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Public Health Science 1st Edition Savage Kub Groves Test Bank

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Public Health Science 1st Edition Savage Kub Groves Test Bank

ISBN-13: 978-0803621992

ISBN-10: 080362199X

 

 

Description

Public Health Science 1st Edition Savage Kub Groves Test Bank

ISBN-13: 978-0803621992

ISBN-10: 080362199X

 

 

 

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Below you will find some free nursing test bank questions from this test bank:

Chapter 19: Health Planning for School Settings

 

MULTIPLE CHOICE

 

  1. A nurse is assessing the health education program at the elementary school (grades K–5). Which of the following is not a criteria of a quality health education program?
A. A specially-trained health teacher teaches the program.
B. The program is run for kids in second through fifth grade.
C. The health education program includes information about substance use and abuse.
D. The health education curricula addresses the physical, emotional, social, and mental health of its students and families.

 

 

ANS:  A

Objective: 3. Describe the components of a coordinated school health program.

  1. 450-451

Heading: Coordinated School Health Programs > Health Education Component

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Assessment; Nursing; Promoting Health

Difficulty: Moderate

 

  Feedback
A This statement is correct. Teachers who are specially trained and qualified to teach health education programs should be teaching health classes.
B This statement is incorrect. Health programs should run from kindergarten through 12th grade.
C This statement is correct. Health education programs should include information about substance use and abuse, sexuality, nutrition, family health, community health, mental health, injury prevention, and safety.
D This statement is correct. Health education curricula addresses the physical, emotional, social, and mental health of its students and families.

 

 

PTS:   1                    CON:  Assessment | Nursing | Promoting Health

 

  1. A school nurse recently accepted a position with a Title I school. In addition to the regular role as the school nurse, the position will also include:
A. Sexually transmitted infection (STI) testing
B. Treatment of some communicable diseases
C. Management and evaluation of some chronic health conditions
D. Early pregnancy care

 

 

ANS:  A

Objective: 3. Describe the components of a coordinated school health program.

  1. 450-451

Heading: Coordinated School Health Programs > Health Education Component

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Assessment; Nursing; Promoting Health; Sexuality

Difficulty: Moderate

  Feedback
A This is correct. Title I schools receive federal funding through the No Child Left Behind Act. School health centers are able to provide primary care, mental health services, immunizations, and STI testing.
B This is incorrect. Title I schools receive federal funding through the No Child Left Behind Act. School health centers are able to provide primary care, mental health services, immunizations, and STI testing. They do not treat communicable diseases.
C This is incorrect. Title I schools receive federal funding through the No Child Left Behind Act. School health centers are able to provide primary care, mental health services, immunizations, and STI testing. They do not manage chronic health conditions.
D This is incorrect. Title I schools receive federal funding through the No Child Left Behind Act. School health centers are able to provide primary care, mental health services, immunizations, and STI testing.

 

 

PTS:   1                    CON:  Assessment | Nursing | Promoting Health | Sexuality

 

  1. A school nurse is reviewing the vaccination records of the students. Several kids are missing one or more vaccinations. How should the nurse proceed?
A. Call the parents and inform them that their child is missing some vaccinations and explain the importance of staying current with the vaccination schedules.
B. Inform the principal and have the students removed from class the next day.
C. Do nothing; the parents have the right to refuse vaccinations for their child.
D. Order the vaccine and start administering vaccines as needed during the school day.

 

 

ANS:  A

Objective: 5. Discuss other school nursing interventions focused on health teaching, advocacy, and policy development.

  1. 454-455

Heading: Public Health Interventions and School Nursing Roles > Surveillance and Vaccinations

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Immunity; Nursing; Promoting Health; Critical Thinking

Difficulty: Moderate

  Feedback
A This is correct. The parents should be informed so they can coordinate with their child’s pediatrician if the additional vaccines are needed.
B It is not appropriate to have the students removed from class. The nurse should call the parents and inform them of the needed vaccine.
C In most school districts, the parents do have the right to refuse vaccinating their child, but the parents will likely need to sign a waiver and file it with the school.
D It is not appropriate for the nurse to administer vaccinations without an order from the child’s physician. There may be a medical reason why the child has not received a particular vaccine. Instead, the nurse should call the parents and inform them.

