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LPN exams community health practice questions, set 22

LPN exams · community health

LPN exams community health practice questions set 22

You think beyond the bed: populations, culture, and the referral that actually gets used. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the LPN exams exam guide or more LPN exams practice questions.

Five community health questions with answers

Cover the key. Write the first action. Then open the rationale and name why the other choices fail.

Question 1

A community health nurse works in a clinic that treats clients who lack insurance and have a history of opioid use disorder. Which of the following approaches should the nurse use when working with these clients?

  1. A. The nurse should treat these clients the same as other clients.
  2. B. The nurse should recognize these clients are at high risk for having symptoms related to both mental illness and substance use disorders.
  3. C. The nurse should focus only on the client's physical needs related to the opioid use disorder.
  4. D. The nurse should discourage the use of harm reduction approaches such as needle exchange programs
Show answer and rationale

Correct answer: B — The nurse should recognize these clients are at high risk for having symptoms related to both mental illness and substance use disorders.

The correct answer is B because clients with a history of opioid use disorder and lack of insurance are at high risk for having symptoms related to both mental illness and substance use disorders. The nurse should recognize this and provide holistic care addressing both physical and mental health needs. This approach acknowledges the complex interplay between mental health and substance use, leading to more effective and comprehensive care. Choice A is incorrect because treating these clients the same as others may overlook their unique needs and risks. Choice C is incorrect as it neglects the mental health aspect of care, which is crucial for clients with substance use disorders. Choice D is incorrect as discouraging harm reduction approaches can hinder the clients' progress in managing their opioid use disorder.

Question 2

Primary health care is a total approach to community development. Which of the following is an indicator of success in the use of the primary health care approach?

  1. A. Health services are provided free of charge to individuals and families
  2. B. Local officials are empowered as the major decision makers in matters of health
  3. C. Health workers are able too provide care based on identified health needs of the people
  4. D. Health programs are sustained according to the level of development of the community
Show answer and rationale

Correct answer: C — Health workers are able too provide care based on identified health needs of the people

The correct answer is C because providing care based on identified health needs of the people is a key principle of primary health care. This approach focuses on addressing the specific health needs of individuals and communities, promoting community participation and empowerment. Health workers play a crucial role in understanding and addressing the unique health challenges faced by the community. Option A is incorrect because providing health services for free does not necessarily indicate success in the primary health care approach. Option B is incorrect as empowering local officials is important but not a direct indicator of success in primary health care. Option D is also incorrect because sustainability of health programs is essential but not the sole indicator of success in the primary health care approach.

Question 3

A home visiting psychiatric program focuses on pregnant women who have been diagnosed with depression. The success of the intervention is best demonstrated by a client's:

  1. A. Ability to manage her gestational diabetes well through diet and exercise.
  2. B. Statement, 'It's nice to think that I will have a baby of my very own.'
  3. C. Willingness to take her antidepressant medications as prescribed.
  4. D. Regular attendance at a series of birthing preparation classes.
Show answer and rationale

Correct answer: D — Regular attendance at a series of birthing preparation classes.

The correct answer is D because regular attendance at birthing preparation classes directly reflects engagement with the psychiatric program designed for pregnant women with depression. Attending these classes demonstrates the client's commitment to seeking support and education for her mental health and pregnancy. It also indicates active participation in a structured intervention aimed at improving overall well-being. Choices A, B, and C are incorrect because they do not directly measure the success of the psychiatric program in addressing the client's depression during pregnancy. Choice A focuses on physical health, choice B reflects emotional sentiment, and choice C pertains to medication adherence, which are important but not direct indicators of the intervention's success in treating depression during pregnancy.

Question 4

A nurse is providing education to a patient with anorexia nervosa. Which of the following statements indicates a need for further education?

  1. A. I understand that my body needs food to function properly.
  2. B. I am willing to work on gaining weight with the help of my care team.
  3. C. I believe that eating food will make me fat and out of control.
  4. D. I am ready to learn how to improve my relationship with food.
Show answer and rationale

Correct answer: C — I believe that eating food will make me fat and out of control.

The correct answer is C because the statement reflects a common misconception associated with anorexia nervosa, indicating a need for further education. Here's the rationale: 1. Anorexia nervosa involves a distorted body image and fear of gaining weight. 2. Believing that eating food will make one fat and out of control aligns with these distorted beliefs. 3. This statement demonstrates a lack of understanding and acceptance of the importance of proper nutrition for health. 4. Choices A, B, and D show positive attitudes towards recovery and willingness to address the disorder, highlighting a better understanding of the condition. In summary, choice C shows a need for further education due to the presence of distorted beliefs, while the other options reflect a more positive and informed mindset towards recovery.

