Nursing Elites

1. Which action demonstrates secondary prevention?

• A. Screening for early signs of disease
• B. Providing rehabilitation services
• C. Administering medications
• D. Providing health education

Correct answer: A

Rationale: The correct answer is A: Screening for early signs of disease. Secondary prevention involves activities that aim to detect health issues early to provide timely treatment. Screening for early signs of disease falls under secondary prevention as it helps identify diseases in their early stages, allowing for prompt intervention and management.

2. When studying for an epidemiology quiz, what does public health nursing surveillance involve?

• A. Having all carriers transferred to one main facility for care
• B. Gathering data to work toward primary illness prevention
• C. Establishing the incubation period of a disease
• D. Determining the colonization rate of the disease

Correct answer: B

Rationale: Public health nursing surveillance involves the systematic collection, analysis, and interpretation of health-related data for the purpose of preventing and controlling diseases. By gathering data, public health nurses can identify trends, risks, and patterns to implement interventions aimed at preventing illnesses in communities. This process is essential for early detection, timely response, and effective prevention strategies.

3. Which sign or reflex is used to diagnose meningitis?

• A. Homan's sign
• B. Brudzinski
• C. Startle
• D. Anterior drawer

Correct answer: B

Rationale: Brudzinski sign is a physical exam finding used to diagnose meningitis. It is elicited by flexing the patient's neck, resulting in involuntary flexion of the hips and knees. This maneuver indicates meningeal irritation, a common feature in meningitis. Homan's sign is used to assess for deep vein thrombosis, Startle is a reflex response to sudden stimuli, and the Anterior drawer test is used to diagnose ligamentous instability in the knee.

4. Which of the following is not considered one of the four cornerstones or pillars in primary health care?

• A. Active community participation
• B. Support mechanisms made available
• C. Use of appropriate technology
• D. Inter-sectoral linkages only

Correct answer: D

Rationale: The four cornerstones of primary health care are active community participation, support mechanisms made available, and the use of appropriate technology. Inter-sectoral linkages, while important, are not part of the four core pillars in primary health care.

5. Which level of care serves as a referral center for primary health facilities?

• A. Secondary level of care
• B. Tertiary level of care
• C. Primary level of care
• D. Intermediate level of care

Correct answer: B

Rationale: The correct answer is B - Tertiary level of care. Tertiary level of care is the highest level of care and serves as a referral center for primary health facilities, handling complex cases and providing specialized services that primary care facilities may not offer.

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