Deck 19: Health Planning for School Settings

Question 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. 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.

A)The needs of the student
B)The complexity of the task
C)The American Nursing Association scope and standards of nursing practice
D)The state regulations
E)The stability of the student

Answer 1

The needs of the student
The complexity of the task
The state regulations
The stability of the student

Question 2

A school nurse is reviewing the vaccination records of the students. Several children 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 until the parents bring proof of the immunizations.
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.

Answer 2

Call the parents and inform them that their child is missing some vaccinations and explain the importance of staying current with the vaccination schedules.

Question 3

A school nurse recently accepted a position to run a school-based health center. At the center she will be able to do all but which of the following?

A)Treatment for tuberculosis (TB)
B)Acute care evaluation
C)Noncommunicable disease management
D)Sexually transmitted infection (STI) testing

Answer 3

Treatment for tuberculosis (TB)

Question 4

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, though cleaned frequently, is in a very old building. What steps could the nurse take? Select all that apply.

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 10 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 her colleagues within the school to develop a practical plan for addressing air quality in the school.
D)Send letters home to the parents of affected kids requesting follow-up with their pediatricians.
E)Secure funding to increase the number of cleaning personnel for the school.

Question 5

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?

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.

Question 6

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.

Question 7

A high school nurse is putting together a proposal to develop several new programs for the school over the coming years that are in line with Healthy People 2020. Which of the following match the Healthy People 2020 objectives? Select all that apply.

A)Create a wellness checkup program encouraging all students to have a yearly check-up.
B)Create an I Love Math program.
C)Improve the quality of the school lunch program.
D)Start a school breakfast program.
E)Create an after-school art in the school yard program.

Question 8

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.

Question 9

A school nurse is assessing the health education component of the coordinated school health program at one of the elementary school she covers. Which of the following is not a part of this component?

A)A qualified trained person teaches the program.
B)The program is run for children in first through fifth grade.
C)It assists students in maintaining and improving health.
D)The comprehensive health education curriculum addresses the physical, emotional, social, and mental health of its students and families.

Question 10

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 antibullying campaign.

Question 11

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. The nurse should speak with the physician about prescribing attention deficit hyperactive disorder (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.

Question 12

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.

Question 13

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.

Question 14

A school nurse has just started working at the middle school grades 6 through 8 after working in the K through 5 level schools. She is reviewing vaccinations for preteens and realizes that the following are specifically recommended for this age group:

A)Influenza.
B)Pneumococcal and Tdap.
C)Meningococcal, varicella, and influenza.
D)Meningococcal, Tdap, and HPV.

Question 15

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

Question 16

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. 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."

Question 17

A school 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

Question 18

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