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.

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.

Correct Answer: B

Rationale: The correct answer is B because administering medication for the treatment of hepatitis C falls under tertiary health promotion, which focuses on managing and treating long-term diseases to prevent complications. Teaching rescue inhaler use (A) is more related to secondary prevention. Advocating for low-sodium dietary options (C) and recommending physical therapy (D) are examples of primary prevention strategies.