Field 236: School Nurse Sample Multiple-Choice QuestionsRecommendation for individuals using a screenreader: please set your punctuation settings to "most." Show
Expand All | Collapse All Each multiple-choice question has four answer choices. Read each question and its answer choices carefully and choose the ONE best answer. During the test you should try to answer all questions. Even if you are unsure of an answer, it is better to guess than not to answer a question at all. You will NOT be penalized for choosing an incorrect response. Objective 0001 Understand human growth and development, the learning process, and factors that affect development and learning of different school-age populations.1. 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?
Unemployment and depression in a family place a couple at risk for marital conflict, which is associated with adjustment problems for children in the family, including impairments in social and academic functioning. Parental/guardian depression is specifically associated with greater child emotional insecurity. Research has shown that children whose parents have been diagnosed with depression are more likely than children whose parents have never been diagnosed with depression to experience interpersonal and social conflicts and school failure. Objective 0002 Understand the roles and responsibilities of the school nurse as a health expert and resource person in the school community.2. A school nurse who serves elementary and middle school populations believes that many students and families in the district would benefit from resources available through family health and human services agencies. Which of the following strategies is likely to be most effective for the school nurse to use to facilitate families' use of these resources?
Key roles of a school nurse include providing students and families with information about available health-related community and government resources, and assisting families in accessing resources to meet the physical, mental, and emotional health needs of students. Establishing and maintaining partnerships with local agencies, physicians, and health advocacy organizations allows the school nurse to immediately respond and connect families to needed services. For example, school nurses may assist families enrolling in state or federal health insurance programs or locate advocacy organizations for students with health impairments or physical disabilities. Objective 0003 Understand diversity among students, families, and communities; the influence of diversity; and strategies for communicating effectively in a diverse school community.3. Which of the following approaches is likely to be most effective for a school nurse to use in working with families in a respectful and nondiscriminatory manner?
Families play an integral role in the well-being and development of their children. A school nurse's initial interactions with families should support the goal of establishing a productive and culturally sensitive rapport that supports effective communication and collaboration, which is essential if a difficult health-related situation occurs. A school nurse who is culturally competent understands that culture may include values, occupation, where a person lives or lived, life experiences, religion, gender identity, language, dietary and health practices, and social order. While recognizing and remaining sensitive to these cultural characteristics, a school nurse can work toward establishing rapport, building understanding, and promoting collaboration with the families of students with health needs. Objective 0004 Understand the characteristics and needs of students with disabilities and factors that affect their development and learning.4. A high school student has a seizure disorder that is characterized by frequent absence seizures. Which of the following statements accurately describes the most important implication of this condition for the student's learning?
In general, students with epilepsy show weaker performance on attention, concentration, and short-term (working) memory tasks than peers without epilepsy. Absence seizures (formerly petit mal) are epileptic seizures characterized by subtle symptoms: a sudden brief cessation of activity for 10 to 30 seconds, a trance-like look, fluttering eyelids, and lip or mouth motions. A student experiencing an absence seizure may simply appear to be daydreaming. The student may miss key ideas or information about assignments presented in class, and may have difficulty processing new information. Nighttime seizures may disrupt sleep and increase fatigue during the school day. In addition, anti-seizure medications cause side effects that include lethargy and problems with memory and concentration. Objective 0005 Understand the provision and management of school nursing and student health services.5. Which of the following statements accurately describes a research-supported reason why school nurses are advised to keep on hand a nonspecific order of epinephrine medication, in addition to the epinephrine stocked for individual students?
A National Association of School Nurses (N A S N) official position statement supports maintaining a nonpatient supply of epinephrine to administer in cases of life-threatening situations in schools. According to one two-year study of 48 school districts published in the journal Pediatrics, nearly 25 percent of all epinephrine administrations in K to 12schools involved students or staff who did not know they had a life-threatening allergy. The Illinois Emergency Epinephrine Act allows schools to stock a supply of epinephrine auto-injectors and gives school nurses the right to administer epinephrine to any student whom the nurse believes is experiencing anaphylaxis. Objective 0006 Understand the care and management of illnesses and chronic health conditions and the development of Individualized Healthcare Plans (I H Ps).6. In the development of Individualized Healthcare Plans (I H Ps), 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 I H P that addresses the educational implications of a student's health impairment?
