KNH 245

Mental Health is the complex and dynamic interrelationship of these THREE factors... (choose three answers)

- Biological - Social - Psychological

Age appropriate sex education for a preschooler includes which of the following? (choose ALL that apply)

- Boys and girls are different. - Accurate names for body parts of boys and girls. - Rules about personal boundaries.

Choose ALL that apply. When discussing suspicions of abuse with a child:

- Don't put words in the child's mouth. - Don't pressure the child. - Avoid asking too many questions. - Consider the child's age and development, using words that the child can understand.

Acute benefits of early childhood education programs:

- Fostering Enriched Home Environments - Improved Kindergarten Readiness - Early Identification for Special Services - Better Social Emotional Adjustment - Improved Nutrition and Physical Exercise

From the following list, choose all true statements regarding glucagon injection as an emergency intervention.

- Glucagon injection is used to treat low blood sugar in someone who is unresponsive or whose level of consciousness does not allow intake of food or liquids. - Glucagon injection may be legally administered by school personnel.

Safe, stable, and nurturing relationships and environments prevent ACE's as well as foster resiliency and protective skills in children and their families. How do we achieve these safe, stable, and nurturing goals and break the toxic stress/ trauma cycle? Choose ALL of the answers below. Every single one of the answers is correct. As you click them, consider what each of them means in terms of impact, policy development, application, and public financial commitment. This is a question imploring you to carefully consider the significance of local, state, and national "community" action. Read this question again. Carefully consider each answer as you choose it.

- Job Options - Parent Training Programs - Programs for Parent Support - Home Visiting Programs - Violence Prevention Programs - Economic Support Programs - High Quality Child Care Programs - Programs for treatment of mental health and substance abuse.

What can schools do to address issues in nutrition?

- Make healthier vending machine options available to students. - Develop breakfast and lunch menus that teach healthy eating habits. - Involve children. - Get parents involved. - Participate in local, regional, state, and federal programs.

Typical sexual play and exploration is characterized by the following: (choose ALL that apply)

- Play is spontaneous and unplanned. - Play is easily diverted when adults tell children to stop and explain privacy rules. - Play is among children who are of the same general age and size. - Play is voluntary and the children are not uncomfortable or upset.

From the following list, choose the common sexual behaviors for a preschooler.

- Removing clothes and wanting to be naked. - Rubbing private parts. - Showing private parts to others.

Choose all that apply. Factors contributing to a sedentary lifestyle include

- change from a primarily agrarian society - safety/ supervision issues - technology

Mindfulness has possible benefits for

- improving self-control and objectivity. - improving concentration and mental clarity. - enhancing flexibility and tolerance. - building emotional intelligence and the ability to relate well to others.

Choose any that apply. Asthma:

- is a lung condition that affects the bronchial tubes with inflammation and mucus - can cause tightening of the airway in response to cigarette smoke, environmental allergens, scents, exercise

Choose all that apply: An emotional implication for children with childhood cancer is

- loneliness if separated from peers and normal activities - anger b/c of painful procedures and treatments that cause nausea, vomiting, and fatigue - Fear of dying. - embarrassment if they experience hair loss

To best address the needs of children with chronic illness, the educator should

- partner with parents for ongoing, transparent, clear communication and possibly changing needs of the student - collaborate with student, parent, health care provider, and school team to develop an action plan to keep the student healthy, safe, and included. - provide opportunities for the student to learn, socialize with peers, and experience success. - prepare themselves with peer reviewed, research based, best practice sources of information.

Choose ALL that apply. Child maltreatment can be

- physical abuse - emotional abuse - sexual abuse - threatened abuse

The research of Dr. John Ratey demonstrates the value of physical activity for not only physical health benefits but also

- regulating mood - positive behavior management - preparing the brain for learning

Choose all that apply. For dental injuries involving loss of a permanent tooth.

- seek professional dental evaluation within 30 minutes. - attempt to place tooth back in socket or place tooth in milk.

