An occupational health nurse at a local factory is using primary prevention strategies to reduce the environmental health risks among the employees. Which of the following activities would the nurse most likely implement?

Correct Answer: C

Rationale: The correct answer is C: Teaching new employees who will work outdoors about the signs and symptoms of heat-related illness. This choice aligns with primary prevention strategies as it aims to educate employees about potential health risks before they occur. By teaching employees about heat-related illnesses, the nurse can help prevent these illnesses from happening in the first place. This proactive approach is a key characteristic of primary prevention. The other choices are incorrect: A: Checking radiation detectors to monitor for unsafe levels of radiation exposure is more of a monitoring or surveillance activity rather than a primary prevention strategy. B: Irrigating the eyes of an employee who has had a chemical splash to the face is a form of immediate treatment or first aid after an exposure has occurred, not a primary prevention strategy. D: Using spirometry to rule out obstructive or restrictive lung disease for workers who will be wearing mask respirators is more related to secondary prevention, focusing on early detection and treatment of health conditions rather than preventing them from happening in

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.

Correct Answer: A

Rationale: Step 1: Unannounced inspections help ensure compliance with environmental regulations. Step 2: State environmental agencies have the authority to conduct inspections. Step 3: Inspections are a proactive strategy to monitor and enforce compliance. Step 4: Completing a community assessment (B) is not typically the role of a state environmental agency. Monitoring hazardous substances (C) and obtaining samples (D) are passive actions, not active enforcement strategies.

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.

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.