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?

Accepted Answer

A safe and supportive learning environment is closely linked to the social and emotional climate of the school, which includes practices and policies that promote positive behavior, mental health, and a sense of belonging among students.

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.)

Accepted Answer

A, B, D

Question 3

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

Accepted Answer

A, B, C

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.)

Accepted Answer

The answer of The Youth Risk Behavior Surveillance Survey (YRBSS)...

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.)

Accepted Answer

These actions involve advocating for the child's health needs and ensuring their safety and well-being, such as influencing policy for better health options, educating the child on managing their condition, and training staff to respond appropriately to medical emergencies.

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?

Accepted Answer

Scheduling a conference with the client's parents to collaboratively manage her blood glucose level and encourage healthy food choices is the most appropriate action. It involves family support and education, which are crucial for managing type 2 diabetes in children.

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.)

Accepted Answer

Starting a cessation program, having an expert speak about hazards, and promoting community events are proactive and educational interventions to address smoking.

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.)

Accepted Answer

The nurse should prioritize subjective data that describes the child's experience of the headache, such as the location (A), the nature of the pain (B), and the intensity (D). These details help in assessing the headache's characteristics and potential causes.

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?

Accepted Answer

Exploring current programs to prevent bullying and youth violence is the most appropriate first step. It allows the nurse to understand existing efforts and gaps in addressing bullying, including cyberbullying, and to build upon or integrate with these efforts for a comprehensive approach.

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?

Accepted Answer

Lillian Wald predicted that providing school nursing services would decrease excessive absenteeism by addressing health issues that kept children out of school, thus improving their overall health and ability to attend school regularly.

Question 11

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

Accepted Answer

The Education for All Handicapped Children Act of 1975 mandated that all public schools accepting federal funds must provide equal access to education for children with physical and mental disabilities, effectively entitling children with chronic or complex medical issues to a public education.

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.)

Accepted Answer

School nurses are often involved in screening for vision impairment, identifying potential cases of ADHD through observation and communication with teachers, and checking for scoliosis during physical assessments. Malignant melanoma and the need for orthodontia are typically outside the primary scope of school nursing responsibilities.

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?

Accepted Answer

School nurses often work independently in their settings, requiring autonomous practice and the ability to make independent decisions regarding student health and emergency situations.

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?

Accepted Answer

The answer of The school nurse is kept busy at...

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?

Accepted Answer

The School Health Index is the best tool for assessing how a school's health policies and programs measure up against recommended health practices, making it ideal for comparing the local elementary school's policies with other schools in the state.

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.)

Accepted Answer

The school nurse is likely to perform health education interventions that involve direct education and counseling on health-related topics, such as teaching students about the use of medical devices like EpiPens, discussing the consequences of cyberbullying, counseling on tobacco use, and educating about healthy eating habits. Teaching faculty to assess for illnesses is typically not within the scope of a school nurse's educational interventions.

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?

Accepted Answer

The "Early relevance" phase is most effective for addressing substance abuse issues like inhalant use among students because it targets them at a time when the information is directly applicable to their lives, making it more likely to resonate and influence their behavior. This phase focuses on providing relevant information and intervention strategies before or during the initial stages of substance use, making it more impactful.

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?

Accepted Answer

Interactive, behavior-focused programs are more effective in engaging students and promoting behavioral change, which is crucial for substance use prevention.

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.)

Accepted Answer

Responsible sexual behavior education, abstinence education, contraceptive counseling, and confidential reproductive services have all been shown to be effective strategies in preventing adolescent pregnancies. These approaches provide adolescents with the knowledge and resources they need to make informed decisions about their sexual health. Mandated religious education on sex practices is not universally recognized as an effective strategy for preventing adolescent pregnancies, as effectiveness can vary greatly depending on the context and the way the education is implemented.

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?

Accepted Answer

Routinely screening all adolescents and adults aged 13 to 64 is a key strategy recommended by the CDC for HIV prevention. This approach helps in early detection and treatment, thereby reducing the spread of the virus.

Quiz 22: School Health