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Community Health Leadership HESI (answered 2023)

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(answered 2023) Community Health Leadership HESI 1. Where should you initiate preventive measures for kids with dental caries- WIC Program 2. After numerous patient teachings, a man with Parkinsons disease still cant instill his eye drops – Ask a family member to help. 3. A school nurse wants to initiate a presentation to parents regarding 25% of the schools children being obese – Determine the parent’s involvement and how much they’re concerned about their children’s health problem. 4. A school nurse wants to do a program about children’s health risks, what should she consider – Height and weight © 5. What pt. should be seen first – A man with Gunshot wound with a pulse ox of 90% 6. Nurse see’s pt with NGT drinking glass of water after the UAP leaves room – take the glass and speak with the UAP 7. A nurse observes a wife of a pt in bed with the pt. – close the door and give them privacy 8. Charge nurse is drunk and smells of alcohol – report it to the nurse supervisor 9. The clinic receptionist is considered a gatekeeper – “you can speak with the RN about purchasing a car seat” © 10. Flu vaccines are low, which client should you tell to come back later when there is enough vaccine – diabetic client with agoraphobia 11. A nurse took a sleeping pill 4 hours ago – send her home 12. A nurse forgot her glasses at home and she lives a hour away – send her home to get her glasses. 13. In preparing for a bioterrorism attack, which should the nurse consider – Tuleremia 14. A nurse is referring a patient with Ancanthosis nicigricans to a family doctor – body mass index 15. Patients postoperative with different drains, who should nurse assess first – 40ml dark cloudy urine x4 hours.(c) 16. Who should nurse see first – African American baby that’s spitting up and has lost 6oz in the past week 17. Patient wants to get off birth control & have a baby, she has a family history of diabetes & she was treated for Chlamydia 6 months ago, what causes the most concern – Chlamydia 18. What pt should be considered for involuntary commitment to the psych ward – (1) Pt who hasn’t eaten in 3 days & thinks that he is Jesus. (2) A women who mumbles in corner about killing herself. (3) A man who says that the communist are telling him to kill the Catholics. 19. A nurse & social worker talking loudly about a pt referral but there are no patients around the nurse’s station – tell them to go to a private work station to talk. © 20. A nurse tells a UAP to collect a sputum sample, the nurse should first – determine if UAP is capable of doing the task & if she’s done it before. 21. An experienced UAP working at an antepartal clinic, what can she do – take initial VS & urine dipstick. 22. Nurse caring for a 65 year old African American male, she sets up a meeting with his wife, 3 kids, and mother, to talk to the MD. What cultural variance is the nurse demonstrating – Social organization 23. A charge nurse gets report about a lot of concerns, which one is most important – water spill on the floor. 24. A pt tells the nurse that she doesn’t want a male nurse – reassign the nurse 25. Which pt is most at risk to get pneumonia – homeless person who is an alcoholic and smoker. © 26. Nurse wants to start an outreach program, what should she explain when she’s trying to receive funding for the program – that the program will help people in nearby factories, schools, churches.

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