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HESI RN · HESI Community Health Nursing · Nursing Care of Vulnerable Populations

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

What condition of the rural environment provides increased opportunities for teaching?

A. Because people primarily work on family farms, they visit neighbors more often.
B. Involvement in rural community activities provides more contact with community residents than in urban areas.
C. Nursing responsibilities include activities of primary, secondary, and tertiary prevention.
D. The increased illnesses and injuries of rural residents require that they see nurses more often.

Expert Explanatory Rationale

Correct Answer: Involvement in rural community activities provides more contact with community residents than in urban areas.

Question 2 of 5

A migrant farmworker's family seemed to be very stressed, although their employer had given them the day off to visit the clinic and told them to take all the time they needed. In addition to the health issue, what might be the family's fear?

A. Their personal belongings may be stolen while they are at the clinic.
B. Immigration officials will send them back to their home country.
C. The clinic personnel will look down on them and be biased against them.
D. They weren't getting paid for that day, and continued employment is never certain.

Expert Explanatory Rationale

Correct Answer: Immigration officials will send them back to their home country.

Question 3 of 5

What is the chief group pressuring clinicians to use evidence-based practice (EBP)?

A. Administrators who recognize the cost savings of EBP
B. Insurance companies and other third-party payers
C. Nurses who recognize EBP's increased effectiveness
D. Physicians who recognize EBP's increased effectiveness

Expert Explanatory Rationale

Correct Answer: Insurance companies and other third-party payers

Question 4 of 5

A teenager with diabetes doesn't want to inject insulin. The nurse tries to be empathetic while teaching the teenager how to give insulin and clarifying why insulin and glucose level control are so important. The teenager still refuses. The diabetic educator decides that the teenager needs a facilitator. What behaviors can a facilitator use beyond what the nurse-teacher has done? Select all that apply.

A. The facilitator will be enthusiastic about insulin and how it saves lives.
B. The facilitator can build a relationship of mutual trust.
C. The facilitator will express empathy about the difficulties of injecting insulin while trying to appear a normal teenager.
D. The facilitator will respect the teenager's ideas and feelings about how the diabetes can be controlled, including exercise and food choices.

Expert Explanatory Rationale

Correct Answer: The facilitator can build a relationship of mutual trust.

Question 5 of 5

What advice would you give a new nurse on how to care for very poor families? Select all that apply.

A. Be supportive in any way possible.
B. Educate the family on how to maximize their health using free resources.
C. Offer the family free medication samples whenever possible, keeping in mind the cost of many prescription drugs.
D. Recognize the family's poverty and refrain from asking whether they want to make a payment toward their bill.

Expert Explanatory Rationale

Correct Answer: Be supportive in any way possible.

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