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Review Questions

a. Promoting a healthy school environment involves activities that emphasize healthy choices and behaviors, such as planning healthy school meals.
b. Advocating for fluoridation of drinking is an example of a community-level intervention as it affects everyone within the community.
c. A role of the nurse working in a local public health department includes educating the community on a variety of health topics to assist the community members in making healthy choices.
d. Estelle v. Gamble established the constitutional obligation to provide health care to any individual in the custody of the government, guaranteeing health care for individuals who were incarcerated.
b. There is a lack of privacy when caring for incarcerated individuals since corrections officers oversee all aspects of the health care delivery system within correctional centers. Balancing the conflicting roles of public safety and security by the corrections department and the professional nursing mission to promote the well-being of all clients is at the heart of corrections nursing.
d. Infectious diseases are a major concern in correctional facilities where the environmental conditions make the spread of infectious disease more likely. The CDC recommends primary prevention for hepatitis A in correctional setting by beginning the hepatitis A for all unvaccinated juveniles under the age of 18 and all adults who are at increased risk for hepatitis A infection such as men who have sex with men, those who use IV drugs, and individuals experiencing homelessness. The CDC also recommends beginning the hepatitis B vaccine series for juveniles and unvaccinated adults.
b. The Nurse Practice Act is the state’s governing law that determines the scope of practice of nursing that school nurses must follow.
a. Secondary prevention activities include screening activities to identify disease before the onset of signs and symptoms, such as screening to identify early hearing loss to mitigate complications from a later diagnosis.
a. Ergonomic hazards increase strain and the risk for musculoskeletal injury and include repetitive motions, such as typing or working on an assembly line.
c. The most common long-term conditions in incarcerated individuals are hypertension, arthritis, asthma, and hepatitis. Tertiary health promotion reduces the severity of disease, such as providing low-sodium dietary options for those with hypertension.

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