Ch 42 community

The nurse is discussing a lice outbreak in an elementary school with parents. The nurse reviews transmission, detection, and treatment. Which statement made by a parent illustrates the need for further education?

"We should not have lice because we take showers every day and are not poor."

The school nurse is using the Whole School, Community, and Child (WSCC) model for developing programs and focusing on implementing research findings into practice. Which outcome would suggest an improvement in childhood health?

A 15 percent increase in parents obtaining childhood immunizations

The nurse is observing in a classroom in which a child with attention-deficit/hyperactivity disorder (ADHD) who has an individualized educational plan (IEP) is present. Which action made by the teacher of the class illustrates a need for further education on IEPS?

Administers tests in the main classroom

The school nurse is providing immunizations for children who lack transportation and primary health care providers. Which level of education is required to perform this nursing role?

Advanced practice nurse (APN)

The nurse is focusing on tertiary prevention in the school. Which will the nurse include in the plan?

Blood glucose monitoring for a student with diabetes mellitus

Which intervention should the nurse include when developing a plan of care for a middle school student with anaphylactic-type food allergies? Select all that apply. One, some, or all responses may be correct.

Instruct staff on EpiPen use. Restrict snacks in the classroom. Develop annual training program. Develop allergen-free area in the cafeteria.

According to the National Association of School Nurses (NASN), which task falls under the framework for twenty-first century school nursing? Select all that apply. One, some, or all may be correct.

Leadership Arranging care Community health Quality improvement

A student's parents have requested the nurse administer prescribed medication for the student's seizure disorder. Which finding would indicate the nurse needs to obtain more information from the parents?

Medication in alternative bottle

The nurse has noticed an increase in asthma attacks in students at the high school. Which would the nurse consider as a possible cause? Select all that apply. One, some, or all may be correct.

Mold Chalk dust Heating, ventilation, air conditioning (HVAC) systems

Which intervention would be included when developing a plan of care for a pregnant student? Select all that apply. One, some, or all may be correct.

Monitor blood pressure. Provide pregnancy education. Arrange post-delivery tutoring. Ensure proper nutrition at school.

The nurse notices a student at school with bruises in multiple stages of healing. The teacher reports that the student appears withdrawn and has experienced urinary incontinence. The nurse suspects the student is the victim of abuse. Based on this information, which is the primary nursing action to protect the child?

Notify appropriate government authorities.

A teacher brings a child with type 1 diabetes mellitus to the nurse. The child is lethargic, diaphoretic, and shaky. Which action is the nurse's priority when treating the student?

Obtain blood glucose via fingerstick

The nurse is teaching preschool children about good hand hygiene. Which action by the nurse indicates the program needs revision?

Plans to teach for 20 minutes

The nurse is researching the origins of school nursing in the United States in the 1890s. During this time, medical inspection programs discovered which factor prevented a large number of students from attending school? Select all that apply. One, some, or all may be correct.

Poverty illiteracy Typhoid and diphtheria

According to the Health Insurance Portability and Accounting Act (HIPAA), which information must be kept confidential from all staff, including teachers?

Presence of HIV/AIDS

The nurse is preparing a presentation on the benefits of integrating a school-based health center (SBHC) into the school district. Which information would the nurse include in the presentation to demonstrate the benefits of the proposal to the administration?

Prevents parents missing work

An 18-year-old student reports a positive pregnancy test to the school nurse and asks about abortion providers. Which response by the nurse is correct?

Provide the information.

Which action by Lina Rogers in the early 1900s are reflected in the nursing role today? Select all that apply. One, some, or all may be correct.

Provided education Obtained resources Administered treatments Assessed current students

Which program initiated by a school nurse reflects the framework of the Whole School, Community, and Child (WSCC) model?

Providing after school family exercise programs

The nurse has started a program to organize and donate hygiene products for a women's shelter. According to the Standards of Professional Performance for School Nursing, which competency does this activity address?

Providing leadership in the community

The nurse notes that a student has needed to use a rescue inhaler every day for the past two weeks. Which action would the nurse perform in response to this observation?

Send a note home with the child recommending health care provider follow-up.

An accrediting organization is visiting the school to evaluate the care the nurse provides to students. Which information must the school nurse prepare for the onsite visitors? Select all that apply. One, some, or all responses may be correct.

Services provided Number of students Nurse qualifications

The nurse is working with the family of a child who is terminally ill and wishes to attend school. The parents state there are to be no measures to revive the child if death occurs while at school. Which documentation must the nurse place in the child's record?

Signed do-not-resuscitate order

The nurse is assembling an emergency kit for an elementary school. Which item meets the medical needs of students? Select all that apply. One, some, or all may be correct.

Stethoscope Oral glucose source Bandages and dressings

The nurse is developing policies and job descriptions for nurses employed by the school district following the 1960 School Nurses Branch of the American Nurses Association (ANA) position statement. Which policy developed by the nurse supports implementation of a health education curriculum?

Students will participate in sexual education programs in middle school.

The school district has hired a new nurse for an elementary school. Which activity can the nurse use to develop relationships with students and their families? Select all that apply. One, some, or all may be correct.

Attending after-school events Developing a monthly newsletter Following up on children sent home

The nurse is assisting school administrators in developing disaster plans. Which task falls under the nurse's responsibility? Select all that apply. One, some, or all may be correct.

Perform triage. Assess for potential hazards. Offer counseling to those affected.

Which information would the nurse include when developing a suicide awareness program for the school? Select all that apply. One, some, or all may be correct.