 

 

PTS:   1                    CON:  Immunity | Nursing | Promoting Health | Critical Thinking

 

  1. A parent has called the school nursing office to inquire about which vaccinations are recommended by the school for her preteen daughter. The nurse responds with:
A. Influenza
B. Pneumococcal and dTAP
C. Meningococcal, Varicella, and influenza
D. Meningococcal, dTAP, and HPV

 

 

ANS:  D

Objective: 5. Discuss other school nursing interventions focused on health teaching, advocacy, and policy development.

  1. 454-455

Heading: Public Health Interventions and School Nursing Roles > Surveillance and Vaccinations

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Immunity; Nursing; Promoting Health

Difficulty: Moderate

  Feedback
A An influenza vaccine is always recommended, but it’s the MCV4 (meningococcal conjugate vaccine), dTAP, and HPV vaccines that are recommended as boosters for preteen boys and girls.
B MCV4, dTAP, and HPV are the recommended boosters for preteens. Pneumococcal is not recommended for the general preteen population.
C An influenza vaccine is always recommended. MCV4 is also one of the recommended boosters. Pneumococcal is not necessary for preteens. In addition to MCV 4, dTAP, and HPV are recommended.
D This is correct. MCV4, protects against meningococcal disease. In addition, dTAP, which protects against tetanus, diphtheria, and pertussis, and HPV, which protects against the virus that causes genital warts, are recommended for young women and men.

 

 

PTS:   1                    CON:  Immunity | Nursing | Promoting Health

 

  1. A new school nurse is reviewing the procedures put in place by the prior nurse, a woman with over 30 years of experience. The nurse notices that a school-wide scoliosis screening occurs every fall. How does the new nurse proceed?
A. Continue performing the scoliosis screenings each year.
B. Only continue scoliosis screening on students who are symptomatic.
C. Eliminate scoliosis screenings altogether.
D. Check state screening guidelines to see what is required for school nurses in the state.

 

 

ANS:  D

Objective: 7. Discuss the role of policy in understanding school nursing practice.

  1. 455-456

Heading: Public Health Interventions and School Nursing Roles > Health Screening of Children and Youth

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Assessment; Promoting Health; Nursing; Regulations

Difficulty: Moderate

  Feedback
A This is incorrect. Screening requirements vary by state, so the nurse should check the state guidelines before making any decisions whether to continue routine screenings.
B This is incorrect. Screening requirements vary by state, so the nurse should check the state guidelines before making any decisions whether to continue routine screenings.
C This is incorrect. Screening requirements vary by state, so the nurse should check the state guidelines before making any decisions whether to continue routine screenings.
D This is correct. Screening requirements vary by state, so the nurse should check the state guidelines before making any decisions whether to continue routine screenings.

 

 

PTS:   1                    CON:  Assessment | Promoting Health | Nursing | Regulations

 

  1. A nurse is performing a quarterly inspection of the equipment in the school. The nurse’s priority is to make sure which piece of equipment is present and working properly?
A. Code Cart
B. Automated external defibrillator (AED)
C. Otoscope
D. Flowmeter

 

 

ANS:  B

Objective: 4. Describe the roles, responsibilities, and interventions of school nurses in providing wellness care, episodic care, and care to children with noncommunicable illnesses or behavioral health problems.

  1. 458

Heading: Public Health Interventions and School Nursing Roles > Life Threatening Emergencies in the School Setting

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive Level: Application [Applying]

Concept: Safety; Nursing; Critical Thinking

Difficulty: Moderate

  Feedback
A It is not appropriate for a school to have a code cart on site. This is especially true when there isn’t a physician on site to manage medical emergencies (which is the case the majority of the time).
B This is correct. AEDs were designed to be used by laypeople. The school should not only ensure that a properly functioning AED is present on school grounds, but also that there are several people who are able to work the defibrillator.
C An otoscope is a useful tool to have, however, it is not the priority piece of equipment to have on site. In the event of a medical emergency, it is imperative that the AED is functioning properly.
D A flowmeter is a useful tool to have, however, it is not the priority piece of equipment to have on site. In the event of a medical emergency, it is imperative that the AED is functioning properly.

