Nursing Elites

1. 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.

2. What action would be most effective for addressing environmental health issues in a community?

• A. Educating the community about safe disposal of hazardous waste
• B. Conducting air and water quality assessments
• C. Advocating for policies to reduce pollution
• D. Implementing community clean-up programs

Correct answer: D

Rationale: Implementing community clean-up programs is the most effective action to address environmental health issues in a community. By organizing clean-up initiatives, pollution can be reduced, and living conditions can be improved. This hands-on approach directly tackles the environmental hazards present in the community, making it a proactive and impactful solution.

3. How should contaminated instruments used during delivery be handled?

• A. Wash with soap and water and soak in 0.5% chlorine solution for 10 minutes
• B. Soak in 0.5% chlorine solution for 30 minutes
• C. Wash with soap and water and boil for 2 hours
• D. Soak in 0.5% chlorine solution for 10 minutes

Correct answer: B

Rationale: When dealing with contaminated instruments used during delivery, it is crucial to soak them in a 0.5% chlorine solution for 30 minutes to ensure proper disinfection. This practice helps eliminate potential pathogens and ensures the safety of both the healthcare provider and the patient.

4. How does critical theory differ from other nursing theories such as the Health Belief Model or Orem’s self-care deficit theory?

• A. Critical theory can be utilized by professionals other than nurses.
• B. Critical theory focuses on oppression and enables group action.
• C. Critical theory is indirectly associated with health promotion.
• D. Critical theory addresses challenging an individual’s beliefs.

Correct answer: B

Rationale: Critical theory differs from other nursing theories like the Health Belief Model or Orem's self-care deficit theory by focusing on oppression and enabling group action. Unlike these nursing theories that may concentrate more on individual beliefs, critical theory aims to address broader societal issues and promote collective action for social change.

5. Which strategy is most effective in improving health literacy among patients?

• A. Using clear and simple language in communication
• B. Providing health education sessions
• C. Offering one-on-one counseling
• D. Distributing written materials

Correct answer: A

Rationale: The most effective strategy in improving health literacy among patients is using clear and simple language in communication. Clear and simple language helps ensure that patients can easily understand health information, leading to better comprehension, decision-making, and health outcomes.

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