Nokea
What is the MOST COMMON cause of vaginal bleeding immediately after birth?
- A. Uterine atony
- B. Genital lacerations
- C. Abnormal clotting mechanisms
- D. Endometritis
Correct Answer: A
Rationale: The correct answer is A: Uterine atony. After birth, the uterus may not contract properly, leading to excessive bleeding known as postpartum hemorrhage. Uterine atony is the most common cause, as the uterus fails to remain contracted after delivery. This results in inadequate compression of blood vessels, leading to bleeding. Genital lacerations can cause bleeding but are less common than uterine atony. Abnormal clotting mechanisms and endometritis are less likely causes of immediate postpartum bleeding compared to uterine atony.
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Why is epidemiologic data useful in the planning phase of the community assessment process?
- A. Help discover the patterns of health and illness distribution in a population.
- B. Help construct benchmarks to gauge achievement of program objectives.
- C. Identify the population at risk.
- D. Explain the nature of the health problem.
Correct Answer: A
Rationale: The correct answer is A because epidemiologic data helps in understanding the patterns of health and illness distribution in a population, which is essential for planning effective community health interventions. By analyzing these patterns, public health planners can identify priorities and tailor interventions to address specific needs.
Choice B is incorrect because while epidemiologic data can help in setting benchmarks, it is not the primary purpose in the planning phase. Choice C is incorrect as identifying the population at risk is just one aspect of using epidemiologic data and not the main reason for its usefulness in planning. Choice D is incorrect because while epidemiologic data can provide insights into the nature of health problems, it is not the main reason for its utility in the planning phase.
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 correct answer is D: Identifying the cause of the problem, planning community interventions. This step is crucial in the community assessment process as it helps community health nurses understand the root cause of health issues and develop effective interventions. First, identifying the cause allows for targeted interventions. Second, planning interventions ensures that resources are allocated efficiently. Writing a community diagnosis (A) is an important step but comes after identifying the cause. Evaluating outcomes (B) is necessary but occurs after interventions are implemented. Collecting assessment data (C) is an initial step but does not encompass the entire community assessment process.
The community health nurse is involved in public health work. Which of these statements by the nurse reflects an understanding of upstream interventions?
- A. I will engage in policy initiatives in my urban area.
- B. I will administer the flu shot to interested seniors.
- C. I will help manage a senior's diabetes needs at home.
- D. I will work with a local school to provide asthma education.
Correct Answer: A
Rationale: Rationale: Option A is correct as it involves engaging in policy initiatives which are considered upstream interventions in public health. Upstream interventions target the root causes of health issues at a population level. Policy initiatives can lead to systemic changes that impact the health of entire communities. Options B, C, and D are more focused on individual or downstream interventions, which address health issues after they have already occurred and do not target the underlying causes on a larger scale.
As an important tool for planning a community health survey was conducted, the first tangible outcome of collaboration and teamwork with the Local Health Department and its Rural Health Units (RHUs) was observed. This later led to case findings activities via collection and examination of stools from children for suspected parasitism. Which of the following community nursing diagnoses will guide the Parish Health Team for concrete action?
- A. Parasitism as a foreseeable crisis
- B. Malnutrition as a health deficit
- C. Parasitism as a health deficit
- D. Parasitism as a health threat
Correct Answer: D
Rationale: The correct answer is D: Parasitism as a health threat. This diagnosis guides the Parish Health Team to take concrete action because parasitism poses a direct risk to the community's health. By identifying parasitism as a health threat, the team can prioritize interventions to prevent and control the spread of parasites, ensuring the well-being of the population.
Choices A, B, and C are incorrect:
A: Parasitism as a foreseeable crisis - This choice does not provide a clear direction for action and lacks a sense of urgency compared to a health threat.
B: Malnutrition as a health deficit - While malnutrition is a significant issue, the question specifically mentions suspected parasitism as the focus of case findings activities.
C: Parasitism as a health deficit - This choice does not emphasize the immediate danger posed by parasitism, unlike the concept of a health threat.
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.