Deck 22: Care of School Populations

Question 1

The nurse is aware that most of the students prefer the fried food choices in the school cafeteria and that the many of the students are considered overweight by body mass index (BMI) standards. Strategies that the nurse can employ to ameliorate this concern include: (Select all that apply.)

A) Demanding that the food staff eliminate all fried foods.
B) Working with the food staff on menu planning and including healthier choices.
C) Presenting programs to the students about nutrition and healthy choices.
D) Presenting programs to families at parent-teaching association (PTA) meetings about school nutrition.
E) Assigning mandatory exercise programs to all students whose BMI's are considered overweight.

Answer 1

Working with the food staff on menu planning and including healthier choices.
Presenting programs to the students about nutrition and healthy choices.
Presenting programs to families at parent-teaching association (PTA) meetings about school nutrition.

Question 2

The nurse being interviewed for a position at a local school expects that the position responsibilities will entail screening, monitoring immunization status, and performing minor first-aid duties. However the nurse is surprised to learn that other duties include: (Select all that apply.)

A) Case finding and case management.
B) Counseling and referrals to other services.
C) Staff health promotion.
D) Parental, student, and community involvement in school activities.
E) Reviewing health policies in the community.

Answer 2

Case finding and case management.
Counseling and referrals to other services.
Staff health promotion.
Parental, student, and community involvement in school activities.

Question 3

The nurse performs vision and hearing screening at the school to identify students who may need referrals for further testing. A responsibility of the nurse in screening is to:

A) Monitor that students who need glasses wear them.
B) Send letters home to parents reminding the students to wear the glasses.
C) Follow up on referrals made to determine outcomes for those students with vision or hearing problems.
D) Ask the teachers if they are aware of any other problems with students in the classroom.

Answer 3

Follow up on referrals made to determine outcomes for those students with vision or hearing problems.

Question 4

A ventilator-dependent student joins the school and does not need a personal care attendant. Before providing care to the student, the nurse should:

A) Research tracheostomy-suctioning procedures.
B) Teach the teacher how to provide appropriate tracheostomy care.
C) Review the student's Individualized Health Care Plan (IHP) for other aspects of care that the student may need in addition to tracheostomy care.
D) Ask to have a joint conference with the parents, teachers, and school administrators about caring for this student.

Question 5

The nurse works in a school that is designated for students with special needs in the district. An important consideration specific to this population is to ensure that these students:

A) Receive an annual flu immunization.
B) Are able to have sufficient time at lunch to eat.
C) Have physical education activities like all students.
D) Have personal care attendants.

Question 6

The population health nurse at an elementary school in the community has developed an integrated program of health promotion and health surveillance, which has resulted in much lower rates of student absence than other similar schools in the community. What is the best conclusion to draw from this?

A) Students are living in a healthier neighborhood in this school district.
B) This student body has more effectively learned about healthy lifestyles.
C) Lower absenteeism may result in a better academic achievement.
D) Good parental involvement has contributed to this success of this program.

Question 7

The school nurse is completing a Continuous Quality Improvement Tool for School-based Health Centers. What should the nurse identify as sentinel events for high school students? (Select all that apply.)

A) Alcohol use.
B) Depression risk.
C) Risk for violence.
D) Sexually transmitted infections (STI).
E) After school employment hours.

Question 8

A local nursing program has contracted with an elementary school to conduct health teaching. As the school year closes, the nursing students plan to do one last health teaching program. What would be the most appropriate topic the nursing students should choose?

A) Alcohol and nutritional supplements.
B) Hand washing and hygiene.
C) Sun, bike, and outdoor safety.
D) Sexually transmitted diseases.

Question 9

The nurse at the local high school is aware that students are particularly vulnerable during this developmental stage to many health challenges. What is an appropriate priority topic to support student self-development?

A) Educate about sexually transmitted diseases.
B) Provide strategies to minimize stress and promote self-esteem.
C) Hold in-service programs for teachers to identify students at risk.
D) Collaborate with the local mental health agency to refer students at risk.

Question 10

A student joins the school and the parent tells the nurse that the child has a learning disability. The nurse should ask the parent if the child has:

A) Other conditions that the nurse should be aware of.
B) An Individualized Education Plan (IEP).
C) Difficulty in making new friends.
D) Special equipment needs.

Question 11

The school nurse is beginning an evaluation of the school-based health center as part of a school district annual report. Which tools should the nurse use that includes the eight components of the CDC model of a coordinated school health program? (Select all that apply.)

A) School Health Index (SHI).
B) Healthy School Report Card.
C) Health People 2020 objectives.
D) Health Education Curriculum Analysis Tool.
E) Physical Education Curriculum Analysis Tool.

Question 12

In the program that the school nurse developed to teach children about health, the teachers assume responsibility for teaching the health principles. The nurse becomes aware that program outcomes are not being achieved. What should the nurse do to resolve this?

A) Reinforce to the teachers the importance of teaching health concepts.
B) Plan to assume all teaching responsibilities for health in the school.
C) Ask for parental involvement to help teach health concepts.
D) Modify the program to include strategies to teach health in the classroom and the home.

Question 13

A student has been diagnosed with a pulmonary condition that necessitates the use of continuous oxygen. The student's family has limited means and expresses concerns about being able to pay for the use of the oxygen. An important action the nurse can take is to:

A) Listen to the parents and express concern.
B) Educate the teachers about positioning the student for the most effective oxygen consumption.
C) Educate the school staff about the student's condition.
D) Refer the parents to the American Lung Association for possible financial help.

Question 14

The majority of the student population at an inner city school is African American. The nurse should be alert to the number of students:

A) With sickle cell disease.
B) With asthma.
C) Who are overweight.
D) Who come from single parent homes.

Question 15

The local school board has allowed students with certain chronic conditions to have their medications with them at all times. Which situation should the nurse be particularly alert to?

A) The child with ADHD should take the appropriate medication at the appropriate time.
B) The child with diabetes has a tube of glucagon in his or her backpack.
C) The child with asthma knows how to correctly use the inhaler.
D) The child with a neurogenic bladder is able to self-catheterize.

Question 16

After receiving a report from a teacher regarding a student who was previously outgoing and doing well in the classroom but is now appearing withdrawn, the nurse assesses the student. The nurse becomes aware that there is a possibility that abuse is happening in the home and notifies the appropriate agencies. In this example, the nurse is:

A) Making an appropriate referral to ensure the health and safety of the student.
B) Refusing to become involved in a domestic affair.
C) Acting outside of the scope of practice.
D) Releasing any further obligation to the student.