Community Health Exit HESI

1. 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 one of

the attendees would indicate a need for further teaching?

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- “Demographic data that identify a client can be released without

consent”

2. 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?

- Induration at infection site of 8 mm

3. 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?

- “As long as I stop smoking while I am young, none of those diseases

will affect me”

4. 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?

- “I should use wool blankets on my bed when oxygen in use”

5. 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?

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- “The physical therapist will teach my husband exercises to increase

hand dexterity”

6. 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?

- During disaster preparedness activities

7. 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

- “I will wear a mask when I’m in an enclosed area with other people”

8. 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?

- Autonomy

9. A community health nurse is working with a family in which only the children

speak English. The nurse should select a translator who is?

- Skilled in health-related interpretation

10. A community health nurse working with a migrant population recognizes that

which of the following is necessary to provide care to this population?

- Offering health screenings at a community center

11. Which of the following activities is the responsibility of a case manager?

- Evaluate cost effectiveness of client treatments

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12. A nurse uses a secondary prevention intervention when doing which of the

following?

- Performing hypertension screening in a community center

13. 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?

- Determine employee knowledge level of breast self-examination?

14. 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

- Families with children

15. A nurse is working in an occupational health setting. Which of the following

is a primary prevention activity for the nurse?

- Conducting smoking cessation classes

16. 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?

- “How would you feel about me contacting a local service that helps

older adults with transportation?”

17. 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?

- Discussing payment options with various pharmacies

18. What patient would the Home Health Nurse send to the doctor first?

- Abdominal pain

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19. 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?

- Identify restaurants where the clients have recently eaten

20. A nurse working for a home hospice organization recognizes that clients must

meet which of the following criteria to qualify for hospice care?

- Documented need for palliative care

21. 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?

- The client pays the insurer a percentage of the total costs for each

service rendered by the provider

22. A nurse is providing education to a troop of local Boy Scouts regarding first

aid for venomous snake bites in the event that transport to the hospital is

delayed. Which of the following would be appropriate information to include in

teaching about bites to an extremity?

- Apply a constricting band above the bite while maintaining circulation

below the bite

23. In reviewing goals of “healthy people” nurse determines the community has a

significant problem preventing dental caries in children. To bring about

change?

- WIC program intake offices

24. A nurse is providing teaching to a community group regarding smallpox. 

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