42 - The Nurse in the Schools Flashcards
A child’s parents have requested that their child be exempt from obtaining the required immunizations for a religious reason. What action should a school nurse take related to this request in order to be compliant with the law?
a. ) Deny entry into school for children without the required immunizations
b. ) Educate the parents about the need for immunizations
c. ) Be aware of the state laws regarding acceptable reasons for exemption
d. ) Allow the student to attend school without the immunizations
c.) Be aware of the state laws regarding acceptable reasons for exemption
The state mandates the rules about having immunizations that the nurse must follow. Thus, it is the responsibility of the school nurse to be aware of the laws in the state regarding acceptable reasons for immunization exemption.
A nurse is providing education to prevent health problems in children. Which of the following levels of prevention is being used?
a. ) Primary prevention
b. ) Secondary prevention
c. ) Tertiary prevention
d. ) Assessment
a.) Primary prevention
Primary prevention refers to those interventions aimed at preventing the occurrence of disease, injury, or disability. Providing education to prevent health problems in children is part of primary prevention. Secondary prevention includes the screening of children for various illnesses, monitoring their growth and development, and caring for them when they are ill or injured. Tertiary prevention is the continued care of children who need long-term health care services, along with education within the community.
A nurse identifies a child who may be abused or receives information from a teacher that a child may have been abused. Which of the following actions must the nurse take?
a. ) )Call the police immediately to take the child to a safe place
b. ) Contact the parents and ask about it
c. ) Contact the legal authorities as well as the school’s principal
d. ) Examine the child to see if the abuse really occurred
c.) Contact the legal authorities as well as the school’s principal
It is the law in most states for child abuse or suspected child abuse to be reported. When a nurse identifies a child who may be abused, or receives information from a teacher about potential abuse, the nurse must contact the appropriate legal authorities as well as the school’s principal. A confidential file should be made about the incident. In all cases, the child must be protected from harm, and those who have no right to know that child abuse or neglect is suspected should not be given any information.
A school nurse is preparing to administer a prescription medication to a student. Which of the following information is necessary for the nurse to have?
a. ) A copy of the prescription label on bottle
b. ) A small container for the medication
c. ) Signed consent parental consent form
d. ) A signed order from the physician
c.) Signed consent parental consent form
A current, signed parental consent form for administering the medication is essential for the student’s file. The prescribed drug must have the original prescription label on it and be in the original container so that there are no errors. It is recommended that the physician contacts the school nurse or vice versa, but a signed order from the physician is not necessary.
A nurse is employed in the school setting. Which of the following activities would the nurse most likely perform?
a. ) Care for children who are home sick from school
b. ) Coordinate the health education program of the school
c. ) Facilitate school attendance for students with communicable diseases
d. ) Schedule appointments to specialists for students with chronic disease
b.) Coordinate the health education program of the school
The school nurse’s role is comprehensive and often involves coordinating activities, such as coordinating the school health program. A common misperception is that school nurses only put bandages on cuts and soothe children with stomachaches. However, that is not their major role. School nurses give comprehensive nursing care to the children and the staff at the school. At the same time, they coordinate the health education program of the school, consult with school officials to help identify and care for other persons in the school community, and provide leadership in promoting health and safety.
A school nurse develops emergency plans for students who may need immediate care while at school. Which of the following elements should be included in this plan? (Select all that apply.)
a. ) When to call 911 for local emergency personnel
b. ) Education about standard precautions for staff members
c. ) Role children may play in providing basic first aid
d. ) How to maintain confidentiality and privacy of injured students
e. ) Where the shelter areas are located at the school
a.) When to call 911 for local emergency personnel
b.) Education about standard precautions for staff members
c.) Role children may play in providing basic first aid
According to the American Academy of Pediatrics’ (AAP’s) and American Heart Association’s (AHA’s) guidelines, the plan should address when to call 911 for local emergency personnel, education about standard precautions for staff members, and the role that children may play in providing basic first aid. Information related to how to maintain confidentiality and privacy of injured students is not part of the emergency plan. The location of the shelter areas is part of a school-wide emergency or disaster plan, but not for emergency plans for individual students.
A school nurse is coordinating the health care for children with complex health problems. Which of the following roles is being implemented?
a. ) Health educator
b. ) Case manager
c. ) Consultant
d. ) Counselor
b.) Case manager
The nurse may perform the role of case manager for the child who is disabled or chronically ill needing to see many health care providers. The role of case manager is used when coordinating the health care of students with complex health problems.