When conducting a comprehensive assessment for an Individualized Healthcare Plan (I H P), a school nurse gathers, analyzes, and interprets information about a given student using professional health knowledge and expertise. The school nurse should ensure that this information includes first-hand observations of the student in the student's usual school settings. These observations help determine how a student's health condition or issue affects the student's academic skills and achievement and participation in class and school activities. The school nurse can then use this information to evaluate potential barriers to learning and to plan and implement accommodations and interventions that will minimize barriers and benefit the student's educational progress. Objective 0007 Understand the roles and responsibilities of the school nurse in the multidisciplinary evaluation of students and the development of Individualized Education Programs (I E Ps) and Section 504 Plans.7. Benchmarks are important components of a student's Individualized Education Program (I E P) primarily because of their usefulness in:
Benchmarks are short-term objectives or interim steps a student takes to achieve an annual Individualized Education Program (I E P) goal. Benchmarks serve as a way to monitor and assess a student’s progress toward attaining an annual I E P goal. Benchmarks can take the form of short-term health maintenance objectives developed to address an overall goal of increasing a student's independence and responsibility in managing his or her own health-care needs. For example, benchmarks for increasing student skills in asthma self-management might focus on identifying asthma triggers and early indications of an asthma flare-up, developing strategies for avoiding triggers or controlling exposure to them, and demonstrating responsibilities for self-carrying and safe use of medications. Objective 0008 Understand laws, policies, ethical guidelines, and professional standards that influence the practice of school nursing and the provision of health services.8. According to professional standards embodied in the Illinois Nurse Practice Act, newly licensed advanced practice registered nurses (A P R Ns) are expected to:
According to the Illinois Nurse Practice Act and professional school nursing standards, a written collaborative agreement (W C A) is required for all advanced practice registered nurses (A P R Ns) engaged in clinical practice in public schools. The W C A should describe the relationship of the A P R N with the collaborating physician and the categories of care, treatment, or procedures to be provided by the A P R N. The W C A should also outline communication methods to be used by the A P R N in consulting and collaborating with the physician. Objective 0008 Understand laws, policies, ethical guidelines, and professional standards that influence the practice of school nursing and the provision of health services.9. A student with a health impairment is receiving therapy from a psychologist at a local medical center. The school nurse would like to consult with the psychologist. Which of the following steps should the nurse take to facilitate consultation?
A school nurse should have written permission or authorization from the parent/guardian or eligible student in order to request health status information from a student's outside health-care provider. Although a psychologist or other provider may relay or clarify treatment orders to a school nurse or other individuals involved in the treatment of a student, both the provider and the school nurse should honor the legal principle of confidentiality related to student health records and refrain from exchanging information about a student's health status without first getting signed authorization. Objective 0009 Understand the importance of acquiring and maintaining current credentials and evidence-based knowledge and competency in school nursing practice.10. Which of the following statements accurately describes a valuable benefit of membership in the Illinois Association of School Nurses (I A S N)?
Membership in the Illinois Association of School Nurses (I A S N) confers automatic membership in the National Association of School Nurses (N A S N). Membership benefits include access to professional podcasts, free and low-cost online learning courses, and peer-to-peer conversations and networking through SchoolNurseNet, an online community that connects all of N A S N's members. I A S N members may attend state or national annual conferences on topics such as how to incorporate the principles of twenty-first-century school nursing practice into school settings to promote student health. N A S N provides members with active links to many resources including federal agencies, national coalitions, and health and education organizations; tracks national legislation on issues affecting child and adolescent health; and offers discounted subscriptions to specialized peer-reviewed clinical and research journals such as N A S N School Nurse and The Journal of School Nursing. Objective 0010 Understand health promotion and disease prevention concepts underlying school health and nursing services.11. A school nurse who is conducting a health screening of three- to five-year-olds as part of the Illinois Child Find Screening Data Collection System identifies a child who may have special educational needs. The nurse refers the child for a case study evaluation, and the district approves the request. Once the child's parents/guardians give permission for an evaluation, which of the following procedures should be followed?
The Illinois State Board of Education rules for special education and the federal Individuals with Disabilities Education Act (I D E A) require that a comprehensive initial evaluation of a student employ a variety of assessment methods, be paid for by the school district, and be completed within 60 school days after parent/guardian written consent is granted. Once a request for an evaluation is received, an Illinois school district convenes a multidisciplinary team, who determines which assessments will be included in the evaluation. Parents/guardians are notified of the assessments to be used in their student's evaluation within 14 school days. Once parental/guardian permission to carry out the evaluation is received, the assessments must be completed in 60 school days. Objective 0011 Understand curriculum development and instruction in the school health program.12. A middle school student has multiple disabilities, including cerebral palsy and an intellectual impairment. The student uses a wheelchair and an electronic communication board. The student currently attends a special education classroom and receives related services from the school nurse, the speech-language pathologist, and the occupational therapist. Which of the following statements describes an important principle that the student's team should keep in mind when providing instruction related to self-help skills?
