Chapter 22 Care of School Populations

Chapter 22   Care of School Populations

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) 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?

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

Answer:  3

Explanation:  3. A school health program that reduces school absenteeism could lead to better academic outcomes because the students are in the classroom more. While the students will probably learn healthy lifestyles, it does not necessarily result in better academic outcomes. There is no indication that the student body lives in an area that has a better health profile. There is also no indication of parental involvement in this program.

Nursing/Int.Conc:  Nursing Process: Evaluation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  22-1

2) 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?

1. Reinforce to the teachers the importance of teaching health concepts.
2. Plan to assume all teaching responsibilities for health in the school.
3. Ask for parental involvement to help teach health concepts.
4. Modify the program to include strategies to teach health in the classroom and the home.

Answer:  4

Explanation:  4. In order for a school health program to succeed, there needs to be involvement on all levels: in the classroom, in the home, and in the community. If program outcomes are not being achieved, the program needs to be modified so that teaching occurs in the classroom and the home. One person cannot hold the responsibility for teaching and reinforcing health concepts. Reinforcing to the teachers the importance of teaching health creates another burden upon them. Expecting the school nurse to assume all teaching responsibilities will quickly create burnout, and may create a neglect of other school nurse responsibilities. Asking for parental involvement to teach health concepts is a partial solution, but the better solution is an integrated approach.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  22-2

3) 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.)

1. Case finding and case management.
2. Counseling and referrals to other services.
3. Staff health promotion.
4. Parental, student, and community involvement in school activities.
5. Reviewing health policies in the community.

Answer:  1, 2, 3, 4

Explanation:  1. An integrated school health program involves case finding and case management, counseling and referrals to other services, staff health promotion, and parental, student, and community involvement in school activities in addition to monitoring physical education activities at the school and the nutrition of the meals provided there. Reviewing community health policies is not a school nurse responsibility.

2. An integrated school health program involves case finding and case management, counseling and referrals to other services, staff health promotion, and parental, student, and community involvement in school activities in addition to monitoring physical education activities at the school and the nutrition of the meals provided there. Reviewing community health policies is not a school nurse responsibility.
3. An integrated school health program involves case finding and case management, counseling and referrals to other services, staff health promotion, and parental, student, and community involvement in school activities in addition to monitoring physical education activities at the school and the nutrition of the meals provided there. Reviewing community health policies is not a school nurse responsibility.
4. An integrated school health program involves case finding and case management, counseling and referrals to other services, staff health promotion, and parental, student, and community involvement in school activities in addition to monitoring physical education activities at the school and the nutrition of the meals provided there. Reviewing community health policies is not a school nurse responsibility.

Nursing/Int.Conc:  Nursing Process: Planning

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  22-2