Nursing Elites

1. Which best describes a tertiary prevention strategy?

• A. Providing rehabilitation services
• B. Screening for early signs of disease
• C. Educating the public about healthy lifestyles
• D. Offering health education workshops

Correct answer: A

Rationale: The correct answer is A: Providing rehabilitation services. Tertiary prevention involves interventions that focus on managing and improving the outcomes of existing conditions. Rehabilitation services fall under tertiary prevention as they aim to help individuals recover and manage long-term health issues. Screening for early signs of disease (Choice B) is part of secondary prevention, while educating the public about healthy lifestyles (Choice C) and offering health education workshops (Choice D) typically fall under primary prevention strategies.

2. Which term refers to trained community health workers or health auxiliary volunteers?

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

Correct answer: A

Rationale: Village health workers are individuals who have received training to provide health services within their community. Therefore, the correct term that refers to trained community health workers or health auxiliary volunteers is 'Village health workers.' Barangay health workers may also exist, but the specific term mentioned in the question is 'Village health workers,' making option A the correct choice.

3. Which of the following is NOT a part of the community assessment process?

• A. Identifying available resources such as time, money, and team skills
• B. Setting action priorities based on the needs of the community and available resources
• C. Withholding results from the community until they can be statistically confirmed to avoid alarming people
• D. Collecting and analyzing information

Correct answer: C

Rationale: In the community assessment process, it is essential to involve the community and share information transparently. Withholding results until they are statistically confirmed can lead to misinformation or unnecessary delays in addressing community needs. Therefore, option C, which suggests withholding results, is NOT a standard practice in the community assessment process.

4. You are preparing a patient for surgery and completing the preoperative checklist. Which of the following is not typically part of the preoperative checklist?

• A. Assessing for allergies
• B. Conducting the Time Out
• C. Ensuring that informed consent is signed
• D. Ensuring that the history and physical examination have been completed

Correct answer: B

Rationale: Conducting the Time Out is a crucial safety step that occurs immediately before the start of the procedure, but it is not usually part of the preoperative checklist. The Time Out involves verifying patient identity, correct procedure, correct site, and addressing any concerns or questions with the surgical team before proceeding. The other options, such as assessing for allergies, ensuring informed consent, and completing the history and physical examination, are typically included in the preoperative checklist to ensure patient safety and readiness for surgery.

5. 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.

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