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Chapter 31: The Nurse in the Schools

Foundations of Nursing in the Community, 3rd Edition Stanhope, Lancaster

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Chapter 31: The Nurse in the Schools

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Many school nurses are not able to meet the goal of ensuring that all children receive needed health care in the schools. What is the most likely reason this goal is unmet?
a. There is a shortage of baccalaureate-prepared nurses with national school health nurse certification.
b. Most nurses prefer to be employed in hospitals giving direct care.
c. Most school districts are unable to afford a nurse in every school.
d. School districts and taxpayers see no need for nurses in schools.

 

 

ANS:   C

Healthy People 2010 states there should be one nurse for every 750 children in each school. In 1994, less than 30% of the nation’s schools met that standard. Having fewer nurses in the schools means that the nurses are expected to perform many different functions. Therefore they are unable to give the amount of comprehensive care that the students need. IDEA Act requirements and the CDC health recommendations suggest that there be a school nurse at all times in every school. Lack of school financing has interfered with this goal.

 

DIF:    Cognitive Level: Knowledge             REF:    p. 581

 

  1. A school health nurse is requested by the board of education to assist in choosing new playground equipment for an elementary school that meets safety standards. What is the nurse’s role in this scenario?
a. Case manager
b. Consultant
c. Counselor
d. Health educator

 

 

ANS:   B

The school nurse is the person best able to provide health information to school administrators, teachers, and parent-teacher groups. As a consultant, the school nurse can provide professional information about proposed changes in the school environment and their effect on the health of the children. The nurse also can recommend changes in the school’s policies or ask community organizations to help make the children’s schools healthier places.

 

DIF:    Cognitive Level: Application             REF:    p. 582

 

  1. At the annual community health fair, the school health nurse offers a science booth that examines the hazards of ineffective handwashing. What is the nurse’s role in this scenario?
a. Consultant
b. Community outreach
c. Counselor
d. Researcher

 

 

ANS:   B

When participating in community outreach, nurses reach out to residents in the community. One common way this occurs is when nurses are involved in activities such as community health fairs or festivals in the schools.

 

DIF:    Cognitive Level: Application             REF:    p. 582

 

  1. Why are school nurses involved in helping teachers with the task of teaching children how to practice problem solving, communication, and other life skills?
a. Teacher shortages have required nurses to be increasingly involved in teaching life skills.
b. Because so many nurses want to be employed in schools, this responsibility was assumed to increase employment opportunities.
c. States are requiring nurses to screen and to teach life skills.
d. Nurses have been enlisted in this role to help reduce risk factors for future health problems in school children.

 

 

ANS:   D

School health nurses were originally involved in this capacity in 1987 after the CDC began funding schools for HIV-prevention education programs. This program was so successful that it was expanded to include programs to teach children prevention of other chronic illnesses caused in part by risk factors such as poor diet, lack of exercise, and smoking. The schools are actively involved in helping the children practice problem solving, communication, and other life skills so that they can reduce their risk factors for health problems.

 

DIF:    Cognitive Level: Knowledge             REF:    p. 583

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