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. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT

• A. Chest indrawing should be present at all times
• B. The lower chest wall does not move in when the child breathes in
• C. The lower chest moves in when the child breathes in
• D. The child should be calm

Correct answer: A

Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.

3. Fee-for-service care is best characterized by which statement:

• A. Fees are scaled based on the patient’s ability to pay and are capped.
• B. Fees reflect the fair market value of health care services being provided.
• C. Adequate fee schedules enable hospitals and clinics to function properly.
• D. Fees are not uniform throughout most states as they are fairly unregulated.

Correct answer: D

Rationale: Fee-for-service care is a payment model where providers are paid for each service performed, leading to non-uniform fees that vary by service and provider. This system is not highly regulated, resulting in differing fee structures across states and regions. Therefore, the statement that 'Fees are not uniform throughout most states as they are fairly unregulated' best characterizes fee-for-service care.

4. What are the steps involved in the community assessment process for community health nurses? (Select all that apply.)

• A. Writing a community diagnosis
• B. Evaluating the outcomes
• C. Collecting assessment data
• D. Identifying the cause of the problem, planning community interventions

Correct answer: D

Rationale: The steps in the community assessment process for community health nurses involve collecting assessment data, identifying the cause of the problem, and planning community interventions. These steps are crucial for a comprehensive assessment and effective intervention planning in community health nursing.

5. What best describes the concept of social justice in health care?

• A. Ensuring that all individuals have access to the same health care services
• B. Providing the same level of care to everyone, regardless of their background
• C. Addressing the underlying social determinants that contribute to health disparities
• D. Offering free health services to underserved populations

Correct answer: C

Rationale: Social justice in health care goes beyond equal access and treatment for all individuals. It involves recognizing and addressing the underlying social determinants that lead to health disparities, aiming to achieve fairness and equity in healthcare outcomes.

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