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. The public health RN is working with a client who desires to quit smoking. The client says to the RN, 'I want to quit but I just don't think I have it in me to really make it happen.' According to the Health Belief Model, this response relates to which factor:

A. Susceptibility
B. Self-efficacy
C. Severity
D. Cue to action

Correct answer: B

Rationale: The correct answer is B, 'Self-efficacy.' In the Health Belief Model, self-efficacy refers to a person's belief in their capacity to execute behaviors necessary to achieve specific goals or outcomes. In this scenario, the client's statement reflects a lack of confidence in their ability to successfully quit smoking, indicating low self-efficacy. By addressing and enhancing the client's self-efficacy, the public health RN can help empower the client to take steps towards successful smoking cessation.

3. How can integration be best achieved in the community?

A. Conversing with the people where they are and participating in social activities
B. Bringing gifts to win acceptance from the community
C. Engaging in household chores and cleaning the house
D. Sponsoring a sports festival to meet more people

Correct answer: A

Rationale: The most effective way to achieve integration in a community is by conversing with people where they are and engaging in social activities. This approach fosters rapport-building and helps in understanding the community's dynamics and needs.

4. Which of the following are core functions of public health?

A. Assessment
B. Policy development
C. Assurance
D. All of the above

Correct answer: D

Rationale: All the options listed - Assessment, Policy development, and Assurance - are core functions of public health. Assessment involves collecting and analyzing data to identify health problems, Policy development focuses on creating and implementing policies to address those problems, and Assurance ensures that necessary health services are provided to the community.

5. What is the goal of Healthy People 2020?

A. To improve the quality and years of healthy life
B. To reduce health disparities among different populations
C. To promote healthy behaviors across the lifespan
D. To achieve health equity and eliminate health disparities

Correct answer: D

Rationale: The goal of Healthy People 2020 is to achieve health equity and eliminate health disparities by promoting health and well-being for all populations. This includes addressing social determinants of health and ensuring that everyone has the opportunity to live a healthy life, regardless of their background or circumstances.