A practice situation in school nursing involving a school-aged child and his family is described from assessment of the problem to evaluation of care using several guides. The Roy Adaptation Model serves as a theoretical framework as the nurse applies principles of holistic health and utilizes the Family Assessment and Intervention Identifier. Considerable emphasis is placed on specific measures used to meet the behavioral indices set up by the Family Assessment Tool. Principles of the Roy Adaptation Model and holistic health are described in relation to the intervention for this family to illustrate how a conceptual framework can guide practice while allowing incorporation of related theories.