2024 HESI COMMUNITY EXAM

For more exams, please contact: **** --- Occupational Health Nursing Roles and Responsibilities: 1) **Factors Influencing an Occupational Health Nurse's Role in the Workplace:** - Skill level - Role perception - Commitment to the company's occupational health and safety program 2) **Advanced Practice Nurse:** - Provides primary care services with a focus on diagnosing and managing common acute illnesses/injuries and stable chronic diseases. - Acts as a **Clinician Nurse Practitioner** who directs care for clients with both occupational and non-occupational injuries and illnesses. 3) **Case Manager:** - Coordinates quality health services to meet specific healthcare needs in a cost-effective manner. 4) **Nurse Consultant:** - Serves as a resource for other occupational and environmental health nurses, management, the occupational health team, and related organizations and agencies. 5) **Health Promotion Specialist:** - Develops and monitors goals and strategies for health promotion within the workplace. 6) **Nurse Manager:** - Provides structure and direction for developing, implementing, and evaluating high-quality nursing programs. - Communicates and interprets the occupational health program to management and the occupational health team. - Sets goals, formulates policies, and manages health services. 7) **Research Nurse:** - Supports and expands the knowledge base that provides the foundation for practice. 8) **Health Educator Nurse:** - Teaches and prepares nursing students to function in the healthcare environment. 9) **Health Promotion Specialist:** - Develops primary, secondary, and tertiary prevention programs within the workplace. --- ### Common Occupational Health Hazards: 10) **Carbon Monoxide Poisoning:** - A significant health issue in industrial workers, especially migrant workers. 11) **Asbestos:** - Causes asbestosis due to inhalation of dust particles containing asbestos fibers. 12) **Silica Dust:** - Inhalation of silica dust leads to silicosis, common in grinding and manufacturing industries. 13) **Histoplasmosis:** - A fungal disease contracted by inhaling spores from contaminated soil. 14) **Botulism Toxin Poisoning:** - Characterized by neurological symptoms, including symmetric, descending flaccid paralysis, blurred vision, drooping eyelids, slurred speech, difficulty swallowing, and muscle weakness. 15) **Ricin Poisoning:** - Results in system-specific reactions and can be fatal through inhalation, ingestion, or injection. 16) **Yersinia Pestis (Pneumonic Plague):** - Symptoms include high fever, difficulty breathing, coughing up blood, nausea, vomiting, diarrhea, and abdominal pain. 17) **Sulfur Mustard (Mustard Gas):** - Causes eye and skin irritation, respiratory and gastrointestinal symptoms, and bone marrow depression. 18) **Anthrax:** - An acute disease caused by *Bacillus anthracis*. Can be transmitted through contact with infected animal products like hair, wool, or bones. --- ### Community and Public Health Topics: 19) **Somalis:** - Consultation with the tribal chief, the primary authority figure for the Somali cultural group, is essential. 20) **Outreach Program:** - Provides a wide range of services at community sites for members in need of healthcare. 21) **Comprehensive Services:** - Focus on addressing multiple health problems and concerns. 22) **Case Findings:** - Identifies populations and individuals needing healthcare services. 23) **Health Disparities:** - Evaluates variations in health services and outcomes among different populations. 24) **Hepatitis B Vaccine:** - Multiple sexual contacts are associated with a higher risk of contracting Hepatitis B. 25) **World Health Organization (WHO):** - One major concern is the number of people in the U.S. not receiving adequate healthcare services. 26) **MMR Booster:** - The second booster of the MMR vaccine is recommended at 4-6 years of age. 27) **Low-Income Clients:** - At risk for having basic physiological needs unmet. 28) **HBV (Hepatitis B Virus):** - The highest incidence of HBV in children occurs in newborns who acquire the infection perinatally from HBV-positive mothers. 29) **Target Population Data:** - A decision tree is a useful tool that builds on validated target population data to develop a program plan, assess potential outcomes, and prioritize solutions for population needs. 30) **Medicare Reimbursement (Home Health):** - To qualify for Medicare reimbursement, an older adult client must be homebound, and a skilled nursing service must be performed during the home visit. Clients are generally considered homebound for a limited period post-operation or during wound care. 31) **Anthrax (Biological Weapon):** - Anthrax is considered high risk for use as a potential biological weapon due to its ability to be transmitted through multiple entry points. ---