Community Health: Exam 1Questions And Rationale
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A third-grade student's family has recently experienced stressful events. The
parents have been unemployed for six months and one of the student's young
siblings has a health impairment. The parents have exhibited periods of
depression. The school nurse should be alert to the fact that these factors are
likely to influence the student's development most significantly in which of the
following areas?
A) receptive language
B) higher-order thinking
C) social relationships
D) motor development
C) social relationships
School nurses may be the first to identify _______ in students through routine
health exams?
chronic medical conditions
Which of the following strategies would be most effective in helping to
document and monitor the quality of school nursing practices and
interventions?
A) forming a task force to critically evaluate current practices and local
standards related to school nursing
B) seeking local media coverage of unexpected health cases or situations as
they occur
C) maintaining daily program data sheets and detailed records of individuals
served
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D) conducting ongoing research into school nursing practices and publishing
findings in professional journals
Correct Response: C.
Student visits to the school health office should be documented in accordance with
state regulations regarding student health records and privacy laws.
In what year was the first school nurse utilized in the public health care
system.
1902
In the development of Individualized Healthcare Plans (IHPs), school nurses
carry out comprehensive assessments of students. Nurses review past and
current educational and medical records, interview family members and
primary care providers, complete physical examinations, and evaluate self-
care skills and needs. Which of the following additional types of assessment
would be most useful in developing an IHP that addresses the educational
implications of a student's health impairment?
A) observing the student unobtrusively in a variety of school settings
B) evaluating the student's care in terms of how the student's daily health
needs compare to those of other students
C) checking tentative diagnoses of possible learning problems with colleagues
D) making a home visit to assess family capacity for assisting the student with
his or her illness or condition
Correct Response: A.
When conducting a comprehensive assessment for an Individualized Healthcare
Plan (IHP), a school nurse gathers, analyzes, and interprets information about a
given student using professional health knowledge and expertise.
What must the nurse do when determining how a students health condition
affects the students academic skills and school activites?
gain first hand knowledge via observation
What are the two school nurse organizations?
National Association of School Nurses
and
Texas School Nurses Associations
What is the vision of the NASN?
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"all students are safe healthy and ready to learn"
What is the mission of the NASN?
"optimize student health and learning by advancing the practice of school nursing"
What is the mission of the Texas School Nurses Association?
"to enhance student wellness and learning by strengthening school nursing practice"
What is the vision of the Texas School Nurses Association?
Student access to health and learning. All day. Everyday.
At what age must children have their first vision and hearing screened?
those who are 4yo by Sept 1st and kindergarteners
Within how many days of admission must a vision and hearing screening be
performed?
120 days
In what other grades a vision/hearing screenings performed?
1st
3rd
5th
7th
What is the referral criteria for vision screenings in children ages 3, 4, and
5(and up)
3- 20/50
4- 20/40
5- 20/32 or 20/30
Color blindness usually happens between what colors?
greens and reds
blues
How many times but female students have a spinal screening? Males?
Females twice and males onces
At what two ages must female students have spinal screening s performed?
age 10 (fall semester of grade 5)
age 12 (fall semester of grade 7)
What are the s/sx of scoliosis?
uneven shoulders
prominent shoulder blade
visible curve