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Community Health Nursing-I
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Community Health Nursing-I
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16. A home care patient with diabetes mellitus is consistently missing insulin doses because they cannot afford it. What is the most critical nursing action?
A.
Tell the patient to prioritize medication over food
✓
B.
Document the non-adherence and report to the physician
✓
C.
Connect the patient with community resources for medication assistance programs
✓
D.
Advise the patient to stop eating sugary foods completely
✓
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BS Nursing
Jun 6, 2026
17. A community health nurse is conducting a needs assessment in a rural community. What is a primary data collection method that involves directly interacting with community members?
A.
Reviewing published research articles
✓
B.
Conducting surveys, focus groups, and individual interviews
✓
C.
Analyzing census data
✓
D.
Reading old newspapers
✓
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BS Nursing
Jun 6, 2026
18. A community health nurse is educating a school group about preventing the spread of influenza. What is the most effective and technical intervention?
A.
Wearing surgical masks constantly
✓
B.
Frequent handwashing, covering coughs/sneezes, and annual vaccination
✓
C.
Avoiding all public places
✓
D.
Using antibiotics preventatively
✓
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BS Nursing
Jun 6, 2026
19. A community health nurse is working with a homeless population. Which health condition is highly prevalent in this population and requires focused attention?
A.
Allergies to pollen
✓
B.
Chronic diseases, mental health disorders, and substance use disorders
✓
C.
Acute appendicitis
✓
D.
Healthy skin conditions
✓
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BS Nursing
Jun 6, 2026
20. A community health nurse is assessing the environmental health of a neighborhood. What is a key indicator of poor environmental health?
A.
Abundance of green spaces
✓
B.
High levels of air pollution, contaminated water sources, and inadequate waste disposal
✓
C.
Low traffic volume
✓
D.
Access to fresh food markets
✓
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Jun 6, 2026
21. A community health nurse is planning an immunization campaign for preventable childhood diseases. Which ethical principle guides the decision to promote widespread vaccination?
A.
Autonomy of the individual only
✓
B.
Justice and the protection of the community's health (herd immunity)
✓
C.
Non-maleficence for the individual only
✓
D.
Fidelity to pharmaceutical companies
✓
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Jun 6, 2026
22. During a home visit, a community health nurse finds an older adult client who is weak, dehydrated, and unable to care for themselves adequately, and has significant bruising. What is the immediate action?
A.
Document the findings and leave
✓
B.
Contact Adult Protective Services/appropriate authorities for suspected elder abuse/neglect
✓
C.
Advise the client to get more rest
✓
D.
Offer a glass of water and depart
✓
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Jun 6, 2026
23. A community health nurse is educating a pregnant woman about reducing the risk of Sudden Infant Death Syndrome (SIDS). What is a critical teaching point?
A.
Place the infant on their stomach to sleep
✓
B.
Place the infant on their back to sleep, in a bare crib
✓
C.
Co-sleep with the infant in the same bed
✓
D.
Dress the infant in multiple layers to keep warm
✓
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Jun 6, 2026
24. You are providing care to a family recently displaced by a house fire. What is the most critical initial focus of your intervention?
A.
Providing legal advice
✓
B.
Assessing for immediate physical and psychological needs and connecting to emergency shelter/resources
✓
C.
Discussing long-term financial planning
✓
D.
Offering interior design tips for their new home
✓
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Jun 6, 2026
25. A community health nurse is conducting health education about proper medication disposal. What is the most appropriate instruction to prevent environmental contamination and accidental poisoning?
A.
Flush all medications down the toilet
✓
B.
Throw medications in the regular trash
✓
C.
Take unused medications to a designated drug take-back program or mix with undesirable substances in a sealed bag
✓
D.
Share unused medications with friends
✓
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Jun 6, 2026
26. A community health nurse is working in a high-poverty urban area. Which clinical intervention is most likely to improve the health outcomes of children in this community?
A.
Focusing solely on individual symptoms
✓
B.
Providing comprehensive well-child check-ups, immunizations, and nutrition education
✓
C.
Encouraging children to drop out of school
✓
D.
Promoting excessive screen time
✓
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Jun 6, 2026
27. A community health nurse is planning a primary prevention program. Which activity is an example of primary prevention?
A.
Providing rehabilitation services after a stroke
✓
B.
Conducting health screenings for early disease detection
✓
C.
Administering immunizations to prevent disease
✓
D.
Managing chronic diseases
✓
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Jun 6, 2026
12. A community experiences a sudden outbreak of foodborne illness with multiple individuals presenting to local clinics with severe gastrointestinal symptoms. What is the immediate public health action?
A.
Advise everyone to stop eating
✓
B.
Identify the source of contamination, isolate affected individuals, and implement public health warnings
✓
C.
Wait for symptoms to resolve on their own
✓
D.
Encourage people to cook all food at high temperatures
✓
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Jun 6, 2026
28. A community health nurse is assessing a family’s coping mechanisms after a major illness of a family member. What is a sign of effective family coping?
A.
Avoiding communication about the illness
✓
B.
Shared responsibilities, open communication, and seeking external support
✓
C.
Blaming each other for the illness
✓
D.
Denying the severity of the illness
✓
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Jun 6, 2026
13. A community health nurse is educating a low-income family about preventing lead poisoning. What is a key technical intervention?
A.
Advising regular consumption of milk
✓
B.
Testing paint in older homes and ensuring proper renovation/abatement
✓
C.
Encouraging playing near busy roads
✓
D.
Discouraging hand washing
✓
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Jun 6, 2026
29. A community health nurse is teaching a group of parents about infant safety. What is a critical piece of advice regarding car seats?
A.
Place infants in forward-facing car seats from birth
✓
B.
Use an infant car seat in the back seat, rear-facing, until at least 2 years of age or until they outgrow the height/weight limits
✓
C.
Use adult seatbelts for infants
✓
D.
Purchase a used car seat without checking its history
✓
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BS Nursing
Jun 6, 2026
14. When advocating for policy changes to improve community health, a nurse should prioritize interventions that address:
A.
Individual preferences only
✓
B.
Root causes of health disparities and promote health equity
✓
C.
Short-term fixes without long-term planning
✓
D.
The needs of the wealthiest residents
✓
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BS Nursing
Jun 6, 2026
15. A community health nurse is providing first aid at a local sporting event. A child sustains a deep laceration to the arm with active bleeding. What is the immediate action?
A.
Apply a tourniquet above the wound
✓
B.
Apply direct pressure to the wound with a clean cloth
✓
C.
Wash the wound with soap and water
✓
D.
Elevate the arm and apply ice
✓
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BS Nursing
Jun 6, 2026
1. A community health nurse is conducting a home visit for an elderly client recently discharged from the hospital after a fall. The client lives alone. What is the most critical initial assessment for fall prevention in the home environment?
A.
Assess the client's dietary habits
✓
B.
Evaluate the presence of throw rugs, adequate lighting, and stair handrails
✓
C.
Discuss the client's past medical history
✓
D.
Check the client's social media activity
✓
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BS Nursing
Jun 6, 2026
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