Chapter 18: Health Planning for School Settings
A parent has called the school nurse's office to discuss her daughter's new diagnosis of type 1 diabetes. The parent is inquiring about what role the nurse will play in managing her care while the girl is in school. The key role of the nurse is to: 1.Encourage self-care. 2.Administer insulin. 3.Manage the student's dietary intake. 4.Provide daily blood glucose monitoring.
1
A school nurse has just been promoted to overseeing the nursing care provided in the school district. She is reviewing the vaccination compliance level across all grades. Based on her review of vaccine recommendations from the Advisory Committee on Immunization Practices, she is updating the parent information sheet to include the recommendation that all children the age of 6 months of age or older receive the vaccine for___________ yearly. 1.Influenza 2.Measles-Mumps-Rubella 3.Varicella 4.There are no recommendations for a yearly vaccine.
1
A school nurse has observed a slight increase in teacher absenteeism due to illness and decides to implement several new programs to boost employee wellness. What is the nurse's first step? 1.Send out questionnaires to all of the staff members to see what type of programs they would be interested in. 2.Set a goal to reduce absenteeism by 5% within the next year. 3.Start a yearly health fair to set goals for the following year. 4.Implement a staff-wide weight loss competition.
1
A school nurse recently accepted a position to run a school-based health center. The school uses the WSCC model. Under the health services component of this model, all but which of the following is a service that she will provide to students? 1.Treatment for TB 2.Acute care evaluation 3.Noncommunicable disease management 4.Health education
1
A school nurse working in a private school is training a new school nurse. Which of the following federal laws influence their practice? (Select all that apply.) 1.Elementary and Secondary Education Act 2.Children's Health Insurance Program (CHIP) 3.Family Educational Rights and Privacy Act 4.Child Abuse Prevention and Treatment Act 5.The School Nurse Act
1,2,4
According to the WHO, efforts to improve health in school-aged children and adolescents will improve health through the reduction of adverse health behaviors. These include: (Select all that apply.) 1.Tobacco use. 2.Alcohol and substance use. 3.Active lifestyle. 4.Dietary and hygienic practices that cause disease. 5.Failure to complete high school.
1,2,4
An elementary school nurse is caring for many students in the office. The school nurse has an assistant who is not a registered nurse. The nurse wishes to set up a process for determining which tasks can be delegated to the unlicensed assistive personnel (UAP). What things should the nurse consider when making the decision? (Select all that apply.) 1.The needs of the student 2.The complexity of the task 3.The American Nursing Association scope and standards of nursing practice 4.The state regulations 5.The stability of the student
1,2,4,5
A school nurse has recently noticed an increase in the number of students suffering from asthma attacks while in the school building and suspects it may be due to the school environment. The nurse knows that the school, although cleaned frequently, is in a very old building. What steps could the nurse take? (Select all that apply.) 1.Review student health records and obtain statistics on the number of students being diagnosed with asthma and having asthma attacks while in school over the last 10 years. 2.Instruct the custodial staff to replace the ventilation and furnace systems. 3.Obtain a copy of the EPA Indoor Air Quality Tools for School Action Kit and work with her colleagues within the school to develop a practical plan for addressing air quality in the school. 4.Send letters home to the parents of affected kids requesting follow-up with their pediatricians. 5. Secure funding to increase the number of cleaning personnel for the school.
1,3
A school nurse is speaking with one of the teachers in the elementary school. The teacher is discussing one of the students who has just transferred to the school from another state. He is disruptive in the classroom, is frequently out of his chair, and not paying attention to what the rest of the class is doing. According to the student's record he has been diagnosed with attention deficit hyperactive disorder (ADHD). The nurse suggests to the teacher that they utilize a care coordination approach to help the student. This approach requires that interventions are: (Select all that apply.) 1.Goal oriented. 2.Based on interventions used for all students with ADHD. 3.Based on the specific needs of the child. 4.Evaluated based on their impact.
1,3,4
A new high school nurse is reviewing the sex education materials and finds them completely outdated, without any mention of contraception or sexually transmitted infections. What should the nurse do first? 1.Revise the materials and begin implementing the new program. 2.Look into state and local regulations that might impact the development of a new program. 3.Leave the materials as is, but create a new presentation that includes the omitted topics. 4.Schedule a meeting with parent representatives to discuss changing the program.
2
A nurse has observed that a particular fifth grade student visits the office two to three times each week with stomach aches, headaches, and vague complaints of not feeling well. This has been continuing for several months. What is the most appropriate action for the nurse to take? 1.Refuse to see the child anymore. 2.Call his parents to discuss his symptoms and the need to be evaluated by his pediatrician. 3.Send the child home until he obtains medical clearance to return. 4.Refer him to the school psychiatrist for mental evaluation.
2
A school nurse is assessing the health education component of the Whole School, Whole Community, Whole Child (WSCC) program at one of the elementary schools she covers. Which of the following is not a part of this component of WSCC? 1.A qualified trained person teaches the program. 2.The program is run for children in first through fifth grade. 3.It assists students in maintaining and improving health. 4.The comprehensive health education curriculum addresses the physical, emotional, social, and mental health of its students and families.
2
A school nurse is performing a quarterly inspection of the health equipment used in the school health clinic. The nurse's priority is to make sure which piece of equipment is present and working properly? 1.Code cart 2.Automated external defibrillator (AED) 3.Otoscope 4.Flowmeter
2
A school nurse is updating the designated medical emergency response plan. Once the plan is in place, it is recommend that she should do all of the following except: 1.Identify who within the system is authorized to make emergency medical decisions. 2.Practice the plan once each year. 3.Make sure AEDs are available in the school 4.Teach multiple staff members first aid and cardiopulmonary resuscitation.
2
The middle school nurse has been asked by one of the teachers about one of the students who always sits in the back of the classroom and never participates in classroom discussions. The teacher also noticed that the student always enters and leaves the classroom by herself. Based on this, the school nurse asks the student to stop in and see her. The student is at first quiet and says little, but then states she has been feeling low. The nurse should: 1.Assure the student that things will seem better soon and send her back to class. 2.Call the students' parents and let them know she is concerned and would like to refer the student for further assessment and possible treatment. 3.Assure the teacher that quiet students aren't necessarily at risk but to keep an eye on the student and let her know if there is any change. 4.Because it is apparent that the other students are avoiding this student, implement a school-wide anti-bullying campaign.
2
A new school nurse is reviewing the procedures put in place by the prior nurse, a woman with more than 30 years of experience. The nurse notices that a school-wide scoliosis screening occurs every fall. How does the new nurse proceed? 1.Continue performing the scoliosis screenings each year. 2.Only continue scoliosis screening on students who are symptomatic. 3.Eliminate scoliosis screenings altogether. 4.Check state screening guidelines to see what is required for school nurses in the state.
4
A school nurse is beginning work at a new elementary charter school. As the nurse is developing screening policies for the students in the school, which of the following must be included? 1.Scoliosis screening 2.Hearing and vision screening 3.Both scoliosis and hearing and vision screening 4.It depends on what the state mandates.
4
One of the roles of the school nurse is health protection for the students. This includes: 1.Monitoring vaccinations among children and adolescents to assure compliance with state mandates. 2.Conducting classes on healthy eating. 3.Administering flu vaccines. 4.Both A and C.
4