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Community Health Nursing -I
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Community Health Nursing -I
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124. A home care patient with Parkinson’s disease is experiencing significant tremors and rigidity, interfering with their ability to perform daily activities. What medicinal adjustment might be indicated by the physician?
A.
Discontinuation of all medications
✓
B.
Adjustment of antiparkinsonian medications (e.g., Levodopa)
✓
C.
Increase in antidepressant dose
✓
D.
Reduction of all medications
✓
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Jun 6, 2026
125. A community health nurse is providing education on proper medication storage in the home. What is the most critical safety advice?
A.
Storing medications in a humid bathroom
✓
B.
Storing medications in a cool, dry place, away from light and out of reach of children/pets
✓
C.
Leaving medications on the kitchen counter
✓
D.
Storing medications in unlabeled containers
✓
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Jun 6, 2026
126. A community health nurse is working with a family struggling with a chronic mental illness. What is the most critical role of the nurse?
A.
Focusing solely on individual symptoms
✓
B.
Providing psychoeducation, support, and connecting the family to community mental health resources
✓
C.
Blaming the family for the illness
✓
D.
Encouraging isolation
✓
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Jun 6, 2026
127. A community health nurse is performing a nutritional assessment on an infant. What is the most critical indicator of adequate nutrition in an infant?
A.
Excessive crying
✓
B.
Consistent weight gain, appropriate developmental milestones, and adequate wet diapers
✓
C.
Frequent vomiting
✓
D.
Lack of sleep
✓
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Jun 6, 2026
112. A community experiences a significant increase in cases of West Nile Virus. What is the most effective public health strategy for prevention?
A.
Encouraging more outdoor activities at dusk
✓
B.
Mosquito control measures (e.g., eliminating standing water, repellents) and public education
✓
C.
Administering antibiotics to all residents
✓
D.
Covering all windows with blankets
✓
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Jun 6, 2026
113. A community health nurse is performing a hearing screening at a school. What technical equipment is typically used?
A.
Stethoscope
✓
B.
Audiometer
✓
C.
Ophthalmoscope
✓
D.
Reflex hammer
✓
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Jun 6, 2026
114. A home care patient with diabetes is prescribed a sliding scale insulin regimen. What is the critical instruction for the patient regarding self-administration?
A.
Administer the same dose of insulin daily
✓
B.
Administer insulin based on their current blood glucose reading as per the prescribed scale
✓
C.
Administer insulin only after meals
✓
D.
Share insulin with others
✓
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Jun 6, 2026
115. A community health nurse is advocating for increased access to healthy food options in a food desert. What is the most effective advocacy strategy?
A.
Complaining to local grocery stores
✓
B.
Collaborating with community organizations and policymakers to establish farmers' markets or community gardens
✓
C.
Telling residents to drive to distant grocery stores
✓
D.
Importing all food from other regions
✓
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Jun 6, 2026
116. A community health nurse is responding to a school-wide crisis (e.g., an active shooter threat). What is the immediate priority for the nurse?
A.
Provide individual counseling to each student
✓
B.
Ensure the safety of students and staff, and follow emergency protocols
✓
C.
Document the event for future reference
✓
D.
Discuss the event with media
✓
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Jun 6, 2026
117. A community health nurse is performing a general health assessment during a home visit. What is a critical component of the psychosocial assessment?
A.
Only assessing physical health
✓
B.
Assessing mental health, social support systems, and coping mechanisms
✓
C.
Ignoring emotional cues
✓
D.
Focusing solely on financial status
✓
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Jun 6, 2026
118. A home care patient with chronic heart failure experiences sudden dizziness and fainting spells. The nurse notes their heart rate is 45 bpm. What medicinal concern is immediate?
A.
Patient needs more fluid
✓
B.
Possible bradycardia related to cardiac medications (e.g., beta-blockers, digoxin) requiring physician notification
✓
C.
Patient needs more exercise
✓
D.
Patient needs a higher dose of their current medications
✓
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Jun 6, 2026
119. A community health nurse is planning a primary prevention program for adolescents aimed at promoting safe driving practices. What is a key intervention?
A.
Providing first aid after a car accident
✓
B.
Educating about the dangers of distracted driving and impaired driving
✓
C.
Focusing on rehabilitation for accident victims
✓
D.
Only discussing car mechanics
✓
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Jun 6, 2026
120. A community health nurse is providing education about the importance of regular exercise. What is a critical benefit of regular physical activity for overall health?
A.
Increased risk of chronic diseases
✓
B.
Reduced risk of chronic diseases (e.g., heart disease, diabetes, obesity) and improved mental well-being
✓
C.
Increased sedentary behavior
✓
D.
Weight gain
✓
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Jun 6, 2026
111. A community health nurse is assessing the nutritional needs of a pregnant teenager. What is a critical nutritional concern in this population?
A.
Excessive calorie intake
✓
B.
Increased risk of iron deficiency anemia and inadequate weight gain
✓
C.
Lack of protein intake
✓
D.
Overconsumption of vegetables
✓
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Jun 6, 2026
96. A community health nurse is conducting health education in a culturally diverse community. What is the most effective approach to ensure health literacy?
A.
Use complex medical jargon
✓
B.
Use plain language, visual aids, and the "teach-back" method, adapting to cultural context
✓
C.
Provide only written materials in English
✓
D.
Speak very quickly
✓
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Jun 6, 2026
97. A community health nurse is preparing to administer an immunization. What is the technical step to confirm the correct vaccine and dosage?
A.
Ask the patient what vaccine they want
✓
B.
Compare the vaccine vial to the physician's order and the patient's record
✓
C.
Rely on memory from previous administrations
✓
D.
Guess the dosage based on patient size
✓
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Jun 6, 2026
98. A community experiences a significant increase in opioid overdose deaths. What is the most critical public health intervention?
A.
Increasing law enforcement patrols
✓
B.
Expanding access to naloxone, harm reduction strategies, and substance use treatment programs
✓
C.
Blaming individuals for their addiction
✓
D.
Cutting funding for addiction services
✓
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Jun 6, 2026
99. A home care patient with a chronic wound has a new onset of fever and increased pain at the wound site. What is the immediate nursing action?
A.
Continue routine wound care
✓
B.
Notify the physician immediately, suspecting a wound infection
✓
C.
Apply more dressing without assessment
✓
D.
Tell the patient to take over-the-counter pain relievers
✓
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Jun 6, 2026
100. A community health nurse is providing primary prevention education for sexually transmitted infections (STIs). Which strategy is most effective for prevention?
A.
Focusing solely on treatment of STIs
✓
B.
Promoting safe sex practices, including consistent condom use and limiting sexual partners
✓
C.
Encouraging unprotected sex
✓
D.
Providing only information on symptoms
✓
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Jun 6, 2026
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