Choose ALL that apply. Common characteristics of child abusers include:

- substance user - abused as child - isolated - immature - lack of parenting skill

Naperville IL schools with Paul Zientarski and Learning Readiness PE have seen improvement in

- test scores - behavior - childhood obesity

Average calorie needs of the child age 6 -11 is:

1800 cal/day

Choose the best answer. For the child with a seizure disorder, social implications could include:

ALL

A child is too sick to attend school when they have a fever greater than 100 degrees Fahrenheit. Another reason that a child may be too sick to attend school is:

All

Choose the best answer. Katie is in a Sunday school class you teach. Today she squirmed continuously whether sitting in a chair or on the floor. Katie keeps tugging at her underwear and scratching her bottom. You recall her mother mentioned something about Katie's younger brother being checked for pin worms and now wonder if that is what you are observing in Katie. You are taking a class at Miami to learn about health issues of children so you know that

All

Laura arrived at the child care center with a runny nose and cough. Her mother, late and in a rush, informed the teachers it was probably just allergies and left before Laura could be checked in. Laura now has a fever, red throat, and swollen glands in her neck. She is irritable and tearful. Important actions include:

All

Some of the causes for high transmission of illness in the childcare setting are

All

- Frequent absences - isolating behaviors - physical complaints - excessive worry - bouts of tears - frustration - fear of separation and new situations - school avoidance

Anxiety Disorder

- With or without hyperactivity - more common in boys - high risk for mood disorder, anxiety, and learning disabilities - medication will help but support is required across settings as well - disorganization - impulsivity - easily distracted

Attention Deficit Disorder

- neurologically based developmental disorder - affects behavior, play, communication, relationships, learning - Repetitive, nonproductive movement - under or over-reaction to sensory stimuli

Autism Spectrum

You have a group of five year old girls over to celebrate your daughter's birthday. The girls' coats are piled together as they arrive. The girls wrap up together in blankets to watch Tangled. They take turns combing and braiding their hair like Rapunzel. You finish off the evening sharing a blind-fold among the girls as they take turns playing "Pin the Braid on Rapunzel". As you remove the blind-fold from one girl, you notice head lice crawling in her hair. It is important that you:

Being caring and non-judgemental, privately tell the girl's parents as well as notify all parents of children who attended the party that they have been exposed to head lice.

- frequent intense shifts in mood, energy, motivation - shifts in children are fast and unpredictable - "mania" phase may appear as intense irritability or rage - anxiety, defiance may be seen - delusions, grandiosity - high risk for suicide and accidents

Bipolar Disorder

Hepatitis B is spread through which mode of disease transmission?

Bloodborne

Carson goes home from school with a sore throat, headache, and fever. Her doctor diagnoses strep throat and prescribes antibiotics. Carson's mom calls to ask if Carson may attend the field trip scheduled for the next day. You know that:

Carson cannot attend because she may not return to school until she has been on antibiotics for 24 hours.

- Aggression towards people or animals - property destruction - deceitfulness, theft - problem must be persistent and not a reaction to stress or crisis - three or more incidents in last year

Conduct Disorder

Jerome is a boy on the soccer team you coach. Two days ago he developed a fever followed by a rash of scattered blisters on his trunk, under his arms, and in his underwear area. Mom says he has been exposed to chicken pox. Jerome feels well and wants to attend practice today. Your most appropriate action is:

Consult a reliable resource such as The Red Book or the Communicable Disease Chart to determine what is appropriate.

- affects thoughts, feelings, behavior, relationships, physical health - continuing sadness - changed eating or sleeping patterns - frequent physical complaints - nonparticipation - irritability

Depression

All of the following are true regarding Diastat Rectal Gel EXCEPT

Diastat Rectal Gel can only be administered by trained, medical professionals.

A child who is experiencing a nose bleed should be coached to hold their head back.

False

Child experts agree that exercise can be a valuable tool that should be used for modifying undesirable behavior--assigning extra workouts such as running laps or withholding activity such as standing against a wall at recess.

False

Encopresis occurs because of problems with "potty training".

False

If your employer attempts to dissuade a report and you proceed with contacting Children's Protective Services, you can be fired for doing so.

False

It is important to report only those situations of significant threat or serious injury to a child.

False

Overweight or obesity in childhood is not associated with significant health implications.

False

Talking to children about sex will encourage them to become sexually active.

False

The main goal of Children's Protective Services is to remove children from their parents and place them in new homes.

False

Zones of Regulation is a strategy to organize separate spaces in the classroom for better classroom management.

False

- brain damage due and physical effects due to prenatal exposure to alcohol - symptoms vary by age - distinct facial characteristics - child may or may not have low IQ - sensory integration dysfunction

Fetal Alchohol Syndrome

Diarreal illnesses are spread by which mode of disease transmission?

Gastrointestinal

Movement and exercise in schools is important for all of the following EXCEPT:

Identifying gifted athletes

All of the following are considered dimensions of health EXCEPT:

Lifestyle

Your son, Ben, has a MRSA lesion on his forearm; he has been on antibiotics for two days. His teacher calls because she doesn't think it is safe for Ben to be in school until the lesion is completely healed. If Ben's teacher consulted a communicable disease resource, she would know that

MRSA can be an aggressive staph infection but is not considered contagious after 24 hours of treatment. Covering the lesion is appropriate and contact activities may be restricted. Once antibiotic therapy is initiated for 24 hours, exclusion is not recommended.

