Case Study - School Nurse
Scoliosis Screening questions
and answers
Client is a 13-year-old adolescent male who is referred to the orthopedic
clinic by his family healthcare provider (HCP). While conducting a physical
exam, the HCP notes an abnormality in client's spine. He is accompanied
to the appointment by his mother and his grandmother.
Safe and Effective Care: Health EducationThe school nurse plans a district-
wide scoliosis screening event for all 6th grade students. The nurse
recruits senior nursing students in a community health course to assist
with the screening. The nurse plans a training session for the nursing
students related to screening for idiopathic adolescent scoliosis.
The nurse reviews the pathophysiology of scoliosis with the student
nurses. What concepts should the school nurse include? (Select all that
apply. One, some, or all options may be correct.)
Scoliosis is a simple deformity that involves a lateral curvature of the
spine.
Most adolescents with scoliosis have a neuromuscular defect.
Scoliosis can be classified according to age of onset.
Intraspinal abnormalities can cause scoliosis.
Most causes of adolescent scoliosis are idiopathic.
Untreated mild scoliosis leads to cardiopulmonary disease.
Scoliosis is a simple deformity that involves a lateral curvature of the
spine.
Scoliosis is a complex curvature that involves rotational deformities and
kyphosis in addition to lateral curvatures.
Most adolescents with scoliosis have a neuromuscular defect.
Scoliosis can occur with a neuromuscular condition but most adolescent
cases are not associated with these conditions.
Scoliosis can be classified according to age of onset.
Scoliosis occurring: in the first 3 years of life is termed infantile; between
4-10 years is termed juvenile, and at age 10 or later is termed adolescent
scoliosis.
Intraspinal abnormalities can cause scoliosis.
, Spinal abnormalities such as tethered cord, syringomyelia, or
diastematomyelia can cause scoliosis.
Most causes of adolescent scoliosis are idiopathic.
For most cases of scoliosis occurring after age 10 years, no cause can be
detected, although there is growing evidence of a genetic relationship.
Untreated mild scoliosis leads to cardiopulmonary disease.
Severe, untreated curves can cause alterations in pulmonary functions,
however, persons with moderate curves do not necessarily need surgical
correction.
The school nurse will screen the 6th grade girls. The nursing students
question why screening is limited to this population.
What is the school nurse's explanation as to the purpose of scoliosis
screening in this population?
Avoid privacy issues that concern parents of younger children.
Target high prevalence age groups.
Avoid screening boys because they are not at risk for scoliosis.
Maximize privacy by separating boys and girls.
Target high prevalence age groups.
Adolescent idiopathic scoliosis is the most common form of scoliosis and is
most frequently found in girls following the adolescent growth spurt.
The school nurse prepares informational letters for parents and consent
forms for the screening.
A mother informs the school nurse that she does not want her daughter to
be screened at school. What is the appropriate response from the school
nurse?
The American Academy of Pediatrics favors school screening.
School screening is voluntary. She may have screening done at the
pediatrician's office.
School policy requires screening for all students who participate in team
sports.
State law mandates school screening.
School screening is voluntary. She may have screening done at the
pediatrician’s office.
This statement is supportive of the parent's preference and gives
guidance for appropriate follow up.
The school nurse discusses with the mother the rationale for the screening
and the mother agrees to sign the consent form for her daughter to be
screened at school.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GUARANTEEDSUCCESS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.