Practice Questions

160. A home care patient with depression is prescribed a Selective Serotonin Reuptake Inhibitor (SSRI). They report feeling no improvement after 3 days. What medicinal teaching point is critical?

A. Discontinue the medication immediately
B. It may take several weeks for the full therapeutic effect of SSRIs to be noticed; continue as prescribed
C. Double the dose immediately
D. Switch to a different medication without consulting the physician
nmdcat.online BS Nursing
Jun 6, 2026

159. A community health nurse is planning a program to promote mental well-being in older adults. What is a critical intervention?

A. Encouraging social isolation
B. Promoting cognitive stimulation, physical activity, social engagement, and early detection of depression
C. Discouraging new hobbies
D. Limiting access to information
nmdcat.online BS Nursing
Jun 6, 2026

158. A home care patient with a new colostomy is experiencing significant skin irritation around the stoma. What is the immediate clinical action?

A. Apply adhesive tape directly to the skin
B. Assess the stoma and peristomal skin, ensure proper appliance fit, and use skin barriers/creams as indicated
C. Ignore the irritation
D. Advise daily scrubbing of the skin
nmdcat.online BS Nursing
Jun 6, 2026

157. A community health nurse is working with a community affected by environmental pollution. What is a critical intervention for environmental health?

A. Encouraging continued exposure
B. Advocating for stricter regulations, educating on protective measures, and monitoring environmental quality
C. Ignoring the pollution
D. Blaming individuals for their exposure
nmdcat.online BS Nursing
Jun 6, 2026

156. A home care patient with chronic kidney disease is advised to limit protein intake. What is the clinical rationale for this dietary restriction?

A. To increase fluid retention
B. To reduce the workload on the kidneys and prevent accumulation of waste products
C. To improve blood sugar control
D. To increase blood pressure
nmdcat.online BS Nursing
Jun 6, 2026

155. A community health nurse is advocating for policies that promote early childhood development. What is a critical benefit of early childhood development programs for community health?

A. Increased screen time
B. Improved health outcomes, educational attainment, and reduced risk of chronic diseases later in life
C. Increased childhood obesity
D. Limited social skills
nmdcat.online BS Nursing
Jun 6, 2026

154. 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

152. A community experiences a major power outage during a heatwave. What is the immediate public health concern?

A. Lack of entertainment
B. Risk of heatstroke, dehydration, and spoilage of medications requiring refrigeration
C. Increased social isolation
D. Longer commute times
nmdcat.online BS Nursing
Jun 6, 2026

151. A community health nurse is using community organizing principles. What is a critical step in community organizing?

A. Making decisions for the community
B. Identifying community leaders, building relationships, and empowering residents to identify and address their own health issues
C. Ignoring community input
D. Imposing solutions from outside
nmdcat.online BS Nursing
Jun 6, 2026
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