Nokea
Which sign or reflex is used to diagnose meningitis?
- A. Homan's sign
- B. Brudzinski
- C. Startle
- D. Anterior drawer
Correct Answer: B
Rationale: The correct answer is B: Brudzinski sign. This sign is used to diagnose meningitis because it involves the involuntary flexion of the hips and knees when the neck is flexed. This reflex is indicative of meningeal irritation and is a classic sign of meningitis.
A: Homan's sign is used to assess for deep vein thrombosis, not meningitis.
C: Startle reflex is a normal response to a sudden unexpected stimulus, not specific to meningitis.
D: Anterior drawer test is used to assess for ligamentous instability in the knee, not related to meningitis.
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Which of the following is an example of a health disparity?
- A. Differences in health outcomes based on geographic location
- B. Differences in health outcomes based on socioeconomic status
- C. Differences in health outcomes based on age
- D. Differences in health outcomes based on genetic factors
Correct Answer: B
Rationale: The correct answer is B: Differences in health outcomes based on socioeconomic status. Health disparities refer to variations in health outcomes among different groups, often due to social, economic, and environmental factors. Socioeconomic status greatly influences access to healthcare, healthy living conditions, and resources, leading to disparities in health outcomes.
A: Differences based on geographic location can contribute to health inequities but do not directly address the impact of socioeconomic status on health outcomes.
C: Age-related differences in health outcomes are common but do not necessarily reflect disparities based on social determinants such as income or education.
D: Genetic factors can influence health outcomes, but health disparities typically focus on social determinants rather than biological factors.
Which is a key aspect of the Health Belief Model?
- A. Perceived susceptibility
- B. Perceived severity
- C. Perceived barriers
- D. Perceived benefits
Correct Answer: A
Rationale: The correct answer is A: Perceived susceptibility. This is a key aspect of the Health Belief Model because it refers to an individual's belief about their risk of getting a particular health condition. It is crucial in determining whether a person will take preventive actions. Perceived severity (B) and perceived benefits (D) are also important components of the model, but perceived susceptibility is considered the starting point for behavior change. Perceived barriers (C) are obstacles that may prevent an individual from taking action, but they are not the main focus in the Health Belief Model.
What is the most crucial factor in determining the health of a community?
- A. Access to health care services
- B. Socioeconomic status
- C. Environmental quality
- D. Genetic predisposition
Correct Answer: B
Rationale: The correct answer is B: Socioeconomic status. Socioeconomic status influences access to healthcare, environmental quality, and genetic predisposition. Low socioeconomic status is linked to poorer health outcomes due to limited access to healthcare services, exposure to environmental hazards, and unhealthy lifestyle factors. It also impacts education, employment, and social support, all of which are crucial for community health. Access to healthcare services (A) is important but is influenced by socioeconomic status. Environmental quality (C) and genetic predisposition (D) play a role, but socioeconomic status has a broader impact on overall community health.
What best describes the primary goal of community health nursing?
- A. Promoting health and preventing disease
- B. Providing direct care to sick individuals
- C. Managing chronic conditions
- D. Evaluating health programs
Correct Answer: A
Rationale: The correct answer is A, promoting health and preventing disease, as the primary goal of community health nursing is to focus on improving the overall health of the community. This involves implementing strategies to prevent disease and promote wellness through education, advocacy, and community partnerships. Providing direct care to sick individuals (B) is typically the role of acute care nurses. Managing chronic conditions (C) is important but not the primary goal of community health nursing. Evaluating health programs (D) is a component of community health nursing but is not the primary goal.
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: The correct answer is B: Tracheostomy. Tracheostomy involves creating a surgical airway in the front of the neck to remove copious secretions. This procedure allows direct access to the trachea to facilitate breathing and clear secretions. Bronchoscopy (choice A) involves visualizing the airways with a scope, not creating a surgical airway. Thoracentesis (choice C) is a procedure to remove fluid from the chest cavity, not the airway. Underwater seal drainage (choice D) is used for managing chest tube drainage, not creating a surgical airway.