ch. 31 the nurse in the schools

2. Which of the following best explains why the federal government is beginning to fund school-based health centers? (Select all that apply.)

b. Attendance and learning are higher in schools with health clinics. d. Many children have no other source of health care services.

16. A disaster has occurred in the community. Which of the following actions should be taken by the school nurse?

b. Continue to assess for shock and stress

4. At the annual community health fair, the school health nurse displays a science booth that examines the hazards of ineffective hand washing. Which of the following best describes the nurse's role in this scenario?

b. community outreach

1. According to the American Academy of Pediatrics, which of the following activities are expectations for a school health nurse?

c. Giving emergency care in the school or during school events

23. The mother of a high school student newly diagnosed with a condition that will require special health care services is concerned that the student will be required to be home-schooled away from the friends he has developed. Which of the following would be the most appropriate response by the school nurse?

a. "Federal legislation requires that the school make provisions for those with various challenges, so your child will be able to remain in school as long as he is able."

12. A school nurse is administering medications at the school. Which of the following guidelines should be followed?

a. A current drug reference should be available in case information is needed

10. The school nurse has arranged for volunteers to help check each child's hearing and vision. Any child that the volunteers feel did not "pass" will be sent to the nurse for follow-up. The nurse will then send a note to the parents that a physician should be seen. Which of the following levels of prevention is being implemented?

b. secondary why? . This includes caring for ill or injured students and school employees. It also involves screening and assessing children and referral to appropriate health agencies or providers.

2. Which of the following statements best explains why many school nurses are not able to ensure that all children receive needed health care in the schools?

c. Most school districts are unable to afford a nurse in every school.

18. A school nurse is demonstrating the use of a peak flow meter to help children with chronic asthma recognize when they need to use a rescue inhaler. Which of the following levels of prevention is being used by the nurse?

c. Tertiary Tertiary prevention includes caring for children with long-term health needs, including asthma and disabling conditions. The nurse is teaching disease management (i.e., when to use an inhaler).

15. A school nurse suggests to teachers that they have a session on coping strategies and stress management techniques. The nurse also sets up a peer counseling program. Which of the following is the school nurse most likely trying to prevent?

a. Adolescent suicides

24. A group of nursing students are scheduled to present a program on healthy hearts to various community groups, with a daycare center being the first location. What of the following advice should be given to them by their instructor?

a. Base the program on the audience's development and maturity.

5. A school nurse describes to teachers the characteristics of an adolescent who may be thinking about drastic violence. Which of the following behaviors would suggest the adolescent was having such problems? (Select all that apply.)

a. Being a gang member b. Damaging property d. Mood swings

20. A pregnant teen asks the school nurse to provide information on abortion and a list of health care providers who offer such services. If the school nurse has very strong personal beliefs against abortion, which of the following actions should be taken by the nurse?

a. Call in another nurse to care for this client. This creates an ethical dilemma for the nurse. If the nurse feels so strongly that he or she cannot work with the situation, another school nurse should be called for help or the student should be referred to other health providers who can provide the care the student needs

3. A new student's parents had not yet submitted an immunization record, although the nurse had sent a reminder home with the student twice. Which of the following actions should be taken by the nurse to keep the child in school? (Select all that apply.)

a. Call the parents or mail another reminder. d. Suggest to the parents that if they don't have health care insurance, they may qualify for programs that provide immunizations free.

4. Which of the following supplies or equipment should a nurse have available in the school health office? (Select all that apply.)

a. Cervical spine collars c. Epinephrine autoinjector kit d. Material for splints

9. A nurse would like to implement a primary prevention effort to decrease the leading cause of death among children and teenagers. Which of the following actions would the nurse most likely take?

a. Educate students about injury prevention measures

1. Which of the following activities are included in the Centers for Disease Control and Prevention's school health program? (Select all that apply.)

a. Ensuring a healthy school environment b. Assisting teachers with education related to health c. Encouraging nutritious school meals

7. The school health nurse has enlisted the assistance of high school role models in the areas of sports and scholarship to provide an antidrug presentation to their peers. Which of the following levels of prevention is being implemented?

a. primary

6. A child has multiple disabilities, and caring for the child has been both expensive and time consuming for the school. Once the child turns 16, which of the following actions should be taken by the nurse? (Select all that apply.)

b. The school must continue to provide needed appropriate education for the child. d. The school should prepare an updated individualized education plan.

3. A school health nurse is requested by the board of education to assist in choosing new playground equipment for an elementary school that meets safety standards. Which of the following best describes the nurse's role in this scenario?

b. consultant why? As a consultant, the school nurse can provide professional information about proposed changes in the school environment and their effect on the health of the children. The nurse also can recommend changes in the school's policies or ask community organizations to help make the children's schools healthier places.

19. A school nurse has developed a special class for pregnant teens to teach them everything from anticipated body changes to methods for managing common pregnancy-associated problems. The classes also allow the nurse to be in close frequent contact with the students to monitor their health status. Which of the following levels of prevention is being used by

c. Tertiary prevention Many teenage girls who are pregnant attend school; therefore, the school nurse may provide ongoing care to the mother. Although this may appear to be secondary prevention, it is tertiary prevention because adolescent pregnancies are considered to be high risk.

11. Which of the following would be the best way for the school nurse to fulfill his or her responsibilities in an emergency situation?

c. Create and share an emergency plan with all teachers and staff.

14. A school nurse listens as one student talks about another student being upset because his father frequently spanks him with a leather belt that leaves big marks on the student's back. But the student begs the nurse not to tell anyone because he promised the friend that the information would never be shared. Which of the following actions should be taken by the nurse

d. Notify the legal authorities.

5. Which of the following best explains why school nurses are involved in helping teachers with the task of teaching children how to practice problem solving, communication, and other life skills?

d. Nurses have been enlisted in this role to help reduce risk factors for future health problems in school children.

13. An upset mother calls the school nurse and says, "How dare you say my child has lice? My child is clean and I keep a clean house! You've obviously made an error." Which of the following would be the best response by the nurse?

b. "Most lice are found in clean hair. Children often share combs. Let me tell you how to fix the problem."

17. Which of the following is the leading cause of children being absent from school because of a chronic illness?

b. Asthma

8. Which of the following best describes the primary reason that school health nurses spend so much time on educational programs that teach children the importance of water and fire safety, using a seatbelt in the car, and wearing a helmet when biking or skateboarding?

b. Because injuries are the leading cause of death in children and most injuries are preventable

6. Which of the following best describes services that are offered at a school-based health center?

b. Care to others in the community why? They may provide social services, daycare, job training, and educational counseling in addition to the medical and nursing care, mental health counseling, and dental care seen in smaller school-based centers

21. Which of the following is most important for school nurses to master in order to prepare for health care delivery in the future?

b. Computer and technology use In the future, school nursing will use telehealth and telecounseling to teach health education. School nurses will use the Internet to work with children and parents.

22. The principal of a school was upset over a rumor that one of the children had engaged in a violent activity that injured a younger sibling. The principal asked the nurse who the children were so that the involved teachers could both support the injured child and guard other children from the violent child. Which of the following would be the best response by the nurse?

c. "Rumors are often inaccurate; let me follow up and see what happened and what needs to be done."