The role of health educator is used when teaching students about the importance of proper nutrition.
As a consultant, the school nurse can provide professional information about proposed changes in the school environment and their impact on the health of the children.
As a counselor, the school nurse may be the person whom the children trust to tell important secrets about their health.
A school nurse is teaching a group of teenagers about the dangers of using “club drugs.” The nurse provides information that which drug may cause a very high body temperature leading to death?
a. ) Gamma hydroxybutyrate (GHB)
b. ) Rohypnol
c. ) Alcohol
d. ) Ecstasy
d.) Ecstasy
A very high body temperature can lead to death when taking ecstasy. GHB, Rohypnol, and Ecstasy are known as “club drugs.”
Which legislation required that schools make allowances to balance educational and health care needs of children with special needs?
a. ) Rehabilitation Act
b. ) Individuals with Disabilities Education Act
c. ) No Child Left Behind
d. ) Education for All Handicapped Children Act
b.) Individuals with Disabilities Education Act
The Individuals with Disabilities Education Act guarantees educational services. The Rehabilitation Act states that children cannot be excluded from schools because of a handicap. No Child Left Behind states that all children must receive standardized education in a healthy environment. Education for All Handicapped Children states all children should attend school in the least restrictive environment.
The leading cause of death in children and teenagers is:
a. ) leukemia.
b. ) injuries.
c. ) suicide.
d. ) diabetes.
b.) injuries.
The leading cause of death in children and teenagers is injuries.
A nurse is administering medications at school. Which of the following guidelines should be used by the nurse?
a. ) A current drug reference should be available in case information is needed.
b. ) The nurse should administer medications brought by the child.
c. ) Medications cannot be administered without a physician order.
d. ) Narcotics and controlled substances should be kept in a locked cabinet.
a.) A current drug reference should be available in case information is needed.
A current drug reference should always be available so it can be consulted for information. All medications should be kept in a locked cabinet. Medications should be in the original container and have the original prescription label on it. The nurse is responsible for giving the medication and is expected by state law to know its action, side effects, and implications.
A school nurse is implementing strategies to prevent violence in the school setting. Which of the following interventions would most likely be used? (Select all that apply.)
a. ) Support policies of zero tolerance for weapons on school property
b. ) Facilitate student connectedness to the school community
c. ) Encourage students to lock up and protect their personal property
d. ) Serve as a positive role model
e. ) Encourage students to play club sports outside of school
a.) Support policies of zero tolerance for weapons on school property
b.) Facilitate student connectedness to the school community
d.) Serve as a positive role model
Supporting policies of zero tolerance for weapons on school property, facilitating student connectedness to the school community, and serving as a positive role model are all strategies that the nurse can use to prevent violence in the school setting. Student connectedness is encouraged if students play sports at school rather than with area clubs. Locking up and protecting personal property is not an effective strategy to prevent violence.
The nurse is caring for children when they need health care. Which of the following levels of prevention is being used?
a. ) Primary prevention
b. ) Secondary prevention
c. ) Tertiary prevention
d. ) Health promotion
b.) Secondary prevention
Secondary prevention includes the screening of children for various illnesses, monitoring their growth and development, and caring for them when they are ill or injured.
Primary prevention refers to those interventions aimed at preventing the occurrence of disease, injury, or disability.
Tertiary prevention is the continued care of children who need long- term health care services, along with education within the community.
A school nurse is providing health information to school administrators, teachers, and parent-teacher groups. Which of the following roles is being implemented?
a. ) Health educator
b. ) Case manager
c. ) Consultant
d. ) Counselor
c.) Consultant
As a consultant, the school nurse provides health information to various school groups.
The role of case manager is used when coordinating the health care of students with complex health problems.
The role of health educator is used when teaching students about the importance of proper nutrition.
As a counselor, the school nurse may be the person whom the children trust to tell important secrets about their health.
The National Association of School Nurses (NASN) recommends which educational preparation for school nurses?
a. ) Licensed practical nursing
b. ) Bachelor of science in nursing (BSN) and certification in school nursing
c. ) School nurse practitioner
d. ) Master of science in nursing with specialization in school nursing
b.) Bachelor of science in nursing (BSN) and certification in school nursing
The NASN recommends that school nurses be registered nurses (RNs) with BSNs and special certification in school nursing. Licensed practical nursing education is insufficient. School nurse practitioner and master of science in nursing with specialization in school nursing exceeds the minimum recommendations for school nurses.
