Foundations of Nursing in the Community 4e by Marcia Stanhope
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
| 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:Â 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:Â Â Â Cognitive Level: Understand (Comprehension)Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â p. 569
| 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:Â 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:Â Â Â Cognitive Level: Understand (Comprehension)Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â p. 569
| a. | Case manager |
| b. | Consultant |
| c. | Counselor |
| d. | Health educator |
ANS:Â 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:Â Â Â Cognitive Level: Apply (Application)Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â p. 570
| a. | Consultant |
| b. | Community outreach |
| c. | Counselor |
| d. | Researcher |
ANS:Â 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:Â Â Â Cognitive Level: Apply (Application)Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â p. 570
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