Deck 22: School Health

Question 1

The school nurse is evaluating the health program for possible updates in the school district. Which component should the nurse address to ensure safe and supportive learning environment for the students?

A) Nutrition and environment services
B) Social and emotional school climate
C) Health services
D) Counseling, psychological, and social services

Answer 1

Social and emotional school climate

Question 2

The nurse is concerned that the health education curriculum needs to be updated. On the basis of the recommended components of a comprehensive school health program, which should the nurse ensure is included in a K--12 health education curriculum? (Select all that apply.)

A) Health education
B) Nutrition and environment services
C) Sexuality education
D) Community involvement
E) Physical development activities

Answer 2

Health education
Nutrition and environment services
Community involvement

Question 3

Which services are reimbursable by Medicaid? (Select all that apply.)

A) Speech/language therapy and evaluations
B) Occupational therapy and evaluations
C) Physical therapy and evaluations
D) Nutrition screening and evaluations
E) Allergy testing and evaluations

Answer 3

Speech/language therapy and evaluations
Occupational therapy and evaluations
Physical therapy and evaluations

Question 4

The Youth Risk Behavior Surveillance Survey (YRBSS) outlines common risk behaviors influencing the health of the nation's youth. Which risk factors should the nurse anticipate noting in this survey? (Select all that apply.)

A) Unintentional injury
B) Sports-related trauma
C) Sleep deprivation
D) Sexual behaviors
E) Alcohol use

Question 5

The school nurse is aware that one responsibility is to stand up for the child when necessary. Which actions exemplify the school nurse's role as a child advocate? (Select all that apply.)

A) Injecting a child with her EpiPen during an anaphylactic reaction to peanuts
B) Convincing the cafeteria manager to include low sugar options in the lunch menu for students with diabetes
C) Taking the temperature of a child who is exhibiting signs of an upper respiratory infection
D) Teaching a child who has recently been diagnosed with asthma how to use an inhaler
E) Instructing a group of faculty members on the proper way to respond to a child having an epileptic seizure in class

Question 6

The school nurse works with a 12-year-old girl who is obese and has type 2 diabetes. As client advocate, which would be most appropriate nursing action?

A) Scold the client when she buys a soda from a vending machine at school.
B) Schedule a conference with the client's parents to discuss how to collaboratively manage her blood glucose level and encourage her to select appropriate foods in the cafeteria for lunch.
C) Perform a finger stick and check the client's blood glucose level when she reports feeling weak and dizzy one day.
D) Weigh the client each week in the office to help track her weight and hold her accountable to her weight loss goals.

Question 7

The school nurse at a public high school recently noticed an increase in students smoking before and after school. Which interventions are most appropriate for the nurse to implement to correct this issue? (Select all that apply.)

A) Starting an after-school tobacco cessation program with the assistance of local representatives of the American Cancer Society
B) Having a local clinical oncologist speak at a PTA meeting about the hazards of tobacco use among children
C) Confronting groups of students while they are smoking with information regarding the school's smoking policy and the dangers of smoking
D) Promoting the community's "great smoke-out" smoking cessation event each year
E) Encouraging the school's administration to designate a single smoking area outside to limit nonsmokers' exposure to the smoke

Question 8

An elementary school student comes to school nurse's office reporting a headache. Which subjective data should the nurse prioritize in the nursing assessment? (Select all that apply.)

A) Where it hurts on the child's head
B) Whether the pain is constant, throbbing, or intermittent
C) What the child's temperature is on arrival
D) How bad the pain is on a scale of 1 to 10
E) The presence of a bruise on the child's forehead

Question 9

The community health nurse addresses cyber bullying in the local middle schools. Currently, there are no policies in place for this issue. Which is the most appropriate first step for the nurse to prioritize?

A) Explore current programs to prevent bullying and youth violence
B) Develop rules for acceptable and safe use of all electronic media for all students
C) Ban use of the internet at all schools
D) Actively monitor students' social media postings

Question 10

The history of school nursing can be traced back to 1902, when Lillian Wald was working in a New York City public school. Which problem was she predicting would decrease by providing school nursing services?

