Hesi Community Health Practice Quiz

Only available on StudyMode
  • Download(s): 1748
  • Published: April 1, 2013
Open Document
Text Preview
1.
A home health nurse knows that a 70-year-old male client who is convalescing at home following a hip replacement, is at risk for developing decubitus ulcers. Which physical characteristic of aging contributes to such a risk? A) 16% increase in overall body fat.

Feedback: INCORRECT

B) Reduced melanin production.
Feedback: INCORRECT

C) Thinning of the skin with loss of elasticity.
Feedback: CORRECT

D) Calcium loss in the bones.
Feedback: INCORRECT

Feedback: CORRECT
Thin, non-elastic skin (C) is an important factor in decubitus formation. Proportion of body fat to lean mass increases with age (A), and might help decrease ulcer tendency. (B) results in grey hair. (D) can contribute to broken bones, but it is probably not a factor in decubitus formation.

Points Earned:
5.0/5.0

Correct Answer(s):
C


2.
The nurse is assessing a Vietnamese child during a home health visit and identifies round swellings on the child's back. The child's mother says she rubbed the edge of a coin on her child's oiled skin. The nurse should recognize that this behavior is prompted by which cultural belief? A) The child's behavior was not acceptable.

Feedback: INCORRECT

B) The purpose is to rid the body of disease.
Feedback: CORRECT

C) This method is commonly used for discipline.
Feedback: INCORRECT

D) Temper tantrums are commonly managed using this method.
Feedback: INCORRECT

Feedback: CORRECT
Coining, a Vietnamese practice, may produce welt-like swellings from rubbing a coin lengthwise on oiled skin to rid the body of disease (B). Certain cultural practices that address illness may be considered abusive by another culture and misunderstood by uninformed professionals. (A, C, and D) are not correct interpretations.

Points Earned:
5.0/5.0

Correct Answer(s):
B


3.
The nurse is preparing to discharge an elderly, recently widowed female client following a mild stroke. At this time she is able to walk with the aid of a walker. As part of the discharge planning, what referral is most important for the nurse to make? A) Pastoral care.

Feedback: INCORRECT

B) Meals-on-Wheels.
Feedback: CORRECT

C) Grief support group.
Feedback: INCORRECT

D) Physical therapy.
Feedback: INCORRECT

Feedback: INCORRECT
Since this client lives alone and uses a walker, food preparation is a potential problem, so Meals-on-Wheels (B) is a needed referral. (A) might be indicated, but does not have the priority that adequate nutrition does. Even though the client is "recently widowed," (C and D) do not have the priority of (B) at this stage of her recovery.

Points Earned:
0.0/5.0

Correct Answer(s):
B


4.
While discussing the science of nursing, the nurse identifies the domain of nursing theory. Which linkages should the nurse provide to describe nursing's paradigm? A) The person, the environment or situation, and health.

Feedback: CORRECT

B) Stress reduction, self-care, and a systems model.
Feedback: INCORRECT

C) Curative care, restorative care, and terminal care.
Feedback: INCORRECT

D) Self-actualization, fundamental needs, and belonging.
Feedback: INCORRECT

Feedback: CORRECT
Nursing theories serve to describe, explain, predict, or prescribe nursing care measures. Any science has a domain, which is the view or perspective of the discipline. The elements of nursing's paradigm direct the activity of the nursing profession, including knowledge development, philosophy, theory, educational experience, research, practice, and literature identified with the profession. Nursing identified its domain in a paradigm that includes four linkages: the person, health, environment/situation, and nursing (A). (B, C, and D) are not linkages of the domain.

Points Earned:
5.0/5.0

Correct Answer(s):
A


5.
The nurse is developing a plan to provide quality health care for a certain community. Data obtained from which...
tracking img