Nursing Elites

1. What is a health deficit?

• A. Conditions that promote disease or injury and prevent people from realizing their health potential
• B. A health problem that can be alleviated with medical or social technology
• C. A gap between actual and achievable health status
• D. Illness of a family member

Correct answer: C

Rationale: A health deficit refers to a gap between one's current health status and the health status that could be realistically achieved. It signifies the difference between where a person's health is currently and where it could potentially be with appropriate interventions or improvements. Therefore, the correct answer is option C.

2. 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.

3. Fee-for-service care is best characterized by which statement:

• A. Fees are scaled based on the patient’s ability to pay and are capped.
• B. Fees reflect the fair market value of health care services being provided.
• C. Adequate fee schedules enable hospitals and clinics to function properly.
• D. Fees are not uniform throughout most states as they are fairly unregulated.

Correct answer: D

Rationale: Fee-for-service care is a payment model where providers are paid for each service performed, leading to non-uniform fees that vary by service and provider. This system is not highly regulated, resulting in differing fee structures across states and regions. Therefore, the statement that 'Fees are not uniform throughout most states as they are fairly unregulated' best characterizes fee-for-service care.

4. Parkinson's disease is associated with the loss of which of the following neurotransmitter?

• A. Serotonin
• B. Adrenaline
• C. Dopamine
• D. GABA

Correct answer: C

Rationale: Parkinson's disease is a neurodegenerative disorder characterized by the loss of dopamine-producing neurons in the brain. Dopamine is a neurotransmitter responsible for coordinating smooth muscle movements. The decrease in dopamine levels leads to the motor symptoms associated with Parkinson's disease, such as tremors, rigidity, and bradykinesia. Serotonin, adrenaline, and GABA are not primarily implicated in the pathophysiology of Parkinson's disease.

5. What factor is most likely to influence the success of a health promotion program?

• A. Adequate funding
• B. Community engagement
• C. Support from local government
• D. Availability of resources

Correct answer: B

Rationale: Community engagement plays a pivotal role in the success of a health promotion program. When the community is actively involved, it helps in tailoring the program to meet their specific needs, garnering their support, and fostering sustainability.

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