A) Nutrition deficiencies
B) Dental cavities
C) Excessive absenteeism
D) Seasonal allergies

Question 11

In 1975 the Education for All Handicapped Children Act was passed by Congress. Which impact did that act have on children?

A) Children with disabilities were provided tax-funded tutors for home education
B) Children with mental disabilities were entitled to a tax-funded education at a special education private school
C) Children with chronic or complex medical issues were entitled to a public education
D) Children with physical disabilities were provided grants to attend the college of their choice

Question 12

The new school nurse is excited to begin her career at the same school which she attended growing up. Which common problems should this school nurse be prepared to investigate in students? (Select all that apply.)

A) Vision impairment
B) Malignant melanoma
C) Attention deficit hyperactivity disorder (ADHD)
D) Scoliosis
E) Need for orthodontia

Question 13

A nursing student is considering a career as a school nurse. Which skills are required which combine practice type and decision making that this student must learn?

A) Collaborative practice and interdependent decision making
B) Autonomous practice and independent decision making
C) Collaborative practice and dependent decision making
D) Autonomous practice and interdependent decision making

Question 14

The school nurse is kept busy at the school with the large population of students. Which individual health assessment would a school nurse most likely perform throughout the year?

A) Immunization check
B) Assessment of a playground injury
C) Vision screening
D) Height and weight measurements

Question 15

The school board is interested in learning how the local elementary school policies compare with other schools in the state. Which is the best tool for the school nurse to recommend to determine the school's position?

A) Food-Safe Schools Action Guide
B) Health Education Curriculum Analysis Tool
C) Improving the Health of Adolescents and Young Adults: A Guide for States and Communities
D) School Health Index

Question 16

The school nurse is prepared to assist with health education as appropriate. Which health education interventions will the school nurse most likely perform? (Select all that apply.)

A) Teaching faculty members how to assess their students for upper respiratory illnesses
B) Teaching a student how and when to use her EpiPen
C) Teaching a sixth grade class about the consequences of cyber bullying
D) Counseling a student about tobacco use
E) Teaching a group of students with eating disorders about a healthy view of food

Question 17

The school nurse has noted a rise in the use of inhalants among some of the students and is concerned and planning an intervention. In which phase of a school-based substance abuse program is the information most likely to have meaning and applicability to students?

A) Inoculation
B) Primary
C) Early relevance
D) Tertiary

Question 18

The school is preparing to start a school-based substance use disorder program. Which is the most appropriate intervention to include in this program?

A) Integrating students' goals with those of a prevention program
B) Assessing the needs and interests of the group carefully after selecting a program
C) Designing a program that is knowledge based
D) Designing an interactive, behavior-focused program

Question 19

The school nurse is pleased to discover the number of adolescent pregnancies has decreased since starting an intervention program. Which strategies have been shown successful for preventing adolescent pregnancy? (Select all that apply.)

A) Responsible sexual behavior education
B) Abstinence education
C) Mandated religious education on sex practices
D) Contraceptive counseling
E) Confidential reproductive services

Question 20

The school nurse is preparing a health session on the best methods to prevent the spread of HIV. Which is one of the most important strategies recommended by the CDC for the nurse to include in the presentation?

A) Excluding students from school who have symptoms of sexually transmitted infections
B) Routinely screening all adolescents and adults aged 13 to 64
C) Requiring parents to take their adolescent children who have sexually transmitted infections for treatment
D) Keeping detailed records of all new cases of sexually transmitted infections in people aged 15 to 24 years

Question 21

The school has begun implementing recommendations from the CDC for improving the food environments of school-aged children and adolescents. Which methods have the school most likely implemented? (Select all that apply.)

A) Preserving social norms of adolescents
B) School-based prevention
C) Policy and regulatory strategies
D) Strategic use of media
E) Coordination of statewide and local activities