All Free Community Health Nursing MCQs with Answers
Every Community Health Nursing question in the bank, across all chapters, each with the correct answer and a written explanation. Free and unlimited, with no account needed.
400 questions · page 13 of 20
241. Before using a new pamphlet about dengue prevention in a community, what should the nurse do first?
- A. Distribute it to all households immediately
- B. Pretest it with members of the target community
- C. Translate it into several languages without testing
- D. Add more medical terms for technical accuracy
Explanation: Pretesting shows whether the intended audience understands the words, pictures and instructions.
Correct answer: Pretest it with members of the target community- A. Discuss the concern in the waiting area
- B. Promise that no information can ever be disclosed
- C. Provide privacy and explain confidentiality clearly
- D. Tell the adolescent to ask a parent before talking
Explanation: Privacy and a clear explanation of confidentiality help build trust and support honest counseling.
Correct answer: Provide privacy and explain confidentiality clearly- A. Panel discussion
- B. Demonstration
- C. Role play
- D. Individual counseling
Explanation: A panel discussion uses several speakers who present views on a topic under the guidance of a moderator.
Correct answer: Panel discussion- A. Developing personal coping skills
- B. Building healthy public policy
- C. Providing individual clinical treatment
- D. Conducting a diagnostic screening test
Explanation: Smoke-free rules change the policy environment so that healthier choices are supported for the whole population.
Correct answer: Building healthy public policy- A. Correct the family firmly and end the discussion
- B. Ignore the belief and continue with prepared teaching
- C. Ask the family to explain the belief and discuss prevention respectfully
- D. Tell the family that traditional beliefs have no place in health care
Explanation: Exploring the family’s belief respectfully allows the nurse to understand its meaning and provide acceptable health education.
Correct answer: Ask the family to explain the belief and discuss prevention respectfully- A. The programme reached people but did not achieve the intended behavior change
- B. The programme was successful because attendance was high
- C. The teaching content was effective because people came to the sessions
- D. The number of educators was adequate for the programme
Explanation: Attendance is mainly a participation or process measure, whereas net use is a behavior outcome.
Correct answer: The programme reached people but did not achieve the intended behavior change- A. I will walk because my friend will reward me
- B. I will walk because the nurse may check my diary
- C. I want to walk because feeling healthier matters to me
- D. I will walk because my family will criticize me if I do not
Explanation: Intrinsic motivation comes from personal values, satisfaction or perceived benefit rather than external pressure or reward.
Correct answer: I want to walk because feeling healthier matters to me- A. Give the participant a small-print handout
- B. Use spoken explanations and tactile materials
- C. Seat the participant at the back of the room
- D. Show more detailed slides from a distance
Explanation: Spoken explanations and tactile materials provide access through senses the participant can use effectively.
Correct answer: Use spoken explanations and tactile materials- A. You must take it because the prescription is important
- B. Most patients do not have this difficulty
- C. Let us look at each concern and find a workable solution
- D. You should ask another health worker to explain it
Explanation: Exploring each concern keeps the counseling client centered and supports collaborative problem solving.
Correct answer: Let us look at each concern and find a workable solution- A. To measure room temperature during teaching
- B. To assess intended application and possible barriers
- C. To replace all formal evaluation methods
- D. To identify which participant speaks most often
Explanation: Asking about a planned change and expected barrier helps assess whether participants can apply the teaching in daily life.
Correct answer: To assess intended application and possible barriers- A. Mild nausea after eating
- B. Occasional painless fetal movement
- C. Vaginal bleeding during pregnancy
- D. Increased urinary frequency
Explanation: Vaginal bleeding during pregnancy may indicate miscarriage, placenta previa, placental abruption, or another serious complication.
Correct answer: Vaginal bleeding during pregnancy- A. Advise her to rest at home
- B. Arrange urgent referral for assessment
- C. Give extra oral fluids and observe
- D. Schedule her next routine antenatal visit
Explanation: Severe headache, visual disturbance, and facial swelling may indicate pre-eclampsia, which can progress to seizures and maternal or fetal…
Correct answer: Arrange urgent referral for assessment- A. Apply firm uterine massage
- B. Offer a large meal
- C. Encourage her to walk
- D. Place a cold pack on her abdomen
Explanation: A soft, boggy uterus suggests uterine atony, a common cause of postpartum haemorrhage.
Correct answer: Apply firm uterine massage- A. It works even when monthly bleeding returns
- B. It is reliable if the baby is under six months, breastfeeding is exclusive, and menstruation has not returned
- C. It prevents pregnancy whenever breastfeeding occurs once daily
- D. It remains reliable until the child reaches one year of age
Explanation: The lactational amenorrhea method requires all three conditions: exclusive or nearly exclusive breastfeeding, no return of menstruation…
Correct answer: It is reliable if the baby is under six months, breastfeeding is exclusive, and menstruation has not returned- A. Bathe the newborn before feeding
- B. Dry the newborn and place the baby skin to skin
- C. Separate the newborn for routine weighing
- D. Leave the newborn uncovered for observation
Explanation: Immediate drying and skin-to-skin contact reduce evaporative and conductive heat loss and support early breastfeeding.
Correct answer: Dry the newborn and place the baby skin to skin- A. Give colostrum because it provides protective factors
- B. Discard colostrum because it is difficult to digest
- C. Give sugar water before starting breastfeeding
- D. Start animal milk if the mother feels tired
Explanation: Colostrum is concentrated in antibodies and other protective factors, so it should be given rather than discarded.
Correct answer: Give colostrum because it provides protective factors- A. Provide home care advice only
- B. Arrange urgent referral after giving appropriate pre-referral care
- C. Ask the caregiver to return after three days
- D. Recommend an over-the-counter cough mixture
Explanation: Inability to drink and abnormal sleepiness are general danger signs requiring urgent referral.
Correct answer: Arrange urgent referral after giving appropriate pre-referral care- A. The child has satisfactory growth
- B. The child may have growth faltering
- C. The child has reached final height
- D. The child needs no nutritional assessment
Explanation: A downward crossing of growth lines suggests growth faltering and requires assessment of feeding, illness, nutrition, and social factors.
Correct answer: The child may have growth faltering- A. At birth with every breastfeed
- B. At about six months while breastfeeding continues
- C. At two months when crying increases
- D. After twelve months when teeth appear
Explanation: Breast milk alone is recommended for about the first six months, followed by safe, adequate complementary foods while breastfeeding…
Correct answer: At about six months while breastfeeding continues- A. Advise warm fluids and routine follow-up
- B. Arrange urgent assessment and referral
- C. Give a cough suppressant and wait
- D. Tell the caregiver to stop feeding temporarily
Explanation: Chest indrawing at rest can indicate severe respiratory illness and requires urgent assessment and referral under integrated child health…
Correct answer: Arrange urgent assessment and referral