Deck 20: School-Age Children and Adolescents

Question 1

When providing safety education for parents of school-age children, the community health nurse would focus interventions on which as the priority?

A) Motor vehicle safety
B) Water safety
C) Fire safety
D) Poisoning prevention

Answer 1

Motor vehicle safety

Question 2

A community health nurse is presenting a program to a local elementary parent-teacher association on the topic of pediculosis. The nurse determines that the group needs additional teaching when they identify which action as a likely mode of transmission?

A) Coming into contact with an animal
B) Combing hair with another's comb
C) Using a towel of an infected child
D) Sleeping in a friend's bed who had lice

Answer 2

Coming into contact with an animal

Question 3

A community health nurse who is participating in a nutritional screening program with school-age children measures their body mass index (BMI). The majority of children fall within the 45th to 65th percentile for their age. How would the nurse classify these children?

A) Underweight
B) Healthy weight
C) At risk for overweight
D) Overweight

Answer 3

Healthy weight

Question 4

Which measure would be most appropriate for a community health nurse to include when developing programs to address childhood obesity?

A) Encouraging television watching for about 3 hours per day
B) Suggesting that families eat less meals together at home
C) Urging an increase in physical activity daily
D) Limiting the intake of unsaturated oils in cooking

Question 5

Which program would be least effective to implement for a community of school-age children who are experiencing dental caries?

A) Ensuring that the drinking water is fluoridated
B) Having the school to institute a fluoride rinse program
C) Encouraging the parents to get their children's teeth sealed
D) Advising parents to encourage the children to brush once daily

Question 6

Which would a community health nurse expect to attribute in the adolescent population with an eating disorder?

A) High levels of peer support
B) Clear sense of self
C) Feelings of being in control
D) Distorted body image

Question 7

A community health nurse is teaching a group of parents about attention deficit hyperactivity disorder. Which statement by the parents would indicate the need for additional teaching?

A) "We probably will need to give the child medication to help the child in school."
B) "We need to keep the child away from foods that have additives in them."
C) "This condition is most likely due to problems with genes and nerve receptors."
D) "We'll be alert to the possibility of more injuries and accidents."

Question 8

A community health nurse is working with local community agencies to provide services for children and adolescents with disabilities. Based on the nurse's knowledge of the most common disabilities affecting this group, the nurse would advocate for which service to address the largest group?

A) Special education services
B) Speech therapy services
C) Mental health services
D) Mental retardation services

Question 9

Which of statement about children's health status and academic achievement are most accurate?

A) All health problems that can affect learning and achievement in school-age children are preventable.
B) Physical and emotional health can affect academic achievement in children and adolescents.
C) Only behavioral health problems can affect learning and achievement in school-age children.
D) Poverty is one health problem that does not affect learning and achievement in school-age children.

Question 10

A community health nurse is providing immunizations to school-age children at a local health department. At which age would the nurse expect to administer the first dose of human papillomavirus (HPV) vaccine?

A) 9
B) 11
C) 13
D) 15

Question 11

A community health nurse is speaking to a group of parents of incoming college freshmen students who will be living in the dormitories. The focus of the program is on the college health program, health issues, and immunizations. Which immunization would the nurse most strongly encourage the students to receive if they have not received it previously?

A) Varicella virus vaccine
B) Human papillomavirus vaccine
C) Meningococcal vaccine
D) Influenza vaccine

Question 12

When preparing a program to address violence among school-age children and adolescents, the community health nurse integrates knowledge of:

A) teen females commit homicide more frequently than teen males.
B) homicide is the third highest cause of death for all adolescents.
C) adolescents account for less than one half of all firearm injuries treated.
D) serious youth violence is unrelated to drugs and guns.

Question 13

When working with community groups to develop appropriate programs for adolescent health promotion, the nurse integrates knowledge of the Healthy People 2030 objectives. Which is addressed by many of those objectives?

A) Self-esteem improvement
B) Risk-taking behaviors
C) Control of disease
D) Behavioral issues

Question 14

When working with school districts, which school-based approach would the community health nurse encourage as the most effective to solve the problem of teenage suicide?

A) Suicide prevention programs with direct interventions
B) Teachers assessing suicide risk among students
C) Promotion of stronger parental control of teens
D) Punitive treatment of teens by the school administration

Question 15

A community health nurse is working with local schools to help address teen pregnancy. The nurse would develop interventions based on:

A) better use of contraceptives.
B) decreased sexual activity.
C) improved parenting skills.
D) proper nutritional habits.

Question 16

Which would the community health nurse most commonly need to address when planning programs for children with chronic illness?

A) Asthma control
B) Autism education
C) Diabetes regimens
D) Seizure control

Question 17

A community health nurse is working with a group of school nurses to develop interventions for a 10-year-old girl exhibiting signs and symptoms of school refusal. Which intervention would be most appropriate?

A) Limiting parent involvement in the school
B) Exposing the child rapidly to the classroom
C) Keeping the child at home for a while
D) Providing relaxation training

Question 18

A community health nurse is working with the local health department on screening for sexually transmitted infections. Which infection would the nurse identify as the most common?

A) Syphilis
B) Gonorrhea
C) Chlamydia
D) Herpes simplex virus

Question 19

When preparing a program about substance abuse prevention for adolescents, the community health nurse would focus on which substance as the most frequently used?

A) Marijuana
B) Alcohol
C) Ecstasy
D) Ketamine

Question 20

A community health nurse is engaged in a community-wide program for promoting nutrition in adolescents. Which information would lead the nurse to target the program to adolescent girls?

A) Girls eat larger quantities of food than boys.
B) They are more physically active than boys.
C) They have a tendency to diet inappropriately.
D) They are more conscious about food nutrients.

Question 21

A community health nurse is implementing a family planning program near a local inner city's schools. The nurse is engaging which type of health service?

A) Preventive program
B) Health protection
C) Health promotion
D) Injury prevention

Question 22

The school nurse is planning a meeting with family whose school-age child has asthma to develop an action plan to control or minimize the untoward effects of acute asthma episodes. Which level of prevention is the nurse implementing?

A) Primary
B) Secondary
C) Tertiary
D) Health promotion

Question 23

The parent of a student recently diagnosed with a chronic condition that will require complex health services is concerned the student will be required to be home schooled instead. Which response by the school nurse would be most appropriate to represent the school's stance on dealing with complex health problems in the school setting?

A) "There is federal legislation that requires the school to make provisions so your child can stay in school as long as possible."
B) "As long as your child can meet class requirements, they may remain in the school setting."
C) "Being home schooled, your child can still receive the same type of opportunities they would at school with the exception of seeing their friends."
D) "As long as the school board can find extra money in the budget to hire an additional nurse, your child should be able to remain in school."

Question 24

The school nurse is organizing an education fair for children with type 2 diabetes. The nurse will be teaching the older children how to calculate their BMI. Which level of prevention would the nurse be implementing?

A) Primary
B) Secondary
C) Tertiary
D) Health promotion

Question 25

The school nurse is organizing an education fair for primary age school children. The nurse will be promoting good nutrition and a physically active lifestyle. Which level of prevention would the nurse be implementing?

A) Primary
B) Secondary
C) Tertiary
D) Secondary and tertiary

Question 26

The school nurse is working closely with the school-age child with type 2 diabetes, the family, the health care provider, and teacher to ensure proper follow-up. Which level of prevention would the nurse be implementing?

A) Primary
B) Secondary
C) Tertiary
D) Health promotion