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Community Health Nursing -I
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Community Health Nursing -I
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67. A community health nurse is conducting a health promotion campaign for teenagers about preventing sexually transmitted infections (STIs). What is the most effective primary prevention strategy?
A.
Discussing only the consequences of STIs
✓
B.
Comprehensive sex education emphasizing consistent and correct condom use, and abstinence education
✓
C.
Focusing solely on treatment of STIs
✓
D.
Providing only brochures about STIs
✓
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BS Nursing
Jun 6, 2026
68. A community health nurse is providing care to a family affected by domestic violence. What is the most critical initial nursing intervention?
A.
Tell the victim to leave immediately
✓
B.
Assess the safety of the victim and any children, and connect them with emergency resources and support services
✓
C.
Advise the victim to confront the abuser
✓
D.
Ignore the situation, as it is a private matter
✓
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BS Nursing
Jun 6, 2026
69. A community health nurse is advocating for improved access to mental health services in an underserved community. What is the most effective strategy for advocating for policy change?
A.
Complaining to colleagues
✓
B.
Collaborating with community leaders, stakeholders, and policymakers to develop and implement solutions
✓
C.
Ignoring the problem
✓
D.
Waiting for the government to act
✓
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BS Nursing
Jun 6, 2026
70. A home health patient with a gastrostomy tube (G-tube) requires medication administration. What is the technical step to ensure proper G-tube function before administering medication?
A.
Administer all medications together without flushing
✓
B.
Flush the G-tube with water before and after medication administration
✓
C.
Administer crushed medications directly into the G-tube without diluting
✓
D.
Keep the patient flat during administration
✓
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BS Nursing
Jun 6, 2026
56. A community experiences a sudden chemical spill. What is the immediate public health action for community health nurses?
A.
Advise residents to stay outdoors
✓
B.
Direct residents to evacuate or shelter-in-place as advised by emergency services
✓
C.
Tell residents to ignore official warnings
✓
D.
Encourage panic and chaos
✓
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Jun 6, 2026
57. A community health nurse is conducting a health screening for depression in a high school. A student scores high on the screening tool. What is the most appropriate next step?
A.
Dismiss their concerns as teenage drama
✓
B.
Immediately prescribe antidepressant medication
✓
C.
Refer for further assessment by a mental health professional
✓
D.
Tell them to try harder to be happy
✓
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Jun 6, 2026
58. A community health nurse is working with a refugee family who has limited English proficiency. What is the most effective communication strategy?
A.
Speaking loudly and slowly in English
✓
B.
Using a professional medical interpreter
✓
C.
Relying on family members (especially children) for complex medical translation
✓
D.
Using only written materials in English
✓
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Jun 6, 2026
59. A community health nurse is planning a tertiary prevention program. Which activity is an example of tertiary prevention?
A.
Providing health education on handwashing
✓
B.
Conducting blood pressure screenings
✓
C.
Providing physical therapy and rehabilitation after a stroke
✓
D.
Administering flu vaccines
✓
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BS Nursing
Jun 6, 2026
60. A home care patient with a central venous catheter develops redness, swelling, and purulent drainage at the insertion site. What is the immediate action?
A.
Ignore the symptoms, it's normal
✓
B.
Apply a warm compress and continue to monitor
✓
C.
Notify the physician immediately, suspecting a central line-associated bloodstream infection (CLABSI)
✓
D.
Clean the site with alcohol only
✓
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Jun 6, 2026
61. A community health nurse is assessing the nutritional status of a low-income family. What is a critical indicator of potential malnutrition?
A.
Family eats three meals a day
✓
B.
Frequent consumption of nutrient-poor, high-calorie foods and limited access to fresh produce
✓
C.
Regular intake of fruits and vegetables
✓
D.
Access to a variety of food options
✓
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Jun 6, 2026
62. A community health nurse is teaching a community group about preventing tick-borne illnesses like Lyme disease. What is a critical preventative measure?
A.
Wearing short sleeves and shorts outdoors
✓
B.
Using insect repellent containing DEET or picaridin, checking for ticks after outdoor activities
✓
C.
Avoiding showering after outdoor activities
✓
D.
Relying solely on antibiotics for prevention
✓
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Jun 6, 2026
63. A home care patient with diabetes has a non-healing foot wound. What is a critical aspect of wound care and education in the home setting?
A.
Applying hydrogen peroxide daily to the wound
✓
B.
Regular wound assessment, strict glycemic control, and proper foot care education
✓
C.
Ignoring the wound unless it gets worse
✓
D.
Allowing the wound to remain uncovered
✓
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Jun 6, 2026
48. A community health nurse is developing a health promotion program for older adults. What is a key intervention for preventing falls in this population?
A.
Encouraging sedentary lifestyle
✓
B.
Promoting regular exercise, strength training, and balance exercises
✓
C.
Advising against vision checks
✓
D.
Limiting social interaction
✓
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Jun 6, 2026
49. A community experiences a significant increase in sexually transmitted infections (STIs) among young adults. What is the most critical public health intervention?
A.
Closing down all social gathering places
✓
B.
Comprehensive sexual health education, accessible testing, and treatment services
✓
C.
Blaming individuals for their choices
✓
D.
Focusing solely on abstinence
✓
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Jun 6, 2026
50. A community health nurse is providing home care to a client with a stage II pressure injury. What is a critical aspect of wound care in the home setting?
A.
Using non-sterile gloves for dressing changes
✓
B.
Maintaining sterile technique during dressing changes to prevent infection
✓
C.
Applying a tight bandage to restrict blood flow
✓
D.
Allowing the wound to air dry without covering
✓
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Jun 6, 2026
51. A community health nurse is conducting an environmental scan to identify community health needs. What is an example of a secondary data source for this assessment?
A.
Conducting a survey of community members
✓
B.
Reviewing existing health statistics, census data, and vital records
✓
C.
Holding a focus group
✓
D.
Interviewing local leaders
✓
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Jun 6, 2026
52. A community health nurse is providing education about food safety. What is a critical guideline for preventing foodborne illness?
A.
Washing hands only after handling raw meat
✓
B.
Cooking foods to the appropriate internal temperatures and avoiding cross-contamination
✓
C.
Leaving perishable foods out at room temperature for extended periods
✓
D.
Eating raw or undercooked meats
✓
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Jun 6, 2026
53. A community health nurse is implementing a program to reduce the incidence of childhood obesity. What is a key intervention strategy?
A.
Promoting sugary drinks
✓
B.
Encouraging daily physical activity and healthy eating habits
✓
C.
Discouraging outdoor play
✓
D.
Recommending only fast food
✓
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BS Nursing
Jun 6, 2026
54. A home care patient with dementia is frequently wandering and is at high risk for falls. What is the most appropriate initial behavioral intervention?
A.
Physical restraint
✓
B.
Providing a safe, structured environment and redirection, using alarms or monitors if needed
✓
C.
Administering sedatives every hour
✓
D.
Locking the patient in their room
✓
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Jun 6, 2026
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