Community Chapter 22

B) Healthy and safe school environment

1.Which of the eight recommended components of a comprehensive school health

program should include the physical, emotional, and social conditions that affect the

well-being of students and staff?

A) Family/community involvement

B) Healthy and safe school environment

C) Counseling and psychology services

D) Health promotion for staff

A,B,C,D

2.On the basis of the eight recommended components of a comprehensive school health

program, which should be included in a K-12 health education curriculum? (Select all

that apply.)

A) Consumer health education

B) Environmental health education

C) Sexuality education

D) Nutrition counseling

E) Physical development activities

A,B,C,E

3.Which services are reimbursable by Medicaid? (Select all that apply.)

A) Speech/language therapy and evaluations

B) Occupational therapy and evaluations

C) Physical therapy and evaluations

D) Nutrition screening and evaluations

E) Allergy testing and evaluations

A,D,E

4.The Youth Risk Behavior Surveillance Survey (YRBSS) outlines common risk

behaviors influencing the health of the nation's youth. Which risk factors are included

on this survey? (Select all that apply.)

A) Unintentional injury

B) Sports-related trauma

C) Sleep deprivation

D) Sexual behaviors

E) Alcohol use

B,D,E

5.Which actions exemplify the school nurse's role as a child advocate? (Select all that

apply.)

A) Injecting a child with her EpiPen during an anaphylactic reaction to peanuts

B) Convincing the cafeteria manager to include low-sugar options in the lunch menu

for students with diabetes

C) Taking the temperature of a child who is exhibiting signs of an upper respiratory

infection

D) Teaching a child who has recently been diagnosed with asthma how to use an

inhaler

E) Instructing a group of faculty members on the proper way to respond to a child

having an epileptic seizure in class

B) Schedule a conference with the client's parents to discuss how to collaboratively

manage her blood glucose level and encourage her to select appropriate foods in

the cafeteria for lunch.

6.The school nurse works with a 12-year-old girl who is obese and has type 2 diabetes. As

client advocate, which would be most appropriate nursing action?

A) Scold the client when she buys a soda from a vending machine at school.

B) Schedule a conference with the client's parents to discuss how to collaboratively

manage her blood glucose level and encourage her to select appropriate foods in

the cafeteria for lunch.

C) Perform a finger stick and check the client's blood glucose level when she reports

feeling weak and dizzy one day.

D) Weigh the client each week in the office to help track her weight and hold her

accountable to her weight loss goals.

A,B,D

7. The school nurse at a public high school recently noticed an increase in students

smoking before and after school. Using the community school model to reduce tobacco

use among your students, which interventions are appropriate? (Select all that apply.)

A) Starting an after-school tobacco cessation program with the assistance of local

representatives of the American Cancer Society

B) Having a local clinical oncologist speak at a PTA meeting about the hazards of

tobacco use among children

C) Confronting groups of students while they are smoking with information

regarding the school's smoking policy and the dangers of smoking

D) Promoting the community's "great smoke-out" smoking cessation event each year

E) Encouraging the school's administration to designate a single smoking area

outside to limit nonsmokers' exposure to the smoke

A,B,D

8.An elementary school student comes to school nurse's office reporting a headache. The

nursing assessment begins by gathering which subjective data? (Select all that apply.)

A) Where it hurts on the child's head

B) Whether the pain is constant, throbbing, or intermittent

C) What the child's temperature is on arrival

D) How bad the pain is on a scale of 1 to 10

E) The presence of a bruise on the child's forehead

A) Explore current programs to prevent bullying and youth violence

9.The community health nurse addresses cyber bullying in the local middle schools.

Currently, there are no policies in place for this issue. The most appropriate first step is

to:

A) Explore current programs to prevent bullying and youth violence

B) Develop rules for acceptable and safe use of all electronic media for all students

C) Ban use of the Internet at all schools

D) Actively monitor students' social media postings

C) Excessive absenteeism

10.The history of school nursing can be traced back to 1902, when Lillian Wald was

working in a New York City public school. She viewed school nursing services as a way

to decrease which problem?

A) Nutrition deficiencies

B) Dental cavities

C) Excessive absenteeism

D) Seasonal allergies

C) Children with chronic or complex medical issues were entitled to a public

education.

11.Which occurred as a result of the passage of the Education for All Handicapped

Children Act in 1975?

A) Children with disabilities were provided tax-funded tutors for home education.

B) Children with mental disabilities were entitled to a tax-funded education at a

special education private school.

C) Children with chronic or complex medical issues were entitled to a public

education.

D) Children with physical disabilities were provided grants to attend the college of

their choice.

A,C,D

12.Which common problems should a school nurse be prepared to identify in students?

(Select all that apply.)

A) Vision impairment

B) Malignant melanoma

C) Attention deficit hyperactivity disorder (ADHD)

D) Scoliosis

E) Need for orthodontia

B) Autonomous practice and independent decision making

13.Being a school nurse requires which combination of practice type and decision making?

A) Collaborative practice and interdependent decision making

B) Autonomous practice and independent decision making

C) Collaborative practice and dependent decision making

D) Autonomous practice and interdependent decision making

B) Assessment of a playground injury

14.Which individual health assessment would a school nurse most likely perform?

A) Immunization check

B) Assessment of a playground injury

C) Vision screening

D) Height and weight measurements

D) Making It Happen!

15.The school nurse is concerned about the lack of nutritional choices available in the food

vending machines at the school. Which is the best tool to address this situation?

A) Food-Safe Schools Action Guide

B) Health Education Curriculum Analysis Tool

C) Improving the Health of Adolescents and Young Adults: A Guide for States and

Communities

D) Making It Happen!

B,C,D,E

16. Which health education interventions are appropriate for the school nurse to perform?

(Select all that apply.)

A) Teaching faculty members how to assess their students for upper respiratory

illnesses

B) Teaching a student how and when to use her EpiPen

C) Teaching a 6th-grade class about the consequences of cyber bullying

D) Counseling a student about tobacco use

E) Teaching a group of students with eating disorders about a healthy view of food

C) Early relevance

17.In which phase of a school-based substance abuse program is information most likely to

have meaning and applicability to students?

A) Inoculation

B) Primary

C) Early relevance

D) Tertiary

D) Designing an interactive, behavior-focused program

18.Which is the most appropriate intervention to use in a school-based substance abuse

program?

A) Integrating students' goals with those of a prevention program

B) Assessing the needs and interests of the group carefully after selecting a program

C) Designing a program that is knowledge based

D) Designing an interactive, behavior-focused program

A,B,D,E

19.Which strategies have been shown successful for preventing adolescent pregnancy?

(Select all that apply.)

A) Responsible sexual behavior education

B) Abstinence education

C) Mandated religious education on sex practices

D) Contraceptive counseling

E) Confidential reproductive services

B) Routinely screening all adolescents and adults aged 13 to 64

20.Which is one of the most important strategies recommended by the Centers for Disease

Control and Prevention (CDC) for reducing the spread of HIV?

A) Excluding students from school who have symptoms of sexually transmitted

infections

B) Routinely screening all adolescents and adults aged 13 to 64

C) Requiring parents to take their adolescent children who have sexually transmitted

infections for treatment

D) Keeping detailed records of all new cases of sexually transmitted infections in

people aged 15 to 24 years

B,C,D,E

21. The Centers for Disease Control and Prevention (CDC) recommends which methods for

improving the food environments of school-aged children and adolescents? (Select all

that apply.)

A) Preserving social norms of adolescents

B) School-based prevention

C) Policy and regulatory strategies

D) Strategic use of media

E) Coordination of statewide and local activities