ATI RN
Environmental Health and Occupational Health Questions
Question 1 of 5
A public health nurse is assisting the community in dealing with the effects of lead paint poisoning. Which of the following activities would the nurse most likely complete? (Select all that apply.)
Correct Answer: B
Rationale: Rationale: 1. Assessing community members allows the nurse to identify individuals affected by lead poisoning. 2. This activity helps in understanding the extent of the issue within the community. 3. It enables the nurse to provide appropriate interventions and support. 4. Administering medications (A) is not within the nurse's scope; it's typically done by healthcare providers. 5. Setting up a blood screening program (C) is important but not the nurse's primary role. 6. Encouraging landlords (D) is relevant but not the immediate action for addressing lead poisoning.
Question 2 of 5
The nurse is developing an education program for a client on healthy family nutrition using Pender's Health Promotion Model as the framework. Which client statement indicates to the nurse that the client has a high level of perceived self-efficacy?
Correct Answer: B
Rationale: The correct answer is B because the client's statement reflects a high level of perceived self-efficacy, which is a key component of Pender's Health Promotion Model. The client expresses confidence in their ability to create a healthy weekly meal plan, indicating belief in their capability to perform the desired behavior successfully. This demonstrates a strong sense of self-efficacy, which is essential for initiating and sustaining behavior change. Choice A is incorrect because it only addresses financial considerations, not the client's belief in their ability to make healthy choices. Choice C is incorrect as it focuses on external factors rather than the client's personal confidence. Choice D is incorrect because it highlights barriers to healthy eating, rather than demonstrating self-efficacy in overcoming challenges.
Question 3 of 5
Which situation is an example of a nurse engaging in the Socio-Ecological Model to guide nursing care?
Correct Answer: B
Rationale: The correct answer is B because evaluating causative factors of an observed increase in newly diagnosed asthma in grade-school children aligns with the Socio-Ecological Model. This model examines multiple levels of influence on health outcomes, including individual, interpersonal, community, and societal factors. By evaluating causative factors, the nurse considers not only individual health behaviors but also environmental, social, and policy factors contributing to the health issue. This approach allows for a comprehensive understanding of the problem and guides nursing care interventions that address the root causes. Choices A, C, and D focus more on individual-level care and management rather than examining broader factors influencing health outcomes. Administering insulin, evaluating medication impact, and planning education sessions are important aspects of nursing care but do not encompass the holistic view provided by the Socio-Ecological Model.
Question 4 of 5
The nurse is caring for a client with diabetes who is having a hard time managing blood glucose levels. Using Bronfenbrenner's Socio-Ecological Model, which factor would the nurse identify as most likely contributing to the client's difficulty managing their diabetes at the exosystem level?
Correct Answer: A
Rationale: The correct answer is A: Limited access to healthy food options. At the exosystem level of Bronfenbrenner's model, environmental factors impact individuals indirectly. Limited access to healthy food options can hinder the client's ability to make nutritious choices, leading to poor blood glucose management. This factor influences the client's social and physical environment, contributing significantly to their difficulty in managing diabetes. Summary: B: Family history of diabetes is at the microsystem level, involving direct relationships and interactions. While it may predispose the client to diabetes, it does not directly affect their current struggles with managing blood glucose levels. C: Sedentary job is also at the microsystem level and can impact physical activity but is not as influential in blood glucose management as access to healthy food. D: Lack of reliable transportation is at the mesosystem level, involving connections between microsystems. While it can affect access to healthcare, it is not as directly related to dietary choices impacting blood glucose levels.
Question 5 of 5
What is the most appropriate intervention for the school nurse to implement to promote a healthy school environment?
Correct Answer: A
Rationale: The correct answer is A: Advocate for nutritious school lunch programs. This intervention promotes a healthy school environment by ensuring students have access to nutritious meals, which are essential for their overall health and well-being. By advocating for nutritious school lunch programs, the school nurse can help improve students' physical health, cognitive functioning, and overall academic performance. This intervention also aligns with the school nurse's role in promoting preventive health measures. Summary: B: Providing care for children with asthma is important but does not address the broader goal of promoting a healthy school environment. C: Developing individualized health plans is beneficial for specific students but may not impact the overall school environment. D: Educating students and families about screening for scoliosis is important for early detection but does not directly contribute to creating a healthy school environment.