if bleeding continues after delivery of the placenta using management the first thing you should do is call for help and

ATI RN

ATI Community Health Proctored Exam 2019

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 the best intervention for a client with less than 6 months to live who is seeking comfort care?

A. Set up a meeting with the hospice team
B. Arrange a meeting with the client’s family
C. Discuss advance directives (DNR & living will) with the patient
D. Ask the provider to decrease the patient’s heart medications

Correct answer: A

Rationale: Setting up a meeting with the hospice team is the most appropriate intervention for a client with less than 6 months to live who is seeking comfort care. Hospice care focuses on providing comfort and support for individuals with terminal illnesses. By involving the hospice team, the client can receive specialized care aimed at improving their quality of life and managing symptoms effectively during this challenging time.

3. Which method is commonly used to evaluate community health programs?

A. Conducting randomized controlled trials
B. Using focus groups to gather feedback
C. Measuring changes in health behaviors
D. Surveying community health needs

Correct answer: C

Rationale: Measuring changes in health behaviors is a common method used to evaluate the effectiveness of community health programs. By assessing changes in health behaviors, such as dietary choices, exercise habits, or preventative care utilization, program evaluators can determine the impact of the intervention on the target population's health outcomes.

4. Identifying that numerous factors influence chronic illnesses such as hypertension, which of the following would be an upstream factor to enhance health outcomes for adults with hypertension in the community?

A. Nutritional classes featuring low-fat and low-carb choices.
B. Motivational interviewing sessions for smoking cessation.
C. Working with the public health department to restrict smoking in public.
D. Initiating chair yoga classes for seniors in the community.

Correct answer: C

Rationale: Working with the public health department to restrict smoking in public is an upstream factor that focuses on implementing population-level interventions to prevent health issues such as hypertension. By creating policies to limit smoking in public spaces, it can help reduce the overall exposure to tobacco smoke, thereby positively impacting the health outcomes of adults with hypertension in the community.

5. Which is an effective strategy for addressing health disparities?

A. Providing universal health coverage
B. Increasing health care funding
C. Implementing health education programs
D. Improving access to health care

Correct answer: D

Rationale: Improving access to health care is a crucial strategy for addressing health disparities because it ensures that all individuals, regardless of their backgrounds or circumstances, have the opportunity to receive the necessary care they need. By enhancing access to healthcare services, underserved populations can overcome barriers to obtaining crucial medical assistance, ultimately reducing health disparities and promoting better health outcomes for everyone.