 

 

PTS:   1                    CON:  Safety | Nursing | Critical Thinking

 

  1. A school nurse is preparing a presentation for the rest of the teaching staff about severe allergic reactions and anaphylaxis. Which of the following statements is correct?
A. The most common food allergens are soy, chocolate, and strawberries.
B. The EpiPen Act of 2013 improves management of anaphylaxis in the school setting.
C. Most anaphylactic reactions occur at home.
D. Reported food allergies are decreasing among children.

 

 

ANS:  B

Objective: 4. Describe the roles, responsibilities, and interventions of school nurses in providing wellness care, episodic care, and care to children with noncommunicable illnesses or behavioral health problems.

  1. 458-459

Heading: Public Health Interventions and School Nursing Roles > Food Allergies

Integrated Processes: Teaching/Learning

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive Level: Application [Applying]

Concept: Immunity; Nursing; Nursing Roles; Safety

Difficulty: Moderate

  Feedback
A This is incorrect. The most common food allergens are peanuts, milk, and shellfish.
B This is correct. The EpiPen Act of 2013 improves the management of anaphylaxis and gives school nurses more flexibility and freedom in treating severe anaphylactic reactions.
C This is incorrect. Most anaphylactic reactions occur outside of the home. Sixteen to eighteen percent of students have had a reaction in school.
D This is incorrect. Food allergies are increasing dramatically among school-aged children.

 

 

PTS:   1                    CON:  Immunity | Nursing | Nursing Roles | Safety

 

  1. A school nurse is speaking with one of the teachers in the elementary school. The teacher is discussing one of the students who has become very disruptive in the classroom. The student’s grades are suffering and the teacher notices that the student is frequently out of his chair and not paying attention to what the rest of the class is doing. How should the nurse handle the situation?
A. Call the student’s physician on file and speak with him about prescribing ADHD medication.
B. Inform the student’s parents about the situation and let them decide how to proceed.
C. Instruct the teacher and the student’s parents to complete a Connors Rating Scale. The nurse should also observe the student in the classroom.
D. Suggest methods of age-appropriate discipline for the teacher to try with the student.

 

 

ANS:  C

Objective: 4. Describe the roles, responsibilities, and interventions of school nurses in providing wellness care, episodic care, and care to children with noncommunicable illnesses or behavioral health problems.

  1. 459-460

Heading: Case Management of Noncommunicable Diseases and Mental Health Disorders

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Development; Assessment; Critical Thinking; Nursing

Difficulty: Moderate

  Feedback
A This is incorrect. The nurse should not speak with the child’s physician without involving his parents first. In addition, the nurse should be able to provide the physician with direct, first-hand knowledge and assessment information.
B This is incorrect. While the student’s parents should be advised, having specific information to present to them will be helpful. The nurse should observe the student within the classroom so the nurse can speak from direct experience.
C This is correct. The nurse should gather specific pieces of information through the use of a Connors Rating Scale (completed by the teacher and parents) and direct assessments in the classroom. This information should be passed on to the child’s physician, if appropriate.
D This is incorrect. Some of the behaviors that the student is exhibiting are possibly indicative of ADHD. They should be properly evaluated, not just dismissed as a behavior or discipline problem.

 

 

PTS:   1                    CON:  Development | Assessment | Critical Thinking | Nursing

 

  1. A school nurse has recently noticed a dramatic increase in the number of students suffering from asthma attacks while in the school building. The nurse knows that the school, though cleaned frequently, is in a very old building. How should the nurse proceed?
A. 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 ten years.
B. Instruct the custodial staff to replace the ventilation and furnace systems.
C. Obtain a copy of the EPA Indoor Air Quality Tools for School Action Kit and work with the principal to implement the goals outlined in the guide.
D. Send letters home to the parents of affected kids requesting follow-up with their pediatricians.

 

 

ANS:  C

Objective: 4. Describe the roles, responsibilities, and interventions of school nurses in providing wellness care, episodic care, and care to children with noncommunicable illnesses or behavioral health problems.

