HESI RN COMMUNITY HEALTH PROCTORED EXAM

HESI RN COMMUNITY HEALTH PROCTORED EXAM

VERSION 6

Questions:

• A nurse manager at a community agency is developing an orientation program

for newly hired nurses. When discussing the differences between community based and community oriented nursing, the nurse should include which of the following situations as an example of community based nursing? (SATA)

• A home health nurse performing wound care for a client who is immobile
• An occupational health nurse providing classes on body mechanics at a

local industrial plant

• A school nurse teaching a student who has asthma about medications
• A parish nurse teaching a class on low sodium cooking techniques
• A mental health nurse discussing stress management techniques with a

support group

• A nurse is advocating for local leaders to place a newly approved community

health clinic in an area of the city that has fewer resources than other areas. THe nurse is advocating for the leaders to uphold which of the following ethical principles?-Distributive justice

• A nurse is preparing an education program on disease transmission for

employees at a local day care facility. When discussing the epidemiological triangle, the nurse should include which of the following factors as agents? (SATA)

• Resource availability
• Ethnicity

• Altered Immunity
• A nurse is developing a community health education program for a group of

clients who have a new diagnosis of diabetes. Which of the following learning strategies should the nurse include for clients who are auditory learners?. Facilitating small group discussions

• A community health nurse is implementing health programs with several

populations in the local area. In which of the following situations is the nurse using primary prevention . Providing influenza immunizations to employees at a local preschool

• A nurse is preparing to conduct a windshield survey Which of the following data

should the nurse collect as a component of this assessment? (SATA)

• Individuals who hold power within the community

• Prevalence of disease

• A nurse is preparing an educational program on cultural perspectives in nursing.

The nurse should include which of the following factors are influenced by an individual’s culture?

• Presence of public protection
• Natural community boundaries

. Ethnicity of community members c.d.Toxins Bacteria 1 / 2

• Biological variations

• A nurse is completing a needs assessment and beginning analysis of data.

Which of the following actions should the nurse take first?. Compile collected data into a database

• A nurse is caring for a client who is from a different culture than himself. When

beginning the cultural assessment, which of the following actions should the nurse take first?. Gather data about the client’s cultural beliefs

• A nurse is planning a community health program. Which of the following actions

should the nurse include as part of the evaluation plan?. Compare program impact to similar programs

• A nurse is conducting a community assessment. Which of the following data

collection methods is the nurse using when having direct conversations with individual members of the community?. Key informant interviews

• A nurse is using the I PREPARE mnemonic to assess a client’s potential

environmental exposures. Which of the following questions should the nurse ask when assessing for “A” in the mnemonic?. “What do you like to do for fun?”

• A nurse is reviewing information about the local health department to prepare for

an interview. Which of the following services should the nurse expect the local health department to provide?. Managing the Women, infants, and children program

• Reporting communicable diseases to the CDC
• Licensing of registered nurses
• A nurse is conducting health screenings at a statewide health fair and identifies

several clients who require referral to a provider. Which of the following statements by a client indicates a barrier to accessing health care?. “I can't take off during the day, and the local after-hours clinic is no longer in operation.”

• A nurse at a community clinic is conducting a well-child visit with a preschool-age

child. The nurse should identify which of the following manifestations as a possible indication of child neglect.

• Healing of a spiral fracture of the arm
• Genital irritation
• Burns on the palms of the hands

• A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the

following finding should the nurse identify as a manifestation of withdrawal?. Diaphoresis

• A community health nurse is developing an education program on substance use

disorders for a group of adolescents. Which of the following information should the nurse include when discussing nicotine and smoking?. Tolerance to nicotine develops quickly.

• Poor hygiene

. Underweight a.b.Providing education to achieve community health goals Coordinating directives from state personnel

• Views about illness

.a.b.Nutritional practices Family structure Health care interactions

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