Chapter 19: Health Planning for School Settings

Chapter 19: Health Planning for School Settings

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse is assessing the health education program at the elementary school (grades K–5). Which of the following is not a criteria of a quality health education program?

A.	A specially-trained health teacher teaches the program.
B.	The program is run for kids in second through fifth grade.
C.	The health education program includes information about substance use and abuse.
D.	The health education curricula addresses the physical, emotional, social, and mental health of its students and families.

 

 

ANS:  A

Objective: 3. Describe the components of a coordinated school health program.

1. 450-451

Heading: Coordinated School Health Programs > Health Education Component

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Assessment; Nursing; Promoting Health

Difficulty: Moderate

 

	Feedback
A	This statement is correct. Teachers who are specially trained and qualified to teach health education programs should be teaching health classes.
B	This statement is incorrect. Health programs should run from kindergarten through 12th grade.
C	This statement is correct. Health education programs should include information about substance use and abuse, sexuality, nutrition, family health, community health, mental health, injury prevention, and safety.
D	This statement is correct. Health education curricula addresses the physical, emotional, social, and mental health of its students and families.

 

 

PTS:   1                    CON:  Assessment | Nursing | Promoting Health

 

2. A school nurse recently accepted a position with a Title I school. In addition to the regular role as the school nurse, the position will also include:

A.	Sexually transmitted infection (STI) testing
B.	Treatment of some communicable diseases
C.	Management and evaluation of some chronic health conditions
D.	Early pregnancy care

 

 

ANS:  A

Objective: 3. Describe the components of a coordinated school health program.

1. 450-451

Heading: Coordinated School Health Programs > Health Education Component

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Assessment; Nursing; Promoting Health; Sexuality

Difficulty: Moderate

	Feedback
A	This is correct. Title I schools receive federal funding through the No Child Left Behind Act. School health centers are able to provide primary care, mental health services, immunizations, and STI testing.
B	This is incorrect. Title I schools receive federal funding through the No Child Left Behind Act. School health centers are able to provide primary care, mental health services, immunizations, and STI testing. They do not treat communicable diseases.
C	This is incorrect. Title I schools receive federal funding through the No Child Left Behind Act. School health centers are able to provide primary care, mental health services, immunizations, and STI testing. They do not manage chronic health conditions.
D	This is incorrect. Title I schools receive federal funding through the No Child Left Behind Act. School health centers are able to provide primary care, mental health services, immunizations, and STI testing.

 

 

PTS:   1                    CON:  Assessment | Nursing | Promoting Health | Sexuality

 

3. A school nurse is reviewing the vaccination records of the students. Several kids 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.
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.

 

 

ANS:  A

Objective: 5. Discuss other school nursing interventions focused on health teaching, advocacy, and policy development.

1. 454-455

Heading: Public Health Interventions and School Nursing Roles > Surveillance and Vaccinations

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Immunity; Nursing; Promoting Health; Critical Thinking

Difficulty: Moderate

	Feedback
A	This is correct. The parents should be informed so they can coordinate with their child’s pediatrician if the additional vaccines are needed.
B	It is not appropriate to have the students removed from class. The nurse should call the parents and inform them of the needed vaccine.
C	In most school districts, the parents do have the right to refuse vaccinating their child, but the parents will likely need to sign a waiver and file it with the school.
D	It is not appropriate for the nurse to administer vaccinations without an order from the child’s physician. There may be a medical reason why the child has not received a particular vaccine. Instead, the nurse should call the parents and inform them.

 

 

PTS:   1                    CON:  Immunity | Nursing | Promoting Health | Critical Thinking

 

4. A parent has called the school nursing office to inquire about which vaccinations are recommended by the school for her preteen daughter. The nurse responds with:

A.	Influenza
B.	Pneumococcal and dTAP
C.	Meningococcal, Varicella, and influenza
D.	Meningococcal, dTAP, and HPV

 

 

ANS:  D

Objective: 5. Discuss other school nursing interventions focused on health teaching, advocacy, and policy development.

1. 454-455

Heading: Public Health Interventions and School Nursing Roles > Surveillance and Vaccinations

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Immunity; Nursing; Promoting Health

Difficulty: Moderate

	Feedback
A	An influenza vaccine is always recommended, but it’s the MCV4 (meningococcal conjugate vaccine), dTAP, and HPV vaccines that are recommended as boosters for preteen boys and girls.
B	MCV4, dTAP, and HPV are the recommended boosters for preteens. Pneumococcal is not recommended for the general preteen population.
C	An influenza vaccine is always recommended. MCV4 is also one of the recommended boosters. Pneumococcal is not necessary for preteens. In addition to MCV 4, dTAP, and HPV are recommended.
D	This is correct. MCV4, protects against meningococcal disease. In addition, dTAP, which protects against tetanus, diphtheria, and pertussis, and HPV, which protects against the virus that causes genital warts, are recommended for young women and men.

 

 

PTS:     1          CON:   Immunity | Nursing | Promoting Health