  1. 452-453

Heading: Coordinated School Health Programs > Healthy School Environment

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive Level: Application [Applying]

Concept: Safety; Nursing; Promoting Health; Oxygenation; Critical Thinking

Difficulty: Difficult

  Feedback
A This is incorrect. Promoting a healthy school environment is important for all children, especially for children with asthma. The school nurse should obtain the EPA guide and work with the principal to implement the goals and suggestions outlined in the kit.
B It is inappropriate for the nurse to provide instructions to the custodial staff about school construction or upgrades. The school nurse should obtain the EPA guide and work with the principal to implement the goals and suggestions outlined in the kit.
C This is correct. Promoting a healthy school environment is important for all children, especially for children with asthma. The school nurse should obtain the EPA guide and work with the principal to implement the goals and suggestions outlined in the kit.
D This is incorrect because it doesn’t address the bigger problem of problems within the school building itself. It may be appropriate to send notes home if the affected students haven’t seen their physician within a reasonable period of time.

 

 

PTS:   1                    CON:  Safety | Nursing | Promoting Health | Oxygenation | Critical Thinking

 

  1. A parent has called the school nurse’s office to discuss her daughter’s new diagnosis of type 2 diabetes. The parent is inquiring about what role the nurse will play in managing her care while the girl is in school. How does the nurse respond?
A. “As a nurse, I can help her if she becomes ill in class, but I can’t help her manage her diabetes.”
B. “I can help her adjust her insulin dosing as needed to ensure that she stays at a proper blood glucose level.”
C. “I will help regulate her diet so that she doesn’t consume too much sugar.”
D. “I can help administer the prescribed insulin dose, perform blood glucose testing, and manage symptoms of hypoglycemia.”

 

 

ANS:  D

Objective: 4. Describe the roles, responsibilities, and interventions of school nurses in providing wellness care, episodic care, and care to children with noncommunicable illnesses or behavioral health problems.

  1. 459-460

Heading: Case Management of Noncommunicable Diseases and Mental Health Disorders

Integrated Processes: Communication and Documentation

Client Need: Physiological Integrity: Physiological Adaptation

Cognitive Level: Application [Applying]

Concept: Metabolism; Nursing; Nursing Roles

Difficulty: Moderate

  Feedback
A The school nurse plays an important role in helping the student learn about her disease and how to manage it. The school nurse can administer prescribed doses of insulin, perform glucose testing, and manage acute symptoms of hypoglycemia. In addition, the nurse can provide patient teaching and support as needed.
B It is not appropriate for a school nurse to make adjustments to the insulin dose without a written order from the student’s physician.
C This is incorrect. The nurse cannot control what the patient eats each day. The school nurse can certainly provide counseling about healthy food choices but cannot regulate her diet.
D This is correct. It is appropriate for the nurse to administer prescribed doses of insulin, perform glucose testing, and manage acute symptoms of hypoglycemia. In addition, the nurse can provide patient teaching and support as needed.

 

 

PTS:   1                    CON:  Metabolism | Nursing | Nursing Roles

 

  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?
A. Send out questionnaires to all of the staff members to see what type of programs they would be interested in.
B. Set a goal to reduce absenteeism by 5 percent within the next year.
C. Start a yearly health fair to set goals for the following year.
D. Implement a staff-wide weight loss competition.

 

 

ANS:  A

Objective: 3. Describe the components of a coordinated school health program.

  1. 453

Heading: Coordinated School Health Programs > Health Promotion for Staff

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Promoting Health; Nursing; Assessment; Critical Thinking

Difficulty: Moderate

  Feedback
A This is correct. The nurse should assess the needs of the staff prior to implementing any new policies.
B The nurse should wait to implement any policies until the school nurse knows what health measures the staff needs or is interested in. Assessing the needs of the staff comes first.
C The nurse should wait to implement any policies until the school nurse knows what health measures the staff needs or is interested in. Assessing the needs of the staff comes first.
D The nurse should wait to implement any policies until the school nurse knows what health measures the staff needs or is interested in. Assessing the needs of the staff comes first.

 

 

PTS:   1                    CON:  Promoting Health | Nursing | Assessment | Critical Thinking

 

  1. A nurse has observed that a particular fifth grade student visits the office two to three times each week with stomachaches, 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?
A. Refuse to see the child anymore.
B. Call his parents to discuss his symptoms and the need to be evaluated by his pediatrician.
C. Send the child home until he obtains medical clearance to return.
D. Refer him to the school psychiatrist for mental evaluation.

