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: Brudzinski

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. A traditional birth attendant or a healer is classified as:

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

Correct answer: C

Rationale: Traditional birth attendants or healers fall under the category of barangay health workers. They play a crucial role in providing essential health services and support within their communities. Being recognized as barangay health workers aligns them with the local healthcare system and enables them to contribute effectively to improving maternal and newborn health outcomes.

3. 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.

4. Malnutrition continues to be a public health concern in the country. The common nutritional deficiencies are the following, except:

• A. Vitamin A
• B. Iron
• C. Iodine
• D. Calcium

Correct answer: D

Rationale: The question addresses common nutritional deficiencies, except for one. Vitamin A, Iron, and Iodine are often cited as common deficiencies in populations facing malnutrition. However, Calcium deficiency is not typically considered one of the common nutritional deficiencies in such contexts. Calcium deficiency can occur but is not as prevalent as the other options listed in populations with malnutrition.

5. The classic definition of public health is:

• A. It is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
• B. It is the health of individuals and communities that are, to a large extent, affected by a combination of many factors.
• C. It refers to the overall health of individuals, families, and communities being influenced by various factors in the ecosystem.
• D. It is the science and art of preventing disease, prolonging life, and promoting health through organized community efforts for sanitation, disease control, and health education.

Correct answer: D

Rationale: The classic definition of public health is focused on the science and art of preventing disease, prolonging life, and promoting health through organized community efforts. This definition emphasizes the importance of community-based interventions to improve public health outcomes such as sanitation, disease control, and health education. Public health aims to address the health needs of populations rather than just individuals, highlighting the collective approach to enhancing the well-being of communities.

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