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Chapter 31b questions with complete solutions 2024
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Chapter 31b questions with complete solutions 2024
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Chapter 31 - The Nurse in Schools1.
A unique characteristic of the standards of practice for school nurses is which
of the following?
Alignment with the American Academy of Pediatrics (AAP) guidelines for
providing health care to students
Requirement of bachelor's degrees in nursing and special certification in
school nursing
Restriction on delegation of care to other school personnel
Use of research findings in the practice of school nursing - correct answer
✔A
In general, the National Association of School Nurses (NASN) standards align
with those developed by the American Academy of Pediatrics (AAP) regarding
giving health care to students in the schools. The AAP developed its own
ideas about how nurses function in schools based on its assessment of school
children's health needs. These guidelines are very similar to those written by
the NASN. Additionally, the AAP recommends that the nurse be the head of a
health care team that includes a physician (preferably a pediatrician), school
counselors, the school psychologist, and members of the school staff
including the administrators and teachers.
DIF: Cognitive Level: Comprehension
REF: Page 569
2.
A second-grade child with cerebral palsy receives services from a physical
therapist and occupational therapist during the child's academic day. The
school nurse sets up the schedule to ensure that the therapists' visits do not
,unnecessarily affect the child's academic day negatively. This role of the
school nurse is best described as which of the following?
Case manager
Counselor
Consultant
Direct caregiver - correct answer ✔A
The school nurse is expected to function as a case manager, helping to
coordinate the health care for children with complex health problems. This
may include the child who is disabled or chronically ill, who may be seen by a
physical therapist, an occupational therapist, a speech therapist, or another
health care provider during the school day. The nurse sets up the schedule for
the child's visits so that those appointments do not unnecessarily have a
negative effect on the child's academic day. Direct caregiver is the traditional
role of the school nurse where immediate nursing care is provided. 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 school nurse as counselor occurs when children go to the
nurse to share important health information.
DIF: Cognitive Level: Application
REF: Page 570
3.
A middle school student approaches the school nurse and asks, "Can I speak
with you about something important?" The school nurse responds affirmatively
but should also state which of the following?
"Anything you tell me will be kept private and confidential."
"If anything you tell me indicates that someone is in danger, the parents and
school officials must be told."
, "It may be best for me to set up an appointment with the school counselor."
"You can always speak to me if you are in trouble or when you need
someone to talk to." - correct answer ✔B
The school nurse may be the person whom children trust to tell important
secrets about their health. The school nurse has a reputation as being a
trustworthy person to whom the children can go if they are in trouble or when
they need to talk to someone. Nurses in this situation should tell the children
that if anything they reveal points out that someone is in danger, the parents
and school officials must be told.
DIF: Cognitive Level: Application
REF: Page 570
4.
At the end of each school term, the school nurse schedules an equipment
safety assessment of each school playground in the district. The school nurse
uses the guidelines of the U.S. Consumer Protection Safety Commission and
prepares a report of the findings for the school board for planning purposes.
This intervention by the school nurse is an example of which of the following?
Community outreach
Primary prevention
Secondary prevention
Tertiary prevention - correct answer ✔B
Injuries are the leading cause of death in children and teenagers. The school
nurse educates children, teachers, and parents about preventing injuries.
School nurses also provide information on how to prevent playground injuries.
They assess school playgrounds for equipment safety on the basis of the U.S.
Consumer Product Safety Commission guidelines.
DIF: Cognitive Level: Application
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