 

 

ANS:  B

Objective:  4. Describe the roles, responsibilities, and interventions of school nurses in providing wellness care, episodic care, and care to children with noncommunicable illnesses or behavioral health problems.

  1. 462-463

Heading: Case Management of Noncommunicable Diseases and Mental Health Disorders > Mental Health Disorders

Integrated Processes: Communication and Documentation

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analysis [Analyzing]

Concept: Assessment; Nursing; Communication

Difficulty: Moderate

  Feedback
A This is not correct. There is clearly something going on with this student and to refuse to see him is unfair to the student.
B This is the most appropriate intervention. The school nurse should have a discussion with the parents about his or her concerns and recommend an evaluation with the pediatrician to rule out physical causes for his symptoms.
C This is not an appropriate intervention. The child should be evaluated by his physician, but there is no need to keep him out of school until medical clearance is obtained.
D It is not appropriate to refer the child to the school psychiatrist without speaking with his parents first. The nurse should call his parents and discuss his or her concerns before proceeding.

 

 

PTS:   1                    CON:  Assessment | Nursing | Communication

 

  1. An elementary school nurse is caring for many students in the office. The school nurse has an assistant who is not a registered nurse. Which of the following tasks should the nurse delegate to the assistant?
A. Giving a young girl with type 2 diabetes and a blood glucose of 62 a cup of orange juice
B. Supervising a 12-year-old girl in administration of her injectable insulin
C. Giving an 8-year-old boy his ADHD medication
D. Performing a vision assessment on a 10-year-old boy

 

 

ANS:  A

Objective: 4. Describe the roles, responsibilities, and interventions of school nurses in providing wellness care, episodic care, and care to children with noncommunicable illnesses or behavioral health problems.

  1. 463-464

Heading: Case Management of Noncommunicable Diseases and Mental Health Disorders > Delegation

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Metabolism; Collaboration; Nursing Roles; Nursing; Critical Thinking

Difficulty: Difficult

  Feedback
A This is an appropriate task to delegate to a UAP, though the nurse should continue to assess and monitor the child.
B The UAP should not assess or supervise a child administering injectable medication. The nurse should do that task.
C A UAP should not administer medications. Only an RN or LVN should administer medication to a student.
D Assessment of a student is not an appropriate task for a UAP. This should be done by the nurse or rescheduled to another time when the nurse is less busy.

 

 

PTS:   1                    CON:  Metabolism | Collaboration | Nursing Roles | Nursing | Critical Thinking

 

  1. 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. How should the nurse proceed?
A. Revise the materials and begin implementing the new program.
B. Look into state and local regulations that might impact the development of a new program.
C. Leave the materials as is, but create a new presentation that includes the omitted topics.
D. Schedule a meeting with parent representatives to discuss changing the program.

 

 

ANS:  B

Objective: 5. Discuss other school nursing interventions focused on health teaching, advocacy, and policy development.

  1. 464

Heading: School Nurses and Health Education > Sexuality and Sex Education

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Sexuality; Nursing; Promoting Health; Nursing Roles; Regulations

Difficulty: Moderate

  Feedback
A This is not appropriate. The concept of sex education is very controversial to some parents. The nurse should first look into relevant state or local regulations and then discuss his or her intentions with the school principal.
B This is correct. The concept of sex education is very controversial to some parents. The nurse should first look into relevant state or local regulations and then discuss his or her intentions with the school principal.
C This is not appropriate. The concept of sex education is very controversial to some parents. The nurse should first look into relevant state or local regulations and then discuss his or her intentions with the school principal.
D This is not appropriate. The concept of sex education is very controversial to some parents. The nurse should first look into relevant state or local regulations and then discuss his or her intentions with the school principal.

 

 

PTS:   1                    CON:  Sexuality | Nursing | Promoting Health | Nursing Roles | Regulations

 

  1. A nurse is working in a middle school health center. The nurse has noticed that a new student has been in the office, almost daily, with vague complaints. The nurse has also heard the teachers talking about how he’s had some difficulty adjusting to his new school. How should the nurse proceed?
A. Send the child back to class without seeing him.
B. Call his parents and let them know that he needs to stop using the health center if he is not sick.
C. Pull him aside and talk to him about how he is adjusting to school.
D. Implement a school-wide anti-bully campaign.

