SNLE Community Health Nursing 2

Question 1

A nurse is conducting a home visit for a patient with hypertension. Which finding requires immediate referral?

Accepted Answer

Blood pressure of 200/120 mmHg with severe headache

Answer

BP of 200/120 mmHg with severe headache is a hypertensive emergency (possible end-organ damage — stroke, encephalopathy, renal failure). Immediate emergency referral is required. Hypertensive urgency is severe BP without end-organ damage; emergency involves damage.

Question 2

What is the recommended approach for tuberculosis contact investigation?

Accepted Answer

Screen all close contacts with TST or IGRA and treat latent TB infection in high-risk individuals

Answer

TB contact investigation identifies recently infected individuals who can progress to active TB. All close contacts receive tuberculin skin test (TST) or interferon-gamma release assay (IGRA). Positive test with no active disease = latent TB treated with isoniazid to prevent activation.

Question 3

What is the primary purpose of a health needs assessment in community nursing?

Accepted Answer

To identify health priorities and gaps in services in a community

Answer

A community health needs assessment identifies the population's health status, risk factors, existing resources, service gaps, and priorities. It uses data from surveys, vital statistics, and community input to guide evidence-based public health planning.

Question 4

Which level of Maslow's hierarchy must be met before safety needs can be addressed?

Accepted Answer

Physiological needs (food, water, shelter, air)

Answer

Maslow's hierarchy places physiological needs (oxygen, water, food, warmth, sleep) at the base. These must be met before safety, love/belonging, esteem, and self-actualization needs can be effectively addressed in nursing care planning.

Question 5

What does 'incidence rate' measure in epidemiology?

Accepted Answer

New cases of a disease in a population at risk over a specified time period

Answer

Incidence rate measures new cases occurring in a disease-free (at-risk) population during a defined period. It reflects the risk of developing a disease. Prevalence measures all existing cases (both new and old) at a specific time.

SNLE Practice Test

SNLE Practice Test

SNLE Community Health Nursing 2