Deck 30: School Health

Question 1

The nurse was teaching refusal skills,coping with peer pressure,and avoiding certain situations.A group of parents visiting the school asked why the nurse was using their tax dollars to teach social skills.What might the nurse need to explain?

A)These skills help students avoid smoking,use of drugs,and early sexual intercourse.
B)The nurse was providing information that the teacher had requested.
C)The nurse was fulfilling state-mandated standards under the No Child Left Behind Act.
D)These students had been identified as being at high risk and needed this education.

Answer 1

These skills help students avoid smoking,use of drugs,and early sexual intercourse.

Question 2

What are today's children and adolescents more likely to confront as health problems in comparison with previous generations?

A)Problems resulting from alcohol and tobacco use
B)Problems resulting from sexually transmitted diseases
C)Problems resulting from high-risk behaviors
D)Problems resulting from communicable diseases

Answer 2

Problems resulting from high-risk behaviors

Question 3

What conclusions were drawn from the 2006 School Health Policies and Programs Study? (Select all that apply.)

A)Progress toward meeting goals had improved since the 2000 data was collected.
B)Progress toward meeting goals had declined since the 2000 data was collected.
C)Teachers delivering health education were appropriately prepared.
D)Teachers delivering health education were inadequately prepared.
E)The percentage of states mandating the adoption of health education standards decreased.
F)The percentage of states mandating the adoption of health education standards increased.

Answer 3

Progress toward meeting goals had improved since the 2000 data was collected.
Teachers delivering health education were inadequately prepared.
The percentage of states mandating the adoption of health education standards increased.

Question 4

What might be a school health nurse's concern regarding the No Child Left Behind Act?

A)The law does not meet local needs as the school boards perceive them.
B)The law is based on erroneous assumptions.
C)The law meets the needs of urban states but not rural ones.
D)The law will divert funds from health services and physical education.

Question 5

Which of the following primarily determines the school nurse's role in a community?

A)The community's priorities for its schools
B)The local school system's goals as influenced by federal and state legislation
C)The nurse practice act of the state in which the nurse practices
D)The employed nurse's education,credentials,and skill level

Question 6

A school nurse completed a needs assessment and concluded that illegal use of drugs,including alcohol and tobacco,was a major problem.What would be the nurse's first intervention?

A)Ask police officers to educate the students about the penalties for illegal drug use.
B)Create,with administrative support,a policy of no smoking while on school grounds.
C)Inform teachers that smoking on school grounds will not be tolerated.
D)Tell the local newspapers of the findings so that the media can inform parents.

Question 7

The school nurse reported suspected child abuse to the appropriate local authorities.The parents became very upset and stormed into the school,demanding a copy of all the records related to their child,including the health record that led the nurse to make such an accusation.What would be the nurse's best response?

A)"No;I will need to get permission from the principal before I release those records to you."
B)"No;you are unable to view these because school health records are not part of your child's educational record."
C)"Yes;as parents you have the right to your child's records,but you must allow me time to pull the records together."
D)"Yes;you have every right to a copy of the records,although not the originals,which must remain at the school."

Question 8

Why would a school nurse seek funds to implement a program to teach adolescents how to recognize depression and low self-esteem in their peers?

A)Funds are available for such mental health programs.
B)Such programs are a priority in Healthy People 2020.
C)The incidence of adolescents considering or attempting suicide is high.
D)The nurse has expertise in this area and wants to share this knowledge with others.

Question 9

What has been a traditional focus of school health programs since the 1980s?

A)Drug abuse
B)Environment
C)First aid and safety
D)Sexual behaviors

Question 10

In addition to being licensed as a registered nurse to practice in that state,what academic preparation is recommended for a school nurse?

A)A baccalaureate degree in any academic subject
B)A baccalaureate degree in nursing
C)A master's degree in nursing
D)An associate degree plus a certificate in school nursing

Question 11

A school nurse attended school-wide parents' meetings and gave a report on the health education courses currently being taught and some of the feedback from students in those courses.What would be the primary reason for the nurse to share such information on a regular basis?

