Nursing Elites

1. If bleeding continues after delivery of the placenta using management, the FIRST thing you should do is call for help and:

• A. Massage the uterus
• B. Insert a urinary catheter
• C. Start an IV
• D. Check the placenta to ensure completeness

Correct answer: A

Rationale: In postpartum hemorrhage, massaging the uterus is the initial step to promote uterine contractions, which can help control bleeding by compressing the blood vessels. This action can help prevent further blood loss and stabilize the patient's condition. Calling for help is essential to ensure timely assistance, but taking immediate action by massaging the uterus is crucial in managing postpartum bleeding.

2. Which of the following is an example of a non-communicable disease?

• A. Tuberculosis
• B. Malaria
• C. Cancer
• D. Heart disease

Correct answer: C

Rationale: A non-communicable disease is a medical condition or disease that is not caused by infectious agents and cannot be transmitted from person to person. Cancer fits this definition as it is a non-communicable disease that typically arises from genetic mutations or environmental factors, rather than being contagious like tuberculosis or malaria.

3. Which best describes an example of an environmental health intervention?

• A. Providing clean drinking water
• B. Administering medications
• C. Conducting health education sessions
• D. Developing health policies

Correct answer: A

Rationale: Providing clean drinking water is a crucial environmental health intervention as it helps prevent waterborne diseases and promotes overall health. Access to clean drinking water is essential for maintaining public health, especially in preventing illnesses caused by contaminated water sources. Administering medications, conducting health education sessions, and developing health policies are important interventions but are not directly related to environmental health like providing clean drinking water.

4. What best describes the importance of evaluation in community health programs?

• A. Ensuring that programs meet their objectives
• B. Identifying areas for improvement
• C. Demonstrating the impact of interventions
• D. Securing future funding for programs

Correct answer: A

Rationale: Evaluation in community health programs is crucial as it ensures that programs are meeting their intended objectives. By evaluating these programs, organizations can determine whether they are effectively addressing community health issues and meeting their goals. Identifying areas for improvement is an essential part of the evaluation process to enhance program effectiveness and make necessary adjustments. While demonstrating the impact of interventions and securing future funding are also important aspects, the primary focus of evaluation in community health programs is to ensure that they are achieving their objectives.

5. As an important tool for planning a community health survey was conducted, the first tangible outcome of collaboration and teamwork with the Local Health Department and its Rural Health Units (RHUs) was observed. This later led to case findings activities via collection and examination of stools from children for suspected parasitism. Which of the following community nursing diagnoses will guide the Parish Health Team for concrete action?

• A. Parasitism as a foreseeable crisis
• B. Malnutrition as a health deficit
• C. Parasitism as a health deficit
• D. Parasitism as a health threat

Correct answer: D

Rationale: The correct answer is 'Parasitism as a health threat' as it is the most appropriate diagnosis that focuses on the immediate and significant health threat posed by parasitic infections, which can have widespread implications in a community setting. This diagnosis would guide the Parish Health Team to take concrete actions to address and mitigate the health risks associated with parasitism.

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