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.

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.

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.

Correct Answer: D

Rationale: The 1976 ruling in Estelle v. Gamble established that incarcerated individuals have a constitutional right to receive adequate health care while in custody. This principle is reflected in choice D, which is the correct answer. The ruling emphasized the responsibility of correctional facilities to provide necessary medical care to ensure the well-being of inmates. Choices A, B, and C are incorrect because they do not directly align with the specific principle established in the Estelle v. Gamble case. Accreditation, health information privacy, and autonomy over health care decisions are important aspects of correctional health care but were not the primary focus of this particular ruling.

Correct Answer: C

Rationale: The correct answer is C because the Nurse Practice Act is a state law that defines the scope of practice for nurses, including school nurses. This law outlines the specific duties, responsibilities, and limitations of nurses in that state, ensuring they practice safely and within legal boundaries. Choice A is incorrect as it doesn't address the legal framework. Choice B is incorrect because the Nurse Practice Act supersedes any job description set by the school district. Choice D is incomplete and irrelevant to the question.