Community Heatlh HESI Practice Questions Study online at https://quizlet.com/_2v9mv5 COBRA, major concern of pt paying for healthcare chicken pox in day care, 5 kids sent home for chicken pox verify the children have chicken pox vertical transmission breast milk from mother to baby checking for lice and notice dark patch of skin on neck send for medical evaluation possible exposure to anthrax spores ask about occupation culturally sensitive for Hispanics about breast cancer provide brochures in english and spanish nurse working in community with high rates of diabetes and implements a program, at the end of 1 year evaluate hemoglobin A1C levels to measure effectiveness determine effectiveness of diabetes program if fasting blood glucose has decreased by 20% priority treating for cholera fluid and electrolytes man crashes car during tornado, walks into ER with head lacerations, hx of MI, HTN; vitals RR 24, BP 150/90 yellow diabetic elder falls, what do you assess first possible lacerations or fractures question asks something and ecomap and genogram are options ecomap prioritizing follow up for home health nurse 14 year old with MRSA person traveling to a developing country give Hep A worker getting Hep B vaccine what do you say to follow up encourage all workers to get vaccination soon health dept want you to have presentation about local problem what is the best way to determine local problem look at morbidity rate prevent osteoporosis get professional lobbyist to to contact congress to push movements for programs that increase physical activity elder does not have money "does not deserve to eat" has not contacted anyone to bring food assess for suicide/depression adolescent with AIDS that has Kaposi's sarcoma, semi conscious, stable vitals, sceams out in pain when touched or moved give end of life/grief counseling question about determining something with kids/school aged children height and weight measurements if an adolescent comes to a school nurse and tells her she is pregnant, a smoker but doesn't drink or do drugs, the nurse will referral to prenatal care; encourage cessation of smoking; offer want to implement measures to ensure the teen and her baby are nutrition direction health if an adolescent does to the health dept and is diagnosed with chlamydia nurse must report this homeless man about to be discharged, tested for tb figure out how he will follow up to read test results teaching related to setting, referring to 10 year old classroom 62ish yr old African American brings his whole fam, what is this called social organization teaching sex education to 14 year olds role play know that a home health aide can apply a prosthesis mother can't afford/get food enroll in WIC seeing effectiveness of treatment after bike safety program for kids increase in 10% of kids wearing helmets smoking cessation effectiveness after 2 months of program ending survey to see how many stopped smoking elder needs to go into facility, receiving IV ABX, which facility is appropriate home health, with relatives caring for them and skilled nurses teaching elderly about nutrition with fat content assess which foods they commonly eat and teach the nutrition about those foods 1/3 Community Heatlh HESI Practice Questions Study online at https://quizlet.com/_2v9mv5 teaching young teens decreasing risk behaviors healthy people 2020 obejctives something about guns being taken up from adolescents at school elderly getting sick fro flu vaccine last year, doesn't want vaccine this year, says he will take some med if gets the flu this year, what getting flu vaccine is best and don't take whatever med he said should the nurse say to him elder on hospice, immobile, hasn't voided in 24 hours, denies any discomfort perform skin care video about insulin administration, women given insulin in hamstring/side of the leg area show her proper injection site tertiary prevention providing foot care for diabetics farm worker comes in sick assess about exposure to pesticides reducing change of getting stuck with needle have protective equipment, needless procedures, disposable needle container that can't be punctured catchy phrase contest for kids teaching foods to avoid on Mediterranean diet/heart disease meats and sweets where should you initiate preventative measures for kids with dental caries WIC program after numerous patient teachings a man with parkinson's disease still cant instill his eye drops ask a family member to help a school nurse wants to initiate a presentation to parents regard- determine the parent's involvement and how much they're coning 35% of the school children being obese cerned about their children's health problem a school nurse wants to do a program about children's health risks, what should she consider height and weight what pt should be seen first a man with a gunshot wound with a pulse ox of 90% nurse sees pt with NGT drinking a glass of water after the UAP leaves