A)To ensure job security in the future with all the school budget cuts
B)To convince the principal of the importance of having a school nurse on staff
C)To increase awareness and,it is hoped,support from the local community
D)To show progress in meeting state school standards

Question 12

Why would a school nurse encourage the school district to create a violence prevention program?

A)A government-endorsed teaching unit that focused on this topic is available.
B)Additional funds are being offered in the state to provide this educational program.
C)The prevalence of violence,including homicide,among adolescents is recognized.
D)High-risk behaviors are common among adolescents.

Question 13

A nurse is working with nonprofessional staff in the school setting.Which of the following actions is important for the nurse to take?

A)Writing grants for funds to support the use of nonprofessional staff in the school
B)Engaging in political action to educate legislators about the need for funding for school health
C)Keeping records that document training and ongoing evaluation of the nonprofessional staff
D)Providing direct care services as needed for the children and staff in the school system

Question 14

What was the primary reason why Lillian Wald was able to develop the practice of school nursing in this country in the early twentieth century?

A)Concern over the increasing number of school absences
B)Expansion of public health care from adults to children
C)Government mandate to have nurses in the schools
D)Additional funds available to finance health care in school systems

Question 15

What would a nurse who is aware of national statistics regarding mortality,morbidity,and epidemics in the United States emphasize at school meetings for parents and staff?

A)Dangers of bioterrorism and how staff must be prepared for disasters
B)How to react in the safest manner if violence breaks out in the school
C)Importance of not sharing personal items to avoid spread of infections and parasites
D)Need for physical exercise for each student on a daily basis

Question 16

What would be the school nurse's primary goal when choosing to teach a class about the importance of daily physical activity?

A)Fulfilling federal legislation requirements
B)Fulfilling state legislation requirements
C)Helping the children avoid disease and injury
D)Motivating the children to promote their own health and well-being

Question 17

Which of the following would be considered a key element of a comprehensive school health education program?

A)Offering daily physical education classes
B)Ensuring safety on the school playground
C)Involving parents and the community members in health education programs
D)Facilitating a well-balanced diet through the school lunch program

Question 18

Which of the following situations would be the best time for the school nurse to engage in informal teaching?

A)When a student asks a question,thereby creating a teachable moment
B)When a written request is submitted by a classroom teacher
C)When parents have requested information on a particular topic
D)When the principal has concluded that specific content should be added to the curriculum

Question 19

Although originally school nursing's purpose was preventing the spread of contagious diseases,what additional responsibility was quickly added?

A)Incorporating health education into the curriculum
B)Replacing physicians for those children whose parents could not afford a physician
C)Substituting for classroom teachers when the teacher was ill
D)Teaching safety,first aid,and universal precautions to teachers

Question 20

Why might the school nurse want to examine students' academic achievement?

A)Academic failure is a risk factor for adolescent drug use.
B)Some teachers may need the nurse's help to be effective in health education.
C)Students are easier to teach if divided into groups by academic ability.
D)The nurse may want to discuss the failure with the student's family and friends.

Question 21

What would be the school nurse's motivation for educating adolescent girls about self-esteem and body image? (Select all that apply.)

A)Body image is strongly related to a tendency to engage in bullying and verbal violence.
B)Bulimia is associated with major depression.
C)Disturbed eating patterns are associated with distorted body image and low self-esteem.
D)Eating disorders have the highest mortality rate of any psychiatric disorder.
E)Obesity is strongly related to distorted body image.
F)Obsessive-compulsive disorder commonly accompanies anorexia.

Question 22

What findings would be expected if a school nurse collected data related to the health issues experienced by students? (Select all that apply.)

A)Almost half of all high school students have had sexual relations.
B)Asthma is a common cause of absenteeism.
C)Dental caries is the most common chronic health problem of children.
D)Children may be psychologically affected by skin disorders that affect their physical appearance.
E)Scabies and pediculosis necessitate that the student stay home.
F)Tinea capitis and impetigo are major contributors to absenteeism.