A school district has high rates of childhood obesity. Two nurses propose different approaches: Nurse 1 suggests one-on-one nutritional counseling for students who are overweight. Nurse 2 proposes updating cafeteria menus with nutritious option and partnering with the district to implement daily physical education requirements. How should the nurse manager evaluate these approaches?

A community health nurse is addressing childhood obesity in a low-income neighborhood. Which action best reflects partnership at the community level?

A patient with multiple sclerosis (MS) is working with a nurse on self-management. Which of the following represent contextual factors in the Individual and Family Self-Management Theory (IFSMT) that may influence self-management ability? Select all that apply.

A nurse is caring for a patient who has not requested pain medication following abdominal surgery and rates their pain as 2/10 when asked. However, the patient is visibly tense, diaphoretic, and guarding the surgical site. Which principle of culturally congruent care best guides the nurse’s response?

A community health nurse notes that an immigrant population in her district has significantly higher rates of unmanaged hypertension compared to the general population. Which social determinant of health (SDOH) is most likely contributing to this disparity?

A nurse conducting a family health assessment using the Calgary Family Assessment Model (CFAM) asks, “How does your family make decisions together?” This question assesses which CFAM component?

A nurse cares for a patient whose cultural background values collective family decision-making over individual autonomy. With the patient’s consent, the nurse includes family members in all care discussions. This behavior best reflects which concept?

A nurse believes that Western biomedical approaches to healing are superior and views traditional healing practices as ineffective. This belief best reflects which concept?

A nurse is counseling a patient newly diagnosed with multiple sclerosis who is struggling to accept the changes in her daily life and relationships. According to the 5 areas of patient teaching and counseling, which area does this nursing intervention best reflect?

A nurse working in an ICU states: “I knew the right thing to do was to advocate for stopping aggressive treatment for my dying patient — but the family kept pushing and the team went along. I feel like I participated in something wrong and I’m not sure I can forgive myself.” This best reflects which concept?