Nursing Elites

1. Joseph, a 45-year-old community resident of Baranggay 22-A, suddenly had 2 bouts of soft to almost watery stools after having lunch. While observing his condition at home to decide whether to refer him for medical treatment, you recommended that he boil a decoction of 10-15 leaves of what medicinal plant for 15 minutes on low heat?

• A. Bayabas
• B. Pancit pacitan
• C. Sambong
• D. Lagundi

Correct answer: A

Rationale: Bayabas (guava) leaves are traditionally used for treating diarrhea due to their antimicrobial properties. The decoction of guava leaves can help alleviate diarrhea symptoms and aid in recovery.

2. How do social determinants impact health?

• A. They directly affect health behaviors and outcomes.
• B. They primarily influence genetic predisposition.
• C. They have minimal impact on overall health.
• D. They determine access to health resources.

Correct answer: A

Rationale: Social determinants play a significant role in impacting health by directly influencing health behaviors and outcomes. These determinants include factors such as socioeconomic status, education, neighborhood, and access to healthcare, which shape the conditions in which individuals live, work, and age, ultimately affecting their health status.

3. A traditional birth attendant or a healer is classified as:

• A. None of the above
• B. Intermediate level health workers
• C. Barangay health workers
• D. All of the above

Correct answer: C

Rationale: Traditional birth attendants or healers fall under the category of barangay health workers. They play a crucial role in providing essential health services and support within their communities. Being recognized as barangay health workers aligns them with the local healthcare system and enables them to contribute effectively to improving maternal and newborn health outcomes.

4. Which action exemplifies secondary prevention?

• A. Administering vaccines
• B. Providing treatment for acute illnesses
• C. Teaching safe health practices
• D. Developing health policies

Correct answer: B

Rationale: The correct answer is B: Providing treatment for acute illnesses. Secondary prevention focuses on early detection and treatment of a disease to prevent its progression and complications. Administering vaccines (choice A) is an example of primary prevention aimed at preventing the onset of a disease. Teaching safe health practices (choice C) falls under health promotion and education, which is a form of primary prevention. Developing health policies (choice D) is more aligned with public health initiatives and may impact primary, secondary, or tertiary prevention strategies, depending on the specific policies enacted.

5. What is the term for creating a surgical airway in the front of the neck (cervical region) to remove copious secretions?

• A. Bronchoscopy
• B. Tracheostomy
• C. Thoracentesis
• D. Underwater seal drainage

Correct answer: B

Rationale: Tracheostomy is the process of surgically creating an airway in the front of the neck to aid in breathing or remove secretions from the airway. Bronchoscopy involves visualizing the airways using a scope, not creating an airway. Thoracentesis is the procedure to remove fluid or air from the pleural space around the lungs, not related to creating an airway. Underwater seal drainage is a method used in chest drainage systems to remove air or fluid from the pleural space, not the creation of an airway.

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