Ch. 31: The Nurse in the Schools Exam Questions and
Answers with 100% Correct Answers
Question 1.
1. According to the American Academy of Pediatrics, which of the following activities are
ex- pectations for a school health nurse? A. Ensuring that children with health problems
are accepted by their peers B. Driving children home if par- ents can't pick them up C.
Giving emergency care in the school or during school events D. Giving medications as
needed if children are ill
Correct Answer: ANS: C Giving emergency care in the school or during school
events School nursing responsibilities include making sure that children get the
health care they need, including emer- gency care in the school; keeping track of
the state-required vaccinations that children have received; carrying out the
required screening of the children based on state law; and ensuring that children
with health problems are able to learn in the classroom. The nurse cannot convince
children to accept other children as peers, although certainly efforts should be
made. HIPAA would not allow individual examples of health problems to be shared,
other than providing group statistics. DIF: Cognitive Level: Understand
(Comprehension) REF: p. 569
Question 2.
2. Which of the following state- ments best explains why many school nurses are not able
to ensure that all children re- ceive needed health care in the schools? A. There is a
shortage of baccalaureate-prepared nurses with national school health nurse certification.
B. Most nurses prefer to be em- ployed in hospitals giving direct care. C. Most school
districts are un- able to afford a nurse in every school. D. School districts and taxpay- ers
see no need for nurses in schools.
Correct Answer: ANS: C Most school districts are unable to afford a nurse in every
school. In Healthy People 2020, objective ECBP-5 states that there should be one
nurse for every 750 children in each school (U.S. Department of Health and Human
Services, 2010). Most schools have not achieved this objective. In 2006, ap-
proximately 40% of the nation's schools met that standard. The new objective is
that 44.7% of the country's elementary, middle, junior high, and senior high schools
have this many nurses by 2020 (U.S. Department of Health and Human Services,
2010). Having fewer nurses in the schools means that the nurses are expected to
perform many different functions. It is therefore possible that they are unable to
provide the amount of comprehensive care that the students need (Croghan, 2009).
DIF: Cognitive Level: Understand (Comprehension) REF: p. 569
Question 3.
3. A school health nurse is re- quested by the board of educa- tion to assist in choosing
new playground equipment for an elementary school that meets safety standards. Which
of the following best describes the nurse's role in this scenario? A. Case manager B.
Consultant C. Counselor D. Health educator
Correct Answer: ANS: B Consultant The school nurse is the person best able to
provide health information to school administrators, teachers, and par- ent-teacher
, groups. 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 nurse also can recommend changes in the school's policies or
ask community organizations to help make the children's schools healthier places.
DIF: Cognitive Level: Apply (Application) REF: p. 570
Question 4.
4. At the annual community health fair, the school health nurse displays a science booth
that examines the hazards of in- effective hand washing. Which of the following best
describes the nurse's role in this scenario? A. Consultant B. Community outreach C.
Counselor D. Researcher
Correct Answer: ANS: B Community outreach When participating in community
outreach, nurses reach out to residents in the community. One common way this
occurs is when nurses are involved in activities such as com- munity health fairs or
festivals in the schools. DIF: Cognitive Level: Apply (Application) REF: p. 570
Question 5.
5. Which of the following best explains why school nurses are involved in helping teachers
with the task of teaching chil- dren how to practice problem solving, communication, and
other life skills? A. Teacher shortages have re- quired nurses to be increasingly involved
in teaching life skills. D. Nurses have been enlisted in this role to help reduce risk fac- tors
for future health problems in schoolchildren
Correct Answer: ANS: D Nurses have been enlisted in this role to help reduce risk
factors for future health problems in school children. School health nurses were
originally involved in this ca- pacity in 1987 after the CDC began funding schools
for HIV-prevention education programs. This program was so successful that it was
expanded to include programs to teach children prevention of other chronic
illnesses caused in part by risk factors such as poor diet, lack of exercise, and
smoking. The schools are actively involved in helping the children practice problem
solving, communication, and other life skills so that they can reduce their risk
factors for health problems. DIF: Cognitive Level: Understand (Comprehension)
REF: p. 571
Question 6.
6. Which of the following best describes services that are of- fered at a school-based
health center? A. Employee care at a discount- ed cost at the school b. Family-centered
care for preK-12 grade students c. Sex education, birth con- trol, family planning, and care
throughout pregnancy d. Referral and networking with other health care services in the
community
Correct Answer: ANS: B School-based health centers give care not only to students
but also to other persons in the community. They may pro- vide social services,
daycare, job training, and educational counseling in addition to the medical and
nursing care, mental health counseling, and dental care seen in smaller
school-based centers. DIF: Cognitive Level: Understand (Comprehension) REF: p.
