Chapter 31: The Nurse in the Schools

Foundations of Nursing in the Community 4e by Marcia Stanhope

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Chapter 31: The Nurse in the Schools

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. According to the American Academy of Pediatrics, which of the following activities are expectations for a school health nurse?
a. Ensuring that children with health problems are accepted by their peers
b. Driving children home if parents can’t pick them up
c. Giving emergency care in the school or during school events
d. Giving medications as needed if children are ill

 

 

ANS:  C

School nursing responsibilities include making sure that children get the health care they need, including emergency care in the school; keeping track of the state-required vaccinations that children have received; carrying out the required screening of the children based on state law; and ensuring that children with health problems are able to learn in the classroom. The nurse cannot convince children to accept other children as peers, although certainly efforts should be made. HIPAA would not allow individual examples of health problems to be shared, other than providing group statistics.

 

DIF:    Cognitive Level: Understand (Comprehension)                  REF:   p. 569

 

  1. Which of the following statements best explains why many school nurses are not able to ensure that all children receive needed health care in the schools?
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

In Healthy People 2020, objective ECBP-5 states that there should be one nurse for every 750 children in each school (U.S. Department of Health and Human Services, 2010). Most schools have not achieved this objective. In 2006, approximately 40% of the nation’s schools met that standard. The new objective is that 44.7% of the country’s elementary, middle, junior high, and senior high schools have this many nurses by 2020 (U.S. Department of Health and Human Services, 2010). Having fewer nurses in the schools means that the nurses are expected to perform many different functions. It is therefore possible that they are unable to provide the amount of comprehensive care that the students need (Croghan, 2009).

 

DIF:    Cognitive Level: Understand (Comprehension)                  REF:   p. 569

 

  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. Which of the following best describes 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: Apply (Application)                               REF:   p. 570

 

  1. At the annual community health fair, the school health nurse displays a science booth that examines the hazards of ineffective hand washing. Which of the following best describes 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: Apply (Application)                               REF:   p. 570

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