Nokea
In a community with competencies, what characteristic demonstrates their ability effectively?
- A. Identify their needs, achieve consensus, and plan and implement goals
- B. Delegate community processes to an outside expert
- C. Conduct their own cross-sectional epidemiological studies
- D. Predict morbidity and mortality rates
Correct Answer: A
Rationale: The correct answer is A because it demonstrates a comprehensive approach to community competency. Identifying needs shows awareness, achieving consensus promotes unity, and planning and implementing goals indicate organizational skills. B is incorrect as it lacks community involvement. C is incorrect as it focuses on a specific research method rather than overall competencies. D is incorrect as it pertains to forecasting health outcomes rather than community effectiveness. Therefore, A is the most appropriate choice for showcasing the ability to effectively address community needs.
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What action should be taken by nurses in the local community regarding the trash in the stream?
- A. Hold a dialogue with community members about the problem and its effects
- B. Advocate for stronger littering laws and harsher penalties
- C. Educate community organizations about the importance of clean water for recreational activities
- D. Ensure personal trash is disposed of in appropriate receptacles
Correct Answer: A
Rationale: The correct answer is A: Hold a dialogue with community members about the problem and its effects. Nurses should engage in open communication with the community to raise awareness and understanding of the impact of trash in the stream. This approach promotes community involvement and empowers individuals to take responsibility for the issue.
B: Advocating for stronger littering laws and harsher penalties may not address the root cause of the problem and may not engage the community effectively.
C: Educating community organizations about the importance of clean water for recreational activities is important but may not directly involve the broader community in addressing the issue.
D: Ensuring personal trash is disposed of properly is important on an individual level but does not address the larger community-wide problem of trash in the stream.
The appropriate order of steps in active management of the third stage of labor include:
- A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to be sure the placenta is intact.
- B. Intravenous oxytocin, cord clamping and cutting, and fundal massage
- C. Intramuscular injection oxytocin, controlled cord traction with counter traction to the uterus, uterine massage
- D. Controlled cord traction, fundal massage and oxytocin
Correct Answer: C
Rationale: The correct order of steps in active management of the third stage of labor includes: 1) Intramuscular injection of oxytocin to prevent postpartum hemorrhage, 2) Controlled cord traction with counter traction to the uterus to facilitate placental delivery, and 3) Uterine massage to aid in uterine contraction and reduce bleeding.
Rationale for Correct Answer (C):
- Intramuscular oxytocin is administered first to prevent excessive bleeding.
- Controlled cord traction with counter traction assists in the gentle delivery of the placenta.
- Uterine massage helps the uterus contract and reduce the risk of hemorrhage.
Summary of Incorrect Choices:
- A (Incorrect): Incorrect order of steps, ergometrine administration is not recommended.
- B (Incorrect): Incorrect order, fundal massage should be done after cord traction.
- D (Incorrect): Incorrect order, oxytocin should be administered before cord traction.
Which of the following strategies is NOT the BEST approach to addressing the nutrition problems of Filipinos related to Non-communicable diseases?
- A. Aim for ideal body weight
- B. Consider food preferences of family members
- C. Build healthy nutrition-related practices
- D. Choose food wisely
Correct Answer: B
Rationale: The correct answer is B: Consider food preferences of family members. This is not the best approach because addressing nutrition problems related to non-communicable diseases requires focusing on evidence-based strategies that prioritize health outcomes over personal preferences. A: Aim for ideal body weight is important for overall health. C: Build healthy nutrition-related practices promotes long-term positive habits. D: Choose food wisely emphasizes making informed choices. B, however, may lead to compromising nutritional quality for taste preferences, which can hinder efforts to combat non-communicable diseases effectively.
Which task will be most helpful in meeting the public health agency's goals?
- A. Complete staff evaluations in preparation for individual meetings to plan their agency and individual goals for the next year.
- B. Actively participate in community agencies' collaborative action plan to meet the community's health goals for the year.
- C. Meet with the college of nursing faculty to finalize student objectives and schedules for the next semester.
- D. Teach a free course on healthful living for community residents.
Correct Answer: B
Rationale: The correct answer is B because actively participating in community agencies' collaborative action plan aligns directly with the public health agency's goals of improving community health. By collaborating with other agencies, the public health agency can leverage resources, share expertise, and coordinate efforts to address community health issues effectively. This approach enhances the agency's impact and promotes a comprehensive approach to public health.
Choice A is incorrect because focusing on individual staff evaluations does not directly contribute to meeting the agency's public health goals. Choice C is also incorrect as meeting with nursing faculty is not directly related to community health goals. Choice D, teaching a course on healthful living, while beneficial, does not involve collaborating with other agencies to address broader community health issues.
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: The correct answer is A: Massage the uterus. This is the first action to take as uterine massage helps to contract the uterus, which can help stop the bleeding. By massaging the uterus, you are promoting the expulsion of any retained products and enhancing uterine tone. Calling for help is essential for additional support. Inserting a urinary catheter (B) is not the priority in managing postpartum bleeding. Starting an IV (C) may be necessary to administer medications, but addressing the bleeding is the immediate priority. Checking the placenta for completeness (D) is important but not the first step in managing postpartum bleeding.