Neglect is failure to provide basic care and protection, such as:

Not seeking medical care for a broken arm

- Intrusive, repeated thoughts - senseless repeated rituals - difficulty finishing work d/t perfectionism or ritual re-writing etc - counting rituals, rearranging objects - poor concentration - school avoidance - anxiety or depression

Obsessive-Compulsive Disorder

- Above average anger, blaming, hostile - noncompliant and argumentative - rejects praise, may sabotage activity that was praised - deliberately annoys, provokes others

Oppositional Defiant Disorder

- affects children who are involved in or witness a traumatic event - flashbacks, nightmares, repetitive play re-enactments - emotional distress when reminded of incidents - fear of similar places, people, events - easily startled, irritable, hostile - may have physical symptoms

Post-Traumatic Stress Disorder

All of the following are common sexual behaviors in young children 4 -6 EXCEPT:

Putting objects in private body parts.

- Disturbed and developmentally inappropriate social relatedness in most contexts - Begins before age five, usually after a period of grossly inadequate care or multiple caretaker changes - extreme defiance, power struggles, manipulative - inappropriately demanding, clingy

Reactive Attachment Disorder

One of the children in your preschool comes to school hungry each morning; she says that she doesn't have food at home. She doesn't wear a coat or socks with her shoes even though the weather has been well under freezing for several weeks. Many days, her hair is uncombed, her face unwashed, and her clothes are dirty. She says her mom and dad sleep all the time. You have attempted to contact her parents but they do not respond to notes home or phone calls. You: Correct!

Recognize this as signs of possible neglect and report your concerns to Children's Protective Services.

You work in an elementary school. You suspect a student is suffering from abuse. You should:

Report you concerns to Children's Protective Services

Influenza is primarily spread by which mode of disease transmission?

Respiratory

- rarely diagnosed before age 10 - vivid and bizarre thoughts or speech - confusion between reality and fantasy - hallucinations and delusions - sever fearfulness - Odd, regressive behavior

Schizophrenia

Age appropriate safety information for sex education with young children (4 - 6) includes all of the following EXCEPT:

Sexual abuse happens to children who do not follow the rules.

You are babysitting your five year old niece and two of her friends when you hear giggling coming from her bedroom. You find the girls sitting on the floor with their panties off, pointing at and touching each other's genitals. You do all of the following except:

Sternly and with disapproval tell the girls to put their clothes on because what they are doing is bad.

The following statements are true regarding the Heimlich maneuver EXCEPT

The Heimlich Maneuver should be used when someone says they are choking and are unable to stop coughing.

Anne Cooper, director of food services at Berkely Unified School District, advocates

To include kids in every stage of the food they eat, from growing to disposing.

- neurological disorder - involuntary motor movements and or vocalizations (tics) - symptoms worsen with anxiety - co-morbid with ADHD and OCD

Tourette's Disorder

A child with hemophilia may have activity restrictions or need special protective gear.

True

A hallmark of typical sexual behavior in the school aged child (7 - 12 years) is a growing desire to have more privacy as well as a new reluctance to talk with adults about sexual issues.

True

A person DOES NOT have to actually touch or have sex with a child to commit sexual abuse.

True

As an educator and mandated reporter, there could be consequences to you for not reporting suspected child abuse including jeopardizing your professional license or certification and even criminal charges.

True

At the classroom level, there are many online "exercise/ movement" platforms for teachers to incorporate movement breaks, mindfulness, and kinesthetic learning activities in daily lessons plans.

True

Children with disabilities are at a greater risk for abuse and neglect than the general population of children

True

Choose My Plate is an online tool to teach children healthy eating and emphasizes a diet of -fruits and vegetables -whole grains - low-fat dairy -lean meat, poultry, fish, beans, eggs, nuts -low in saturated fats, trans fats, salt, and added sugars

True

Classroom management strategies that assist children with mental health concerns can be implemented for an entire group of students in a way that benefits all learners.

True

Communicable disease is the most common cause of illness in children.

True

Competition for time in the daily school schedule between formal curricular activities and PE/ recess reduce opportunities for children to exercise during the school day.

True

Cross curricular lessons (food in history, in culture, as a writing prompt, as a math lesson, in a science experiment) is an effective, fun, and efficient way to combine nutrition standards with other state adopted learning standards.

True

Early childhood educators are in a unique position to improve health and academic outcomes for individual children but also to "set the odds" for compounded benefit across the child's life span.