571
Answers with 100% Correct Answers
Question 1.
1. According to the American Academy of Pediatrics, which of the following activities are
ex- pectations for a school health nurse? A. Ensuring that children with health problems
are accepted by their peers B. Driving children home if par- ents can't pick them up C.
Giving emergency care in the school or during school events D. Giving medications as
needed if children are ill
Correct Answer: ANS: C Giving emergency care in the school or during school
events School nursing responsibilities include making sure that children get the
health care they need, including emer- gency care in the school; keeping track of
the state-required vaccinations that children have received; carrying out the
required screening of the children based on state law; and ensuring that children
with health problems are able to learn in the classroom. The nurse cannot convince
children to accept other children as peers, although certainly efforts should be
made. HIPAA would not allow individual examples of health problems to be shared,
other than providing group statistics. DIF: Cognitive Level: Understand
(Comprehension) REF: p. 569
Question 2.
2. Which of the following state- ments best explains why many school nurses are not able
to ensure that all children re- ceive needed health care in the schools? A. There is a
shortage of baccalaureate-prepared nurses with national school health nurse certification.
B. Most nurses prefer to be em- ployed in hospitals giving direct care. C. Most school
districts are un- able to afford a nurse in every school. D. School districts and taxpay- ers
see no need for nurses in schools.
Correct Answer: ANS: C Most school districts are unable to afford a nurse in every
school. In Healthy People 2020, objective ECBP-5 states that there should be one
nurse for every 750 children in each school (U.S. Department of Health and Human
Services, 2010). Most schools have not achieved this objective. In 2006, ap-
proximately 40% of the nation's schools met that standard. The new objective is
that 44.7% of the country's elementary, middle, junior high, and senior high schools
have this many nurses by 2020 (U.S. Department of Health and Human Services,
2010). Having fewer nurses in the schools means that the nurses are expected to
perform many different functions. It is therefore possible that they are unable to
provide the amount of comprehensive care that the students need (Croghan, 2009).
DIF: Cognitive Level: Understand (Comprehension) REF: p. 569
Question 3.
3. A school health nurse is re- quested by the board of educa- tion to assist in choosing
new playground equipment for an elementary school that meets safety standards. Which
of the following best describes the nurse's role in this scenario? A. Case manager B.
Consultant C. Counselor D. Health educator
Correct Answer: ANS: B Consultant The school nurse is the person best able to
provide health information to school administrators, teachers, and par- ent-teacher
, groups. 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 nurse also can recommend changes in the school's policies or
ask community organizations to help make the children's schools healthier places.
DIF: Cognitive Level: Apply (Application) REF: p. 570
Question 4.
4. At the annual community health fair, the school health nurse displays a science booth
that examines the hazards of in- effective hand washing. Which of the following best
describes the nurse's role in this scenario? A. Consultant B. Community outreach C.
Counselor D. Researcher
Correct Answer: ANS: B Community outreach When participating in community
outreach, nurses reach out to residents in the community. One common way this
occurs is when nurses are involved in activities such as com- munity health fairs or
festivals in the schools. DIF: Cognitive Level: Apply (Application) REF: p. 570
Question 5.
5. Which of the following best explains why school nurses are involved in helping teachers
with the task of teaching chil- dren how to practice problem solving, communication, and
other life skills? A. Teacher shortages have re- quired nurses to be increasingly involved
in teaching life skills. D. Nurses have been enlisted in this role to help reduce risk fac- tors
for future health problems in schoolchildren
Correct Answer: ANS: D Nurses have been enlisted in this role to help reduce risk
factors for future health problems in school children. School health nurses were
originally involved in this ca- pacity in 1987 after the CDC began funding schools
for HIV-prevention education programs. This program was so successful that it was
expanded to include programs to teach children prevention of other chronic
illnesses caused in part by risk factors such as poor diet, lack of exercise, and
smoking. The schools are actively involved in helping the children practice problem
solving, communication, and other life skills so that they can reduce their risk
factors for health problems. DIF: Cognitive Level: Understand (Comprehension)
REF: p. 571
Question 6.
6. Which of the following best describes services that are of- fered at a school-based
health center? A. Employee care at a discount- ed cost at the school b. Family-centered
care for preK-12 grade students c. Sex education, birth con- trol, family planning, and care
throughout pregnancy d. Referral and networking with other health care services in the
community
Correct Answer: ANS: B School-based health centers give care not only to students
but also to other persons in the community. They may pro- vide social services,
daycare, job training, and educational counseling in addition to the medical and
nursing care, mental health counseling, and dental care seen in smaller
school-based centers. DIF: Cognitive Level: Understand (Comprehension) REF: p.
571