Risk factors Warning signs Crisis hotline telephone number

The nurse notes a child is missing several immunizations required to attend school. Which means will the nurse use to notify the parents?

Written letter in envelope

Which federally funded organization is responsible for developing a framework for school health programs?

CDC Healthy Schools

The nurse is performing tuberculosis (TB) screening for middle school students. Which information is most important for the nurse to consider when planning this activity?

Day of the week

The nurse is working at a boarding school to meet the health care needs of the residents. Which activity could the nurse assist with to promote health? Select all that apply. One, some, or all may be correct.

Establishing bedtimes Developing exercise programs Working with the cafeteria for good nutrition

A high school student presents to the nurse's office reporting a headache. Which information would the nurse confirm before administering ibuprofen?

Parental consent

Which program is an example of secondary prevention the nurse could implement in an elementary school?

Scoliosis screening

A child with insulin-dependent diabetes mellitus is transferring to a new school that has never before had a student with the condition. The nurse is educating all staff who will work with the child about the signs of hyperglycemia and hypoglycemia, as well as how to care for the child. Which federal legislation mandates that this process be followed?

Section 504 of the Rehabilitation Act

Which historical event changed the focus of school nursing from health at the public and community level to promoting health within schools?

The Great Depression

The parents of a child with specialized physical needs wish to enroll their child into the public school system. The parents request the services of a private duty nurse to stay with the child throughout the day. Which assessment finding would warrant the need for one-on-one staffing?

Uses ventilator 24 hours/day

The nurse has developed programs to meet federal laws related to education and health services in the high school. The chart below lists several programs. Which federal law do these programs reflect?

Every Child Succeeds Act (ESSA)

A student presents to the nurse's office having an asthma attack. Which action will be the nurses' priority when providing care to this student?

Administer rescue inhaler.

The nurse is addressing the school board to request additional funding and support for health promotion in the classroom setting. Which school nursing role is being performed?

Advocate

The nurse is working with teachers and administrators to identify students who are at an increased risk of harassment. Which group would the nurse include? Select all that apply. One, some, or all may be correct.

Gifted students LGBTQ students Students with disabilities

The nurse for a rural school district wishes to provide health education services to all students who are home schooled and collaborate with other professionals. Which service would be beneficial for this purpose?

Telecommunication

The school nurse administers medication daily at noon to a child with attention-deficit/hyperactivity disorder (ADHD). Which assessment finding indicates a possible side effect of the medication that would warrant parental contact?

Weight loss

The nurse is reviewing statistics for injuries that occurred at the school in the last year. Which statistic will the nurse examine first when developing injury prevention strategies?

Cause of the injury

The parents of a child undergoing chemotherapy and radiation are concerned about how classmates will respond to their child's hair loss. Which statement made by the nurse would best alleviate these fears?

"We will allow your child to answer questions upon return."

A teacher reports to the school nurse that they suspect a student is at risk of suicide. Which observation would have prompted the teacher's concern?

O Student gave jewelry away to friends.

The teacher is reviewing individualized education plans (IEPS) for four students. For which student will the nurse participate in the IEP?

5-year-old student with autism spectrum disorder (ASD)

The nurse is evaluating programs implemented in the past year to determine outcomes. Which finding indicates a need to continue providing this service?

Decrease in influenza cases

The school district is implementing measures to decrease violence at school. Which action would be solely directed by the nurse? Select all that apply. One, some, or all may be correct.

Develop a crisis response plan. Create a system for post-incident triage. Educate students about firearms safety.

The nurse is performing head checks in the elementary school and discovers siblings with lice. According to the Standards of Professional Performance for School Nursing, which action will the nurse perform next?

Document the information in the sealed medical record.

The nurse is developing health promotion and illness prevention programs for adolescents. Which activity is an example of primary prevention?

Educating on barrier contraception

The nurse is reviewing current guidelines and procedures for consistency with the School Health Policies and Practices Study (SHPPS). Which finding illustrates the need for the nurse to revise current policies?

Increased incidence of vaping

A student has been diagnosed with learning disabilities by the health care provider. The child's teacher and school nurse determine that the child needs accommodations in the classroom to meet standards. According to the federal government, which would be initiated to assist students with learning disabilities?

Individualized education plan (IEP)

The teacher is preparing to take a class on a field trip and asks the nurse to help plan for students' health care needs. Which action by the nurse indicates the school's policies need to be reviewed?

Informs the class of which students need to remember to bring medications

Two schools in a small rural district share the services of one nurse. The nurse works at each school 20 hours per week. Which information does the nurse need to provide to each school? Select all that apply. One, some, or all responses may be correct.

Injury and illness log Emergency manual of procedures Hierarchy of who covers when nurse not present

Which activity performed by the school nurse reflects secondary prevention?

Treating scrapes from a fall on the playground

The parents of a child with asthma ask the administrators about the availability of a nurse in the high school of 1500 students. The principal states there is a part-time school nurse who works three days a week. Based on the Healthy People 2020 objective, which number of nurses should the school have on staff?

Two

The parents of a child with a spinal cord injury visit the school before enrollment. In response, the nurse reviews the building for possible modifications to accommodate the student's needs. Which finding illustrates compliance with Americans with Disabilities Act (ADA) accessibility standards?

Elevators should be located near all exits.

A group of students inform the nurse they have experienced bullying several times in the past month. The nurse decides to implement an antibullying program. Which intervention will the nurse include? Select all that apply. One, some, or all responses may be correct.

Create "safe areas" for students in school. Oversee use of school computers and devices. Pair students with teachers who can provide support.