 

 

ANS:  C

Objective: 4. Describe the roles, responsibilities, and interventions of school nurses in providing wellness care, episodic care, and care to children with noncommunicable illnesses or behavioral health problems.

  1. 464-466

Heading: School Nurses and Health Education > Violence Prevention

Integrated Processes: Caring

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Violence; Communication; Nursing Roles; Nursing

Difficulty: Difficult

  Feedback
A By sending him back to class and refusing to see him, the nurse is missing an opportunity to speak with him further about what is bothering him. In addition, the nurse is betraying the child’s trust.
B By calling his parents and forbidding him to come to the office unless he is sick, the nurse is missing an opportunity to speak with him further about what is bothering him. In addition, the nurse is betraying the child’s trust.
C This is correct. The nurse needs to speak with the child and gather additional information before deciding on how to intervene.
D It isn’t appropriate to assume that he is being bullied. There may be a number of reasons why he is visiting the nurse’s office frequently. Assuming that he is being bullied may not be accurate nor address the true reason for his behavior.

 

 

PTS:   1                    CON:  Violence | Communication | Nursing Roles | Nursing

 

  1. A school nurse is beginning work at a brand new elementary charter school. As the nurse is developing screening policies for the students in the school, which of the following must be included?
A. Scoliosis screening
B. Hearing and vision screening
C. Both scoliosis and hearing and vision screening
D. It depends on what the state mandates.

 

 

ANS:  D

Objective: 5. Discuss other school nursing interventions focused on health teaching, advocacy, and policy development.

  1. 467-468

Heading: Advocacy > Policy Development and Enforcement

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Assessment; Nursing Roles; Nursing; Promoting Health; Regulations

Difficulty: Moderate

  Feedback
A This is incorrect. Each state has its own regulations about what screening must occur in the school setting. Some will require scoliosis screening and others won’t. The same applies with hearing and vision screening. School nurses are responsible for knowing what is required in their own state.
B This is incorrect. Each state has its own regulations about what screening must occur in the school setting. Some will require hearing and vision screening and others won’t. The same applies with scoliosis screening. School nurses are responsible for knowing what is required in their own state.
C This is incorrect. Each state has its own regulations about what screening must occur in the school setting. Some will require scoliosis screening and others won’t. The same applies with hearing and vision screening. School nurses are responsible for knowing what is required in their own state.
D This is correct. Each state has its own regulations about what screening must occur in the school setting. School nurses are responsible for knowing what is required in their own state.

 

 

PTS:   1                    CON:  Assessment | Nursing Roles | Nursing | Promoting Health | Regulations

 

MULTIPLE RESPONSE

 

  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.

A. Elementary and Secondary Education Act
B. Children’s Health Insurance Program (CHIP)
C. Family Educational Rights and Privacy Act
D. Child Abuse Prevention and Treatment Act
E. The School Nurse Act

 

 

ANS:  A, B, D

Objective: 7. Discuss the role of policy in understanding school nursing practice.

  1. 468-470

Heading: Advocacy > Policy Development and Enforcement

Integrated Processes: Teaching/Learning

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Legal; Promoting Health; Nursing Roles; Nursing

Difficulty: Moderate

 

  Feedback
1 This is correct. The Elementary and Secondary Education Act provides federal funding to improve academic achievement. It also is involved in setting educational policies and reforms.
2 This is correct. School nurses play a unique role in being able to advocate for their students and help eligible parents enroll in CHIP. This health coverage may help students get much-needed health care.
3 This is incorrect. The Family Educational Rights and Privacy Act guarantees privacy protection of educational records for both students and their families. This only applies, however, to school receiving federal funding, and private schools do not.
4 This is correct. The Child Abuse Prevention and Treatment Act requires that nurses and other educational professionals report suspicions of child abuse and neglect to the appropriate professionals.
5 This is incorrect. The School Nurse Act does not exist.

 

 

PTS:   1                    CON:  Legal | Promoting Health | Nursing Roles | Nursing

 

  1. A high school nurse recently received information about the development of Healthy People 2020. As a result of reading through the literature, the nurse puts together a proposal to develop several new programs for the school over the coming years. Which of the following are in alignment with the goals of Healthy People 2020?

