teaching Correct Answer: caffeinated beverages should be replaced with caffeine-free A community health nurse is writing an emergency response plan for a day care. Which of the following should be included in the plan Correct Answer: immunization protocol for various biological agents A community health nurse is preparing to teach accident and injury prevention. Which of the following would be the priority topic for a family with a 10-year-old child Correct Answer: use if seat belts in automobiles A child is brought to the school nurse by her teacher who thinks the child may have contracted rubeola. Which of the following findings supports this diagnosis Correct Answer: koplik spots in the oral mucosa A home health nurse is performing an eye assessment and vision screening on an older adult client recently assigned to her care. Which of the following findings indicates a need for an intervention Correct Answer: slightly yellow sclera Which of the following is an example of the responsibilities of public health nursing Correct Answer: informing state health officials of a potential meningitis outbreak a nurse is providing a staff development program on HIPPA regulations to the staff at a community health clinic. which of the following comments by the attendees would indicate a need for further teaching? Correct Answer: "Demographic data that identify a client can be released without consent" A nurse administers a tuberculin skin test to a client who is HIV positive. Which of the following indicates a positive reaction to the test Correct Answer: Induration at infection site of 8 mm After presenting several teaching sessions to a group of high school students about the harmful effects of tobacco use, a nurse valuates the teaching to be effective when a student states which of the following Correct Answer: "As long as I stop smoking while I am young, none of those diseases will affect me" A home health nurse is educating a client diagnosed with COPD about home oxygen use. Which of the following statements by the client indicates a need for additional teaching Correct Answer: "I should use wool blankets on my bed when oxygen in use" A nurse is providing teaching to the wife of a client who has had a stroke regarding health-related services that will be provided in the home. Which of the following statements by the wife indicates that the teaching has been effective Correct Answer: "The physical therapist will teach my husband exercises to increase hand dexterity" A nurse is assisting with the development of a disaster management plan for a local community. During which of the following times should an evacuation plan be disclosed to the public Correct Answer: During disaster preparedness activities A community health nurse is teaching a client who has tuberculosis about modes of disease transmission. The nurse recognizes that the client understands the concept when the client makes which of the following statements Correct Answer: "I will wear a mask when I'm in an enclosed area with other people" A nurse is caring for a client who asks "can I decide not to continue with chemotherapy?" The nurse responds, "This is your choice and I'll support whatever decision you make." The nurse's response is an example of which of the following ethical principles Correct Answer: autonomy a community health nurse is working with a family in which only the children speak English. The nurse should select a translator who is Correct Answer: Skilled in health-related interpretation A community health nurse working with a migrant population recognizes that which of the following is necessary to provide care to this population Correct Answer: Offering health screenings at a community center Which of the following activities is the responsibility of a case manager Correct Answer: Evaluate cost effectiveness of client treatments A nurse uses a secondary prevention intervention when doing which of the following Correct Answer: Performing hypertension screening in a community center An occupational health nurse is planning a program on early detection of breast cancer for female employees at a local business. Which of the following is the first action the nurse should take Correct Answer: Determine employee knowledge level of breast self-examination While addressing community leaders at a forum for establishing community improvement initiatives, a public health nurse identifies which of the following groups as the fastest growing segment of the homeless population Correct Answer: families with children A nurse is working in an occupational health setting. Which of the following is a primary prevention activity for the nurse Correct Answer: Conducting smoking cessation classes A parish nurse is visiting an older adult client who was recently widowed. The client tells the nurse that he no longer has a way to get to the grocery store or the doctor. Which of the following responses by the nurse is appropriate Correct Answer: "How would you feel about me contacting a local service that helps older adults with transportation?" A case manager nurse is caring for a client being discharged post total hip arthroplasty. Which of the following activities is an example of the nurse functioning in the negotiator role Correct Answer: Discussing payment options with various pharmacies What patient would the Home Health Nurse send to the doctor first Correct Answer: abdominal pain A community health nurse is evaluating an outbreak of hepatitis A among adult clients in his community. Which of the following should the nurse do to identify the cause of the disease Correct Answer: Identify restaurants where the clients have recently eaten A nurse working for a home hospice organization recognizes that clients must meet which of the following criteria to qualify for hospice care Correct Answer: Documented need for palliative care A nurse is working with a case manager for a client who participates in a health maintenance organization. Which of the following is characteristic of the payment structure provided under this system Correct Answer: The client pays the insurer a percentage of the total costs for each service rendered by the provider