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Community Health Practice HESI

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A client presents at a community-based clinic with complaints of shortness of breath, headache, dizziness, and nausea. During the assessment, the nurse learns that the client is a migrant worker who often uses a gasoline-powered pressure washer to clean equipment and farm buildings. Which typ...

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  • January 9, 2023
  • 10
  • 2022/2023
  • Exam (elaborations)
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Community Health Practice HESI


A client presents at a community-based clinic with complaints of shortness of breath,
headache, dizziness, and nausea. During the assessment, the nurse learns that the client is a
migrant worker who often uses a gasoline-powered pressure washer to clean equipment and
farm buildings. Which type of poisoning is the most likely etiology of this client's symptoms?

a. asbestos
b. silica dust
c. histoplasmosis
d. carbon monoxide - correct answersd. carbon monoxide

The nurse is conducting a process evaluation of a prevention education program for older
adults who are risk for substance abuse. Which data source provides the information the nurse
needs to conduct this process evaluation?

a. client's score on an alcohol screening instrument
b. results of a urine drug and alcohol screen
c. most recent community census data
d. documentation of client education in the nursing record - correct answersd. documentation
of client education in the nursing record

A 17-year old unmarried, pregnant client with drug addiction is a high school dropout,
homeless, and has a history of past abuse arrives at the clinic for her first prenatal visit. Which
findings should the nurse document as health risk factors for the client? (Select all that apply)

a. age
b. school dropout
c. drug addiction
d. history of abuse
e. pregnancy
f. homelessness
g. unmarried - correct answersa. age
c. drug addiction

, d. history of abuse
e. pregnancy
f. homelessness

The nurse is designing a community health project based on a report provided by the World
Health Organization that describes healthcare problems in the United States. Which healthcare
issue should the nurse give the highest priority when planning the project?

a. overuse of diagnostic technology
b. government-based health insurance
c. the neonatal and infant mortality rates
d. number of people without access to healthcare - correct answersd. number of people
without access to healthcare

The nurse working in a community health clinic that serves recent Somali immigrants notes
that most mothers refuse to give permission for routine immunizations of their preschoolers.
Which individual is likely to have the most influential on these women's perceptions about their
children's healthcare needs?

a. husbands
b. clinic healthcare provider
c. older females
d. tribal chief - correct answersd. tribal chief

The community health nurse is planning a series of educational courses about the healthcare
system and meeting healthcare needs for the community center. Which adjunct issue should
the nurse address for a group of older adults.

a. peer concerns
b. adult daycare
c. retirement issues
d. vocational concerns - correct answersc. retirement issues

A female adult walks into a local community health clinic and tells the nurse that she is
homeless and cannot seem to find help. Which statement indicates to the nurse that a client is
feeling separated from society and helpless?

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