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HESI RN · HESI Community Health Nursing · Nursing Care of the Elderly as a Vulnerable Population

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which action would be most helpful for the nurse executive to implement evidence-based practice at a community nursing center that serves a large Cuban immigrant population?

A. Have university experts with cultural competency expertise review clinic policies.

B. Have weekly staff meetings for the purpose of discussing which methods seem to work best when helping immigrants.

C. Include Cuban immigrants from the community on the center's advisory board.

D. Send personnel to conferences and seminars that focus on treating Hispanic immigrants.

Expert Explanatory Rationale

Correct Answer: Include Cuban immigrants from the community on the center's advisory board.

Question 2 of 5

What is the most important principle to keep in mind when caring for the pregnant teen?

A. All teen pregnancies are considered high-risk.

B. Limited self-care knowledge can lead to pregnancy complications.

C. Pregnant teens are likely to receive prenatal care late in the pregnancy.

D. Pregnant teens may have limited financial resources to pay for care.

Expert Explanatory Rationale

Correct Answer: Limited self-care knowledge can lead to pregnancy complications.

Question 3 of 5

A nurse in community health has implemented an education program that incorporates computer games to reinforce learning in a community of older adults. Although the research demonstrates evidence of improved retention of information, the nurse experiences exactly the opposite for this group of clients. What is the most likely cause of such poor outcomes?

A. Failure to consider client and setting differences

B. Inadequate incorporation of evidence into practice

C. Inferior quality of the available research evidence

D. The nurse's lack of skills in evaluating the evidence

Expert Explanatory Rationale

Correct Answer: Failure to consider client and setting differences

Question 4 of 5

Which is an example of tertiary prevention by a nurse?

A. Administration of skin tests to identify persons who have been infected with tubercle bacilli

B. Assessing for signs and symptoms of active tuberculosis

C. Directly observing clients with active tuberculosis as they take their antitubercular medications

D. Interpretation of tuberculosis skin test findings

Expert Explanatory Rationale

Correct Answer: Directly observing clients with active tuberculosis as they take their antitubercular medications

Question 5 of 5

A nurse is conducting parenting classes for parents of adolescents. Which parenting style should the nurse recommend?

A. Laissez-faire

B. Authoritative

C. Disciplinarian

D. Confrontational

Expert Explanatory Rationale

Correct Answer: Authoritative

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