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. Where does the classic definition of public health originate from?

• A. Ruth B. Freeman
• B. Lilian Wald
• C. Dr. C. E. Winslow
• D. World Health Organization Expert Committee on Nursing

Correct answer: C

Rationale: The classic definition of public health originates from Dr. C. E. Winslow. He defined public health as 'the science and art of preventing disease, prolonging life, and promoting health through organized efforts and informed choices of society, organizations, public and private, communities, and individuals.' Winslow's definition is widely recognized and used as a foundational concept in the field of public health.

3. One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n):

• A. Census survey.
• B. Needs survey.
• C. Informant survey.
• D. Windshield survey.

Correct answer: D

Rationale: A windshield survey involves observations made from a moving vehicle, allowing the community health nurse to gather information about the community's physical and social environment without direct interaction. This method helps in understanding the community's resources, potential hazards, and overall characteristics, which are essential for planning and implementing effective community health interventions.

4. Which is an important consideration when conducting a community health assessment?

• A. Using standardized assessment tools
• B. Collecting both qualitative and quantitative data
• C. Engaging community stakeholders
• D. Analyzing health trends

Correct answer: C

Rationale: Engaging community stakeholders is crucial when conducting a community health assessment as it helps ensure that the assessment captures the diverse perspectives and needs of the community. Involving stakeholders promotes community buy-in, enhances the validity of the data collected, and increases the likelihood of implementing effective interventions based on the assessment findings.

5. Which of the following is a critical component of a health promotion program?

• A. Community involvement
• B. Sufficient funding
• C. Effective leadership
• D. Transparent communication

Correct answer: A

Rationale: Community involvement is a critical component of a health promotion program as it ensures that the program aligns with the community's needs and fosters ownership and sustainability. Engaging the community in the planning, implementation, and evaluation of health promotion initiatives increases their effectiveness and relevance.

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