Nursing Elites

1. 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.

2. 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: Community health nursing focuses on promoting health and preventing disease within the community. This approach emphasizes preventive care, health education, and community-based interventions to improve the overall health and well-being of individuals and populations. While providing care to sick individuals is part of nursing, the primary goal of community health nursing is broader and encompasses proactive strategies to enhance community health.

3. The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?

• A. Awaken the client every two (2) hours.
• B. Monitor for increased intracranial pressure.
• C. Observe frequently for hypervigilance.
• D. Offer the client food every three (3) to four (4) hours.

Correct answer: A

Rationale: In a client with a mild concussion, it is important to monitor for signs of deterioration, which includes changes in the client's level of consciousness. Waking the client every two hours helps in assessing their neurological status, ensuring they can awaken and respond appropriately. This intervention aids in detecting any worsening symptoms promptly and seeking medical assistance if needed.

4. Which is a primary focus of health promotion activities?

• A. Preventing the onset of disease
• B. Detecting diseases early to improve outcomes
• C. Managing chronic conditions to improve quality of life
• D. Providing treatment for existing health conditions

Correct answer: A

Rationale: The correct answer is A: Preventing the onset of disease. Health promotion activities aim to prevent the occurrence of diseases by promoting healthy behaviors and creating supportive environments. By encouraging preventive measures such as vaccination, healthy eating, regular exercise, and stress management, individuals can reduce their risk of developing various illnesses. Detecting diseases early (choice B) focuses more on screening and early diagnosis rather than prevention. Managing chronic conditions (choice C) and providing treatment for existing health conditions (choice D) are important aspects of healthcare but are not the primary focus of health promotion activities, which emphasize disease prevention.

5. Paralysis of all or part of the trunk, legs, and pelvic organs is referred to as:

• A. Hemiplegia
• B. Tetraplegia
• C. Paraplegia
• D. Hemiparesis

Correct answer: C

Rationale: Paraplegia is the paralysis of the lower half of the body, including both legs and often the trunk and pelvic organs. Hemiplegia refers to paralysis affecting one side of the body, while tetraplegia involves paralysis of all four limbs and the trunk. Hemiparesis is a partial weakness affecting one side of the body.

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