Community HESI Study Guide Questions and Answers
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Tertiary prevention ✔✔Includes interventions aimed at disability limitation and rehabilitation
from disease, injury, or disability. Minimizes the consequences of a disorder or illness once it
has
developed through aggressive management or rehabilitation. Also applies to disaster relief
efforts
involving the reduction of the amount and degree of disability, injury, and damage after a crisis.
Home health visits ✔✔Scheduled during daylight hours to ensure safety of the client and the
nurse, identification name tag are required to be worn during client care, visits can be made
with
another home care provider.
Health conditions related to the growth of industrial workforce ✔✔Asthma and lung cancer are
triggered or worsened by airborne substances, such as tobacco smoke, ozone, and other
particles
and/or chemicals.
Goals ✔✔Intended to be expressed in specific outcomes that provide direction toward
interventions and determine change in measurable terms.
,Outcome statements ✔✔Include past or present events with specific quantitative expectations
with a time frame. Example: Within 2 years, students with a body mass index greater than 95%
will be reduced by 50%.
Lillian Wald ✔✔Known for her work in public health. She developed the first nursing service for
occupational health, established The Associated Alumnae of Training Schools for Nurseslater
developed into the ANA and the NLN, and instituted a sliding scale fee for service.
Low-birth weight infants ✔✔The incidence is twice as high for African-American births than
Caucasian births. This is an example of a non-modifiable risk factor of ethnicity.
Modifiable risk factors ✔✔Examples are cigarette smoking, poor nutritional status, and limited
education.
Data useful in developing community healthcare plans ✔✔Census data, risk management,
budgeting process information, client satisfaction surveys, and data about changes in the
community's demographics.
Health People 20/20 ✔✔Leading health indicators: reduced cigarette smoking, exercising for 30
minutes a day, access to health services, improving social determinants (graduating high
school).
Risk factors for cardiovascular disease ✔✔Include nonmodifiable variables, such as gender,
,family history, and race, and modifiable variables, such as underlying diseases as hypertension,
diabetes mellitus, hyperlipidemia, and obesity, smoking, sedentary lifestyle, and stress.
Lifestyle changes to manage hypertension ✔✔In order of effectiveness: Weight loss, DASH diet,
salt restriction, and avoiding alcohol.
Physical characteristics of aging that contributes to developing decubitus ulcers ✔✔Thinning of
the skin with loss of elasticity.
Transtheoretical Model ✔✔Assesses an individual's readiness to act on a new healthier
behavior,
and provides stategies, or processes of change to guide the individual through the stages of
change: Pre-contemplation, Contemplation, Preparation, Action, Maintenance, and Termination.
Pre-contemplation ✔✔Not yet acknowledging there is a problem.
Contemplation ✔✔Acknowledgment that there is a problem, but not ready to change.
Preparation ✔✔Getting ready to make the change.
Action ✔✔Making the change.
Maintenance/Relapse ✔✔Maintaining the changed lifestyle or reverting back to previous
lifestyle.
Domain of nursing theory ✔✔The person, health, the environment or situation, and nursing.
, Priority of the community health nurse when suspecting physical abuse of client ✔✔Follow
agency protocols to report suspected abuse.
Hepatitis B ✔✔Virus transmitted by sharing needles or unprotected sex. Incubation period is 75
days.
Suicide risks and prevention ✔✔A topic to be included in a primary prevention class for
adolescents. Primary prevention focuses on health promotion and prevention of injury and
illness. Suicide is a leading cause of death in adolescents.
Communicable bioterrorism diseases ✔✔Pneumonic plague and smallpox can be transmitted
person to person via respiratory droplets.
Variance ✔✔Any event that may alter a client's progress through the clinical pathway, such as
remaining on a ventilator for an additional amount of time.
Standard ✔✔Used to provide guidance in implementing and evaluating procedural processes.
Outcome ✔✔The end result of the interventions of the healthcare team and is based on the
client's goal.
Nosocomial infection ✔✔An infection that was not present or incubating at the time of
admission. Medical asepsis helps prevent this type of infection from occurring.