True

Early childhood trauma has significant and predictable health implications for physical as well as mental wellness across the life span.

True

For a child experiencing vomiting from car sickness or sensitive gag reflex, it can be appropriate for the child to remain at school.

True

For many bacterial illnesses such as impetigo, strep throat, and bacterial pink-eye, children may return to school after only 24 hours of antibiotic treatment.

True

Health is important to education. Education is important to health.

True

If parents do what they can to provide for their kids with their limited resources, it is NOT neglect.

True

In public health, the disease triangle or epidemiological triangle refers to the triad components of disease transmission: pathogenic agent, susceptible host, conducive environment. Infection control measures focus on factors to interrupt spread of the illness at one or more of the three components.

True

Information that would identify the reporter in Children's Services records is confidential and protected by law.

True

Intranasal midazolam is a more recently marketed medication for use in managing prolonged seizures. The route of administration makes it less controversial for administration by school staff members.

True

Learning Readiness PE is a five day per week, forty-five minute physical education class the students participate in directly before their most challenging core subject (i.e. math, reading) that creates an environment in which the brain is ready, willing, and able to learn.

True

Mental health problems in children rarely manifest as a single simple diagnosis. It is more commonly complex with over-lapping elements of other co-morbid conditions.

True

Over nutrition is more prevalent in the world population than under nutrition.

True

Reduced availability to acquire personally acceptable foods in a socially acceptable way refers to the stigma sometimes associated with and the implementation of some public assistance programs.

True

Sexual development begins at birth, including not only the physical changes that occur as children grow, but also the sexual knowledge and beliefs they come to learn and behaviors they show.

True

The caregiver's hands is one of the common sources of germ transmission in the childcare setting.

True

The kinesthetic classroom is a teaching methodology that utilizes standing tables, motion chairs and numerous simple movements that allows teachers to provide a classroom experience that is more conducive to learning. Correct!

True

A child's sexual knowledge and behavior is strongly influenced by all of the following EXCEPT:

Where the child lives

Pam is a kindergarten student who has recently started being aggressive with other students and has behavior tantrums in the classroom. She cries a lot and doesn't want to go home. In the last 10 days she has soiled her underwear several times even though she has never had issues with toileting before. Today, Pam came to school and says she has bruises on her thighs and that it hurts to sit down

You recognize this as signs of possible sexual abuse.

Ritchie has chronic hepatitis B infection from a blood transfusion he received as an infant. He has a nose bleed today. You and other staff members are able to respond to Ritchie's needs without fear of contracting hepatitis B from him because:

You use universal precautions when dealing with all blood and body fluids no matter what the student's health history may or may not be.

Ringworm is cause by

a fungus

Scabies is caused by

a parasite

Anaphylaxis is:

a severe, life-threateing allergic reaction characterized by swelling of the face, lips, and airway.

Chicken Pox is cause by

a virus

An important role of the educator for the child with Crohns disease is:

addressing the child's academic needs during extended absences.

Choose the best answer. Jean Blades Madigan, neurokinesiologist, in Building Better Brains Through Movement states that exercise

all of above

One of the five determinants of health; constitutional factors that cannot be changed

biology and genetics

Choose the correct answer. One important task for the child with insulin dependent diabetes is:

counting carbohydrates when eating.

Ringworm is spread by which mode of communicable disease transmission?

dermatological

An example of secondary disease prevention is:

early identification of illness thru routine screenings. Annual pap test is an example.

The following are true for under nutrition except:

it is due to "picky" eating

If a child discloses abuse to you, it is important that you:

listen to the child.

Seizure first aid includes:

lowering the victim to the floor and protecting their head until the seizure subsides.

Choose any that apply. Cystic Fibrosis is characterized by

lung congestion and malabsorption of nutrients

An example of tertiary prevention is:

managing/ limiting complications of illness. Chemotherapy for cervical cancer is an example.

Jimmy, a 5-year-old on the YMCA basketball team you coach, tells you that he's mad at his dad. "He grabbed me and spanked me yesterday when I was running from him in the grocery store parking lot." You:

recognize that spanking is not considered child abuse as long as it is reasonable and causes no bodily harm.

An example of primary disease prevention is:

stopping an illness before it starts. Immunization against HPV is an example.

All of the following are food handling, serving, and dining issues that must be addressed in school breakfast and lunch programs, EXCEPT:

strict rules against talking or other social engagement during meals.

Choose any that apply. One theory regarding celiac disease is

that it is caused by an immune response to wheat

In anaphylaxis emergency care, the recommended injection site for Epinephrine auto-injectors is:

top of the thigh

Universal precautions is:

treating all blood and body fluids as if they are potentially infected.