ATI RN
Environmental Health and Occupational Health Questions
Question 1 of 5
Which of the following strategies would a nurse expect to be implemented by a typical state environmental agency? (Select all that apply.)
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.
Question 2 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 3 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 4 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.
Question 5 of 5
What principle of correctional health care did the 1976 ruling in Estelle v. Gamble establish?
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.