Deck 29: School Health

Question 1

Which of the following led to school nurses moving beyond the role of screening, assessment, intervention, and exclusion of children for communicable diseases?

A) A communicable disease outbreak, which led to the requirement that all children be vaccinated against common infectious diseases
B) Federal legislation, which required immunizations for communicable diseases
C) Political movements such as temperance, which led schools to educate about the effects of alcohol and tobacco
D) The need for inspecting schools to identify children who were ill and exclude them until they were no longer infectious

Answer 1

Political movements such as temperance, which led schools to educate about the effects of alcohol and tobacco

Question 2

Which of the following health problems has been reduced in school-aged and adolescent children?

A) Chronic diseases (such as asthma or diabetes)
B) Contagious diseases
C) Sexually transmitted diseases (STDs)
D) Stomach flu (viral gastroenteritis)

Answer 2

Contagious diseases

Question 3

Which of the following medications can a school nurse expect to most frequently administer?

A) Analgesics and antipyretics
B) Antibiotics
C) Antitussives
D) Anticonvulsants
E) Attention-deficit hyperactivity disorder (ADHD) medications

Answer 3

Attention-deficit hyperactivity disorder (ADHD) medications

Question 4

Which of the following is the most commonly used drug among children and adolescents in the United States?

A) Alcohol
B) Marijuana
C) Methamphetamine
D) Cocaine
E) Steroids

Question 5

Which of the following is the most commonly used illegal drug among children and adolescents in the United States?

A) Inhalants
B) Marijuana
C) Methamphetamine
D) Cocaine
E) Steroids

Question 6

In addition to their homes, where are children most likely to be injured?

A) At entertainment sites (theaters, amusement parks)
B) At school, especially on playgrounds
C) At their part-time job settings
D) Transportation (automobiles, school buses)

Question 7

Which of the following is one of the most frequent health complaints of school-aged children?

A) Anxiety over grades
B) Dental caries
C) Headaches in response to stress
D) Stomachaches

Question 8

A principal called the school nurse into his office and asked, "Will this student be able to attend our school?" after handing over the medical record of a severely handicapped prospective student. Which of the following would be the most appropriate response by the nurse?

A) "Legally all students have a right to public education in the least restrictive environment possible, so let me think how we can manage."
B) "The student clearly won't be comfortable here; other students can be so cruel. Let me talk to the student's family."
C) "There are schools that specialize in the care of the severely handicapped. Let me get in touch to see if one of those schools has the needed resources."
D) "This student is so handicapped there is no way to manage the needed care; the family needs a home schooling teacher."

Question 9

A school health nurse was concerned about the diagnosed eating disorders of three high school students. A nutrition and body image program was planned. Which of the following classes should receive the program first?

A) Elementary school grades 4, 5, and 6
B) Grades 7, 8, and 9
C) High school grades 10, 11, and 12
D) Kindergarten students

Question 10

Which of the following health problems continues to increase in school-aged and adolescent children?

A) Contagious diseases
B) Obesity and related problems (diabetes)
C) Sexually transmitted diseases (STDs)
D) Stomach flu (viral gastroenteritis)

Question 11

Which of the following best describes why the numbers of children seen by the school health nurse is increasing?

A) Higher expectations for performance by parents and school administrators
B) Increasing school enrollments
C) Lack of another source of regular health care
D) Overcrowding within the community

Question 12

The new principal stopped the school nurse in the hall and said, "I need to get oriented here. We seem to have a lot of handicapped children. Please make me a copy of their medical records so I can be prepared to meet with the parents if they come in." Which of the following is the most appropriate response by the nurse?

A) "I'd be happy to help you get oriented to our students. I'll prepare a summary of our special students' needs and problems for you."
B) "I'm so happy to hear of your interest; I'll get those records to you immediately."
C) "I'm glad you're interested. Student health records are confidential, but I'll give you a schoolwide overview without any identifying data."
D) "Let me check our school board policies regarding sharing of information and get back to you."

Question 13

Which of the following legislation marked the first entry of the federal government into school health?

A) The Drug-Free Schools and Community Act
B) The Education for the Handicapped Act
C) The National School Lunch Program
D) The Safe and Drug Free Schools and Communities Act

Question 14

Which of the following best explains why the school nurse and the principal athletic director of the school would frequently be working together?

A) As neither are teachers, each is susceptible to job layoffs if the community school tax levy does not pass.
B) As support staff to teachers, they have many mutual problems in communicating how they can help teachers be more successful.
C) Both are extremely concerned with the typical student's low amount of physical exercise and want to create an intervention plan.
D) Both have to create a budget plan and allocate funds for their department for the year.

Question 15

Every day a child came into the school nurse's office with vague complaints, but sometimes it seemed to the nurse that the child just wanted to talk and be listened to for a while. Unfortunately, the child took up almost 15 minutes of the nurse's very busy day. Which of the following actions should be taken by the nurse?

A) Ask a staff person to talk with the child so the nurse could complete required tasks
B) Continue to listen while assessing for possible underlying problems
C) Refer the child to a private physician for follow-up on the constant physical symptoms the child presented
D) Talk to the teacher about not letting the child leave the classroom unless obvious symptoms (fever, vomiting) of illness were present

Question 16

Which of the following is the single leading preventable cause of death in the United States?

A) Alcohol
B) Firearms (guns)
C) Overweight and obesity
D) Tobacco use

Question 17

Which of the following does the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) service include in its routine screening that may not be included in a typical private physician preschool physical?