Functional life skills and self-management skills such as those related to eating, dressing, grooming, health care, personal safety, communication, decision making, working with others, following directions, and finishing a task are best taught in natural environments so that students can generalize the skills learned. By simulating realistic conditions and working in settings that the student typically encounters in daily life, related services personnel can directly support development of the student's functional life skills in the context of the student's unique health, communication, and physical needs. Objective 0012 Understand the processes of assessment and evaluation in the development of school health programs.13. Which of the following strategies would be most effective in helping to document and monitor the quality of school nursing practices and interventions?
Student visits to the school health office should be documented in accordance with Illinois regulations regarding student health records and privacy laws. The maintenance of individual student visit records allows school nurses to track and evaluate student health office use over time, examine information such as frequency and reason for visits for particular students, and review nursing notes to help determine diagnoses and health issues. Objective 0012 Understand the processes of assessment and evaluation in the development of school health programs.14. When presenting student health assessment data in a professional meeting or published document, the school nurse is ethically bound to ensure that:
According to the National Association of School Nurses (N A S N) code of ethics and standards of professional nursing practice, school nurses must maintain the confidentiality and protection of individual students when presenting health-related data or other evidence and research findings. Illinois school nurses are required to uphold the guarantee of confidentiality of health information mandated by the Health Insurance Portability and Accountability Act (H I P A A), the Family Education Rights Protection Act (F E R P A), and the Illinois School Student Records Act. In addition, school nurses must adhere to the ethics of professional research and publishing, which specifically address privacy, confidentiality, and other legal issues. Objective 0013 Understand effective approaches to collaboration and delegation in the school health program.15. According to state guidelines related to responsibilities of school health program staff, which of the following functions is most appropriate for a school nurse to assign to a health services clerk?
Effective delegation in school nursing often involves using the "five rights of delegation" to assess appropriateness (i.e., right task, right circumstances, right person, right directions and communication, right supervision and evaluation). While steps in the nursing process should not be delegated, tasks such as collecting, maintaining, and updating emergency contact and health information for students are appropriate to delegate. A school health aide, paraprofessional, or other unlicensed assistive personnel (U A P) typically carries out clerical duties such as information gathering, record keeping, filing, contacting students and families, and maintaining health office and medical supplies. Objective 0014 Understand the role of the school nurse in preparedness response and coordination during emergencies, crises, and disasters.16. According to N A S N guidelines on the role of the school nurse in emergency management, which of the following responsibilities is the school nurse expected to fulfill during the recovery phase of emergency management?
The four phases of emergency management planning are prevention/mitigation, preparedness, response, and recovery; a school nurse has a prescribed role in each phase. The recovery phase occurs after a school emergency or disaster, and includes both short-term and long-term recovery for those affected by the incident. In this phase, the school nurse assists students, families, and school staff and, as the main connection in the medical and public health community, assumes the role of liaison between local resources (e.g., mental health services) and school community members in need. Use the information below to answer the four questions that follow. A middle school nurse is developing an Individualized Healthcare Plan (I H P) for a student with type 1 diabetes who is beginning his first year at the middle school. The school nurse would like to use a collaborative style in the health management of this student.
Which action comes first when developing an educational program quizlet?The five steps of the educational process are: (1) identifying educational needs, (2) establishing educational goals and objectives, (3) selecting appropriate educational methods, (4) implementing the educational plan, and (5) evaluating the educational process.
Which role is the community based nurse responsible for?Community health nurses fill health system gaps for underserved populations. They go to organizations, schools, and businesses to offer health education, medical services, and rehabilitation.
What is the responsibility of the nurse in the community based clinic quizlet?- One of the most important responsibilities of community-based nurses is to maintain current information about health and social services available within the community and match patients with services in-line with the patient's unique needs and preferences.
How does community health nursing define community quizlet?Health is families and aggregates choosing to actions to ensure safety and well-being. How does community health nursing define community? A group of persons who share a common identity and environment.
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