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Ch 31 The Nurse in the schools questions and answers certified 2024
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Ch 31 The Nurse in the schools questions and answers certified 2024
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Ch 31 The Nurse in the schoolsA unique characteristic of the standards of practice for school nurses is which
of the following? - correct answer ✔Alignment with the American Academy of
Pediatrics (AAP) guidelines for providing health care to students.
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.
A child with severe macular degeneration and some hearing loss will be
attending the third grade in a local school. A tertiary prevention intervention
the school nurse should perform would be which of the following? - correct
answer ✔Meet with the assigned teachers to discuss classroom seating to
enhance the child's learning experience.
The school nurse gives nursing care related to tertiary prevention when
working with children who have long-term or chronic illnesses or with special
needs. This may include participation in the development of an individual
education plan (IEP); identification of medication, therapy needs, and/or
physical, auditory, or visual limitations; and interventions to ensure the
appropriate placement of the child in the classroom environment or physical
accommodations required, which enhances the child's learning experience.
An urban school-based clinic is located in a school district where many of the
children lack health insurance. The school nurse continues to provide
screening, assessment, first aid, and record keeping but can refer students
who require additional services to the nurse practitioners that staff the school-
based health center (SBHC) on the school grounds. The SBHC is federally
, funded under which of the following? - correct answer ✔The Affordable Care
Act
School-based health centers are family-centered, community-based clinics
run within schools under a federally funded program. These clinics give
expanded health services, including mental health and dental care, in addition
to the more traditional health care services. The Affordable Care Act of 2010
appropriated $200 million to improve and expand services at SBHC. They can
vary in size, hours, and days of operation, or administrative model (i.e., school
clinic, health center, school-linked program). They are successful because
they focus on bringing health care services to children in a community school
location and are coordinated with the school health program
Secondary prevention activities are the largest responsibility of the school
nurse and may include which of the following? - correct answer
✔Establishing an emergency plan when a child or staff member needs
immediate care.
Giving medications to children during the school day.
Screening for vision, hearing, height and weight, oral health, TB, and
scoliosis.
Teaching standard precautions to all staff
Secondary prevention involves caring for children when they need care and is
the largest responsibility of the school nurse. It may include such activities as
caring for ill or injured children or staff (including the development of an
emergency plan and appropriate training of staff in standard precautions, first
aid, and relevant emergency procedures); screening and assessing children;
making appropriate referrals; giving medications; identifying abuse and
neglect; communicating with health care providers; preventing suicide and
violence; and responding to disasters.
A school district in the Midwest has included health education, physical
education, health services, nutrition services, and counseling, psychological,
and social services as components of the student health services.
Additionally, the district has integrated family/community involvement, staff
health promotion, and a commitment to a healthy school environment in its
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