A) Comprehensive health and developmental history
B) Immunizations
C) Laboratory testing
D) Lead toxicity screenings
E) Unclothed physical examination

Question 18

A school nurse was responsible for five schools. To give students required medications during the day, the school nurse teaches a particular office staff member in each school exactly what to give to whom and when, and they practice until both are comfortable. Which of the following remains as the nurse's responsibility in relation to the administration of medications?

A) To begin teaching a second person at each school because the original staff member might occasionally not be available to give the medications
B) To confirm with each student that they do not mind obtaining their medication from the staff person assigned to the task
C) To continue to evaluate the comfort level of the staff person in completing the task
D) To systematically continue with assessment, diagnosis, goal setting, and evaluation of student health needs

Question 19

The school nurse only had the resources for one education program for all the schools' teachers and support staff. Which of the following topics would be the most important to address in this program?

A) Asthma
B) Diabetes
C) Epilepsy
D) Measles and mumps

Question 20

Which of the following best describes how Lillian Wald helped encourage the idea of school nurses in the schools?

A) She brought political pressure to bear on school boards through her political action movement.
B) She persuaded very wealthy women to convince their husbands to fund such positions.
C) She demonstrated that school nurses decreased absenteeism by 50%.
D) She used volunteer nurses until school boards were persuaded to fund such positions.

Question 21

In a nationwide survey, which of the following was identified by school health nurses as the most crucial research priority for their specialty?

A) Emergency preparedness
B) Health education
C) Obesity and nutrition
D) Role of the school health nurse

Question 22

A community health nurse is assigned to cover a school health office when the school's nurse is ill. A child is waiting for the nurse's arrival, saying a particular medication is needed. Which of the following can the nurse expect to find in the school health office? (Select all that apply.)

A) A nursing policy book with standing orders and nursing protocols
B) Medications clearly labeled with student name, as well as typical medication information (e.g., name, dose)
C) Approval from the student's teacher for the student to see the nurse for the medication each day
D) The student's written assent for the medication to be administered when requested
E) Written request from a health care provider for that student to receive that medication
F) Written request from the student's parents for the specific medication to be administered

Question 23

A student had been absent 4 days out of the last 3 weeks. When the school nurse asked what was wrong, the student replied, "Headaches" in a rather angry tone. The student had previously been heard to complain that school was boring and it was hard to concentrate on such dumb stuff. Which of the following actions would be most appropriate for the nurse to take next?

A) Emphasize the importance of completing school for lifelong success
B) Express concern that the student was under a lot of stress and offer to help if possible
C) Meet with the student's parents to discuss the headaches and the school absences
D) Refer the student to a neurologist for a workup to see what is causing the headaches

Question 24

A female coach walks into your office and shares that one student concerns her. The student will not change into her gym clothes and does not seem to "move right." Which of the following actions would be most appropriate for the nurse to take next?

A) Call the student into your office and discuss the importance of physical education to one's health
B) Meet with the student and ask directly about sexual or physical abuse
C) Offer to attend the next physical education class and talk to the student
D) Point out how female adolescents are very concerned over body image and are usually embarrassed by their own lack of perfection, and suggest the coach be more understanding

Question 25

A new school nurse was concerned about being accepted, as the previous nurse had been at the school for more than 20 years. Which of the following would be the best approach for the nurse to take?

A) Do the best job possible of revising policies and approaches to reflect current information and trends
B) Put all the nurse's credentials (degrees, certifications) in an obvious spot in the health office
C) Set up workshops on exercise, nutrition, and weight management and perhaps ongoing blood pressure screenings for school staff
D) Spend time with each student, making sure the students all think she is very helpful

Question 26

Which of the following variables create differences from school to school regarding the health services that are available? (Select all that apply.)

A) Community resources
B) National statistics on health problems
C) School leadership preferences
D) State legislative requirements
E) Students' needs
F) Teacher preferences

Question 27

Which of the following screenings are typically administered in the school setting? (Select all that apply.)

A) Blood pressure
B) Chest x-ray
C) Cholesterol and blood glucose
D) Height and weight
E) Scoliosis
F) Visual and hearing acuity

Question 28

A school nurse is conducting a program with high school students about adolescent sexuality. Which of the following information would the school nurse most likely include?

A) Abstinence is the only way to avoid pregnancy and sexually transmitted diseases.
B) Resources are available for assisting teenage parents with, for example, maternity clothing and baby needs.
C) There are many sources of free or very-low-cost birth control measures.
D) Teenage mothers are less likely to complete high school and often remain single and live in poverty.
E) Abortion is dangerous, is illegal in most areas, and can result in lifelong sterility.

Question 29

Everyone in a high school was very upset over the fact that one of the students had shot and killed another student. The nurse decided this was an appropriate time to establish a program to help prevent violence. Which of the following groups of students should receive the program first?

A) Elementary school grades 4, 5, and 6
B) Grades 7, 8, and 9
C) High school grades 10, 11, and 12
D) The students who knew the victim and his assailant

Question 30

Everyone is talking about the disaster that has been widely seen on the news programs. Which of the following suggestions would be most appropriate for the nurse to make at this time?

A) That this opportunity should be used to discuss how to be brave in a crisis.
B) That programs in collaborative problem solving should be created for students and staff.
C) That the staff should reassure students that such a disaster would not occur here.
D) That the school should develop an emergency management plan.

Question 31

Which of the following best describes how schools can determine what their school health education priorities should include? (Select all that apply.)

A) Provide opportunities for students to practice decision-making skills
B) Choose priorities according to which behaviors lead to avoidable problems
C) Make priorities consistent with the six topics identified by Healthy People 2020
D) Determine priorities by the education and expertise of the local school nurse
E) Select priorities according to parent and student interests
F) Decide on priorities based on whatever funding sources are willing to fund