room take the glass and speak with the UAP a nurse observes a wife of a pt in bed with the pt close the door and give them privacy charge nurse is drunk and smells of alcohol report it to the nurse supervisor the clinic receptionist is considered a gatekeerper you can speak with the RN about purchasing a car seat flu vaccines are low, which client should you tell to come back later when there is enough vaccine diabetic client with agoraphobia a nurse took a sleeping pill 4 hours ago send her home a nurse forgot her glasses at home and she lives an hour away send her home to get her glasses in preparing for a bioterrorism attack which should the nurse consider tulerema a nurse is referring a patient with ancanthosis nigricans to a family doctor body mass index patients postop with different drains, who should nurse assess first 40ml cloudy dark urine x4 hours who should nurse see first african american baby that's spitting up and has lost 6 ox in the past week patient wants to get off birth control and have a baby, she has a family hx of diabetes and was treated for chlamydia 6 months ago, what causes most concern chlamydia pt who hasn't eaten in 3 days and thinks that he is jesus; a woman what pt should be considered for involuntary commitment to the who mumbles in corner about killing herself; a man who says that psych ward the communists are telling him to kill the catholics a nurse and social worker are talking loudly about a pr referral but there are no patients around the nurse's station 2/3 tell them to go to a private work station to talk Community Heatlh HESI Practice Questions Study online at https://quizlet.com/_2v9mv5 a nurse tells a UAP to collect a sputum sample, the nurse should determine if UAP is capable of doing the task and if she's done it first before an experienced UAP working at an antepartal clinic what can she do take initial VS and urine dipstick charge nurse gets report about a lot of concerns which one is most important water spill on the floor a pt tells the nurse that she doesn't want a male nurse reassign the nurse which pt is msot at risk to get pneumonia homeless person who is an alcoholic and smoker nurse wants to start an outreach program, what should she ex- that the program will help people in nearby factories, schools, and plain when she's trying to receive funding for the program churches RN assisting the MD with a thoracentesis, the ED calls to say that tell PN to assist with thoracentesis, RN take report on angina pt, a pt with angina needs to be admitted ASAP; LVN and UAP are UAP get room ready for new pt available to help what should nurse do a hospital is thinking about getting new equipment, what is cost efficient for the hospital to consider can other units in the hospital use the equipment a nurse is giving test to detect influenza, test is 99% accurate, the test has a high rate of sensitivity a nurse does a community health fair about cardio, how cant he nurse determine if the teaching were effective 6 months later 10% reduction in cardiac death who are at greatest risk to get Hep A a family living in a crammed area how can the charge nurse decrease role ambiguity among the staff nurses explain the role a nurse wants to do research on infant death rate where would she go bureau of vital statistics which resources will benefit a rural community trauma health center a charge nurse will intervene if she notices a clerk taking phone orders from the MD female pt goes to a local community health clinic, she's homeless and can't seem to find help, which statement indicates that she's separated form society and hopeless i'm feeling isolated from everyone and scared how can a hospital determine how many beds they may need in a communtiy if there is a recreational lake in the community what could a hospital do to prevent lawsuits risk management home health visit priority pt with congestive heart failure who has gained 3 lbs nurse suspects female patient has been abused and the woman has her child in the room with her ask the child to leave the room and question the woman priority concern for person who has lost their job but has COBRA paying for health care and expenses priority for treating those with cholera fluid and electrolytes adolescent comes to school nurse from playing sports with red, dry skin and other symptoms of heat stroke, what should nurse do call for emergency personnel elderly population choosing to get surgery that will cure glaucoma, nurse should be concerned with assessing prevalence of glaucoma assessing intervention with ADHD in adolescent get feedback, self esteem is priority hypothyroidism, what is screening priority T4 in newborns community health nurse wants to develop intervention, key thing form a relationship with someone who would be identified as the to do stakeholder lyme disease prevention wear proper protective clothing which is voluntary agency american diabetes association (ADA) 3/3