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Community Health-II

200 questions found

Practice Questions

136. A home care patient with chronic pain is prescribed a transdermal opioid patch. They report new, excessive sedation and slow breathing. What is the immediate clinical action?

A. Apply another patch
B. Remove the patch, assess respiratory status, administer naloxone if indicated, and notify the physician
C. Leave the patch on and monitor
D. Tell the patient to sleep it off
nmdcat.online BS Nursing
Jun 6, 2026

137. A community health nurse is conducting an environmental health assessment. What is a critical environmental health issue related to climate change?

A. Increased biodiversity
B. Vector-borne disease spread (e.g., malaria, dengue) due to changes in vector habitats
C. Cooler global temperatures
D. Reduced natural disasters
nmdcat.online BS Nursing
Jun 6, 2026

138. A community health nurse is providing care to a family experiencing intimate partner violence (IPV). What is the most critical initial nursing intervention?

A. Tell the victim to confront the abuser
B. Assess immediate safety, provide resources for safe housing and support, and offer non-judgmental support
C. Ignore the situation as it is a private matter
D. Advise the victim to stay for financial reasons
nmdcat.online BS Nursing
Jun 6, 2026

139. A community health nurse is planning a primary prevention program for substance abuse in adolescents. What is a critical intervention?

A. Providing treatment for addiction
B. Promoting positive coping skills, refusal skills, and healthy peer relationships
C. Focusing only on punitive measures
D. Ignoring peer pressure
nmdcat.online BS Nursing
Jun 6, 2026

140. A home care patient with end-stage renal disease (ESRD) is prescribed a phosphate binder to be taken with meals. The patient reports not taking it because they forget. What medicinal teaching point is critical?

A. Take it only when feeling unwell
B. Take the phosphate binder with meals to bind dietary phosphorus and prevent hyperphosphatemia
C. Take it once a day at any time
D. Take it after meals
nmdcat.online BS Nursing
Jun 6, 2026

141. A community health nurse is working with a community to address environmental health issues. What is a critical strategy for community engagement?

A. Ignoring community input
B. Engaging community members as active participants in identifying issues and developing solutions
C. Imposing solutions from outside
D. Blaming the community for environmental problems
nmdcat.online BS Nursing
Jun 6, 2026

142. A community experiences a sudden outbreak of a highly antibiotic-resistant infection (e.g., MRSA). What is the immediate public health response strategy?

A. Encourage widespread antibiotic use
B. Implement strict infection control measures, isolation, contact tracing, and judicious use of antibiotics
C. Ignore the resistance
D. Promote sharing of personal items
nmdcat.online BS Nursing
Jun 6, 2026

128. A home care patient with diabetes has a non-healing foot wound. The nurse notes surrounding redness, warmth, and purulent drainage. What is the immediate clinical action?

A. Apply a cold compress
B. Obtain wound culture, notify physician of suspected infection, and prepare for potential IV antibiotics/debridement
C. Tell the patient to rest more
D. Continue routine dressing changes
nmdcat.online BS Nursing
Jun 6, 2026

129. A community health nurse is planning a program to address the social isolation of older adults. What is a critical intervention?

A. Encouraging sedentary behavior
B. Promoting community centers, intergenerational programs, and transportation services to facilitate social engagement
C. Limiting contact with family
D. Discouraging new hobbies
nmdcat.online BS Nursing
Jun 6, 2026

130. A home care patient with chronic pain is prescribed a long-acting opioid. They report feeling excessively drowsy and difficult to arouse. What is the immediate nursing action?

A. Administer more opioid for pain
B. Assess respiratory status, administer naloxone if indicated, and notify the physician of opioid overdose symptoms
C. Tell the patient to sleep it off
D. Encourage the patient to walk around
nmdcat.online BS Nursing
Jun 6, 2026

131. A community health nurse is working with a community affected by a public health crisis (e.g., a pandemic). What is a critical role of the nurse in promoting community resilience?

A. Promoting fear and panic
B. Empowering community members, fostering social connections, and facilitating access to resources and support systems
C. Ignoring emotional distress
D. Relying solely on external aid
nmdcat.online BS Nursing
Jun 6, 2026

132. A community experiences a sudden, widespread epidemic of foodborne illness. What is the immediate public health response strategy?

A. Advise consuming only raw foods
B. Identify the source of contamination, issue public warnings, recall contaminated products, and implement control measures
C. Blame individual restaurants without investigation
D. Promote eating out more
nmdcat.online BS Nursing
Jun 6, 2026

134. A home care patient with a chronic respiratory condition is prescribed a short-acting beta-agonist (SABA) inhaler for rescue. They report using it more than 2-3 times per week. What medicinal concern is immediate?

A. Patient needs more SABA
B. Uncontrolled asthma/COPD, requiring physician notification and adjustment of maintenance therapy
C. Patient is addicted to SABA
D. Patient should stop all inhalers
nmdcat.online BS Nursing
Jun 6, 2026

135. A community health nurse is advocating for policies that promote health in all policies (HiAP). What is a critical principle of HiAP?

A. Health is solely a healthcare sector responsibility
B. Integrating health considerations into policymaking across all sectors (e.g., education, housing, transportation)
C. Health is a private matter
D. Health is only about treating illness
nmdcat.online BS Nursing
Jun 6, 2026

121. A community health nurse is working with a community affected by a major economic recession. What is a critical health impact of economic instability on community health?

A. Increased leisure time
B. Increased stress, mental health issues, food insecurity, and reduced access to healthcare
C. Reduced chronic disease rates
D. Increased access to luxury goods
nmdcat.online BS Nursing
Jun 6, 2026

122. A community experiences a significant earthquake, leading to structural damage and trapped individuals. What is the immediate public health priority?

A. Assessing long-term economic impact
B. Search and rescue, immediate medical care for the injured, and establishing safety zones
C. Documenting property damage
D. Providing psychological counseling
nmdcat.online BS Nursing
Jun 6, 2026

123. A community health nurse is performing a physical assessment on an older adult. What technical assessment is crucial for assessing functional ability?

A. Asking about their favorite TV show
B. Assessing activities of daily living (ADLs) and instrumental activities of daily living (IADLs)
C. Measuring height only
D. Assessing their social media activity
nmdcat.online BS Nursing
Jun 6, 2026
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