Select all that apply.

A. Increase the presence of security guards on campus during school hours and make sure that all doors are locked at all times.
B. Start a mandatory anti-drug program.
C. Improve the quality of the school lunch program.
D. Start a school breakfast program.
E. Increase the number of and participation in after school activities.

 

 

ANS:  A, B, D, E

Objective: 2. Discuss the contribution of school health to the achievement of Healthy People 2020 objectives.

  1. 448-449

Heading: Healthy People 2020 and School Nursing

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive Level: Application [Applying]

Concept: Nursing; Promoting Health; Safety; Nutrition

Difficulty: Moderate

 

  Feedback
1 This is correct. There are several objectives listed by Healthy People 2020, all designed to improve the health, safety, and well-being of adolescents. They include increasing the number of students participating in extra-curricular activities, increasing educational achievement, increasing the number of schools with a breakfast program, reducing drug activity on school grounds, and increasing the safety of students at school.
2 This is correct. There are several objectives listed by Healthy People 2020, all designed to improve the health, safety, and well-being of adolescents. They include increasing the number of students participating in extra-curricular activities, increasing educational achievement, increasing the number of schools with a breakfast program, reducing drug activity on school grounds, and increasing the safety of students at school.
3 This is incorrect. There are several objectives listed by Healthy People 2020, all designed to improve the health, safety, and well-being of adolescents. They include increasing the number of students participating in extra-curricular activities, increasing educational achievement, increasing the number of schools with a breakfast program, reducing drug activity on school grounds, and increasing the safety of students at school.
4 This is correct. There are several objectives listed by Healthy People 2020, all designed to improve the health, safety, and well-being of adolescents. They include increasing the number of students participating in extra-curricular activities, increasing educational achievement, increasing the number of schools with a breakfast program, reducing drug activity on school grounds, and increasing the safety of students at school.
5 This is correct. There are several objectives listed by Healthy People 2020, all designed to improve the health, safety, and well-being of adolescents. They include increasing the number of students participating in extra-curricular activities, increasing educational achievement, increasing the number of schools with a breakfast program, reducing drug activity on school grounds, and increasing the safety of students at school.

 

 

PTS:   1                    CON:  Nursing | Promoting Health | Safety | Nutrition

 

ORDERED RESPONSE

 

  1. A nurse wants to help lower the rate of absenteeism among school-age children in his community. Place the following steps of the nursing process in the order in which the nurse should carry them out (1–4):

_____1. Implementation

_____2. Evaluation

_____3. Assessment

_____4. Planning

 

ANS:

3, 4, 1, 2

Feedback: The nursing process is a series of five steps used to guide nursing care and interventions. The first step is to assess the situation. Second, the nurse sets goals and plans interventions. Third, the nurse carries out the interventions. Finally, the nurse evaluates the outcome and effectiveness of the interventions. Afterward, the nurse documents all of the data and interventions in the appropriate place.

 

Objective: 6. Discuss the role of school nurses in addressing health disparities among school-age children in the United States.

  1. 446-448

Heading: Introduction

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Critical Thinking; Promoting Health

Difficulty: Easy

 

PTS:   1                    CON:  Critical Thinking | Promoting Health

 

COMPLETION

 

  1. A high school nurse is reviewing their physical education program. Currently, students are in physical education classes for only 30 minutes three times a week. If they don’t get any other physical activity, by how many minutes do they fall short of most recommendations? ____________________

 

ANS:

210 minutes

Feedback: Most experts recommend that high school students be physically active for 60 minutes per day, five days per week. This totals 300 minutes. Physical education classes account for 90 minutes three times a week (30 minutes per day x 3 days = 90 minutes per week). 300 – 90 = 210.

 

Objective: 3. Describe the components of a coordinated school health program.

  1. 451

Heading: Coordinated School Health Programs > Physical Education Component

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Analysis [Analyzing]

Concept: Sleep, Rest, and Activity; Assessment; Promoting Health; Nursing

Difficulty: Moderate

 

PTS:   1                    CON:  Sleep, Rest, and Activity | Assessment | Promoting Health | Nursing