Question 5

Using the Transitional Care Model (TCM), which action would the nurse take when preparing an 81- year-old client with diabetes, hypertension, and heart failure for discharge home from the hospital following an exacerbation of heart failure?

  1. A. Provide the client with a standardized plan of care to follow
  2. B. Identify risk factors for readmission and develop an individualized discharge plan
  3. C. Refer the client to a discharge coach to encourage client self-management
  4. D. Contact the advanced practice nurse to coordinate the discharge from hospital to home
Show answer and rationale

Correct answer: B — Identify risk factors for readmission and develop an individualized discharge plan

The correct answer is B: Identify risk factors for readmission and develop an individualized discharge plan. In the Transitional Care Model (TCM), individualized care plans are crucial for optimizing patient outcomes. By identifying the specific risk factors for readmission for this complex patient with multiple comorbidities, the nurse can tailor interventions to address these factors, such as medication management, follow-up appointments, and lifestyle modifications. Providing a standardized plan (choice A) may not address the unique needs of this patient. Referring to a discharge coach (choice C) may be helpful but does not address the specific risk factors identified. Contacting the advanced practice nurse (choice D) may be appropriate for consultation but does not directly address the discharge planning process.

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Question 6

Based on the assessment, you classified a 3-month old infant with the chief complaint of diarrhea in the category of SOME DEHYDRATION. Based on the IMCI management guidelines, which of the following will you do?

  1. A. Bring the infant to the nearest facility where IV fluids can be given
  2. B. Supervise the mother in giving 200 to 400 ml of Oresol in 4 hours
  3. C. Give the infant's mother instructions on home management
  4. D. Keep the infant in your health center for close observation
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Question 7

Which is a key nursing consideration when planning care for a patient with bulimia nervosa?

  1. A. Allow the patient to choose their preferred food options.
  2. B. Provide a structured environment with clear expectations around eating behaviors.
  3. C. Monitor for signs of weight gain and decrease calorie intake accordingly.
  4. D. Encourage the patient to participate in regular exercise routines.
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Question 8

A nurse resigns from a position in a hospital to accept a job in a community setting. After starting the new job, the nurse feels helpless and confused, wondering if this was the right

  1. A. Which of the following terms best describes how the nurse is feeling?
  2. B. Cultural conflict
  3. C. Cultural relativism
  4. D. Culture shock
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Question 9

Which clients are considered targets for DOTS category?

  1. A. Sputum negative cavitary cases
  2. B. Clients returning after default
  3. C. Relapses and failures of previous PTB treatment regimens
  4. D. Clients diagnosed for the first time through a positive sputum exam
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Question 10

A nurse who cares for Mexican migrant farmworkers must be certain to assess for which of the following? Select all that apply.

  1. A. Cholera
  2. B. Hepatitis
  3. C. High blood level of lead
  4. D. Malaria
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Question 11

What is one effect of the use of block grants?

  1. A. A reduction of federal expenditures
  2. B. C M
  3. C. A decreased ability of staUtes Sto spNendT moneyO on programming
  4. D. The guaranteed continuation of programs with demonstrated effectiveness
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Question 12

Which of these statements by the nurse is incorrect to use to reinforce information about cancers to a group of young adults?

  1. A. "You can reduce your risk of this serious type of stomach cancer by eating lots of fruits and vegetables, limiting red meat, and avoiding nitrate-containing foods."
  2. B. "Prostate cancer is the most common cancer in American men, impacting sexuality and life quality."
  3. C. "Colorectal cancer is the second-leading cause of cancer-related deaths in the United States."
  4. D. "Lung cancer is the leading cause of cancer deaths in the United States. However, it is the most preventable of all cancers."
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Question 13

Which of the following key public health milestones occurred in the mid-20th century?

  1. A. The global eradication of smallpox
  2. B. The development of the tuberculosis vaccine
  3. C. The discovery of the influenza virus
  4. D. The establishment of the United Nations Health Program
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Question 14

Which statistic can give the most accurate reflection of the health status of a community?

  1. A. 1-4 year old age-specific mortality rate
  2. B. Infant mortality rate
  3. C. Swaroop's index
  4. D. Crude death rate
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Question 15

What is the best reason for administering vitamin A to a postpartum client?

  1. A. To help strengthen her immune system
  2. B. To improve her vision
  3. C. To protect her from infection
  4. D. To promote wound healing
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About these LPN exams community health questions

LPN exams community health practice questions, set 22 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

No. Nursier is independent practice. Register through the official path named on the LPN exams exam guide.

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