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Exam (elaborations)

COMMUNITY HEALTH EXAM 1 QUESTIONS AND ANSWERS

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COMMUNITY HEALTH EXAM 1 QUESTIONS AND ANSWERS 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? A) receptive language B) higher-order thinking C) social relationships D) motor development - CORRECT ANSWERC) social relationships

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COMMUNITY HEALTH EXAM 1 QUESTIONS AND ANSWERS
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?

A) receptive language

B) higher-order thinking

C) social relationships

D) motor development - CORRECT ANSWER✅✅C) social relationships



School nurses may be the first to identify _______ in students through routine health exams? - CORRECT
ANSWER✅✅chronic medical conditions



Which of the following strategies would be most effective in helping to document and monitor the
quality of school nursing practices and interventions?

A) forming a task force to critically evaluate current practices and local standards related to school
nursing

B) seeking local media coverage of unexpected health cases or situations as they occur

C) maintaining daily program data sheets and detailed records of individuals served

D) conducting ongoing research into school nursing practices and publishing findings in professional
journals - CORRECT ANSWER✅✅Correct Response: C.

Student visits to the school health office should be documented in accordance with state regulations
regarding student health records and privacy laws.



In what year was the first school nurse utilized in the public health care system. - CORRECT
ANSWER✅✅1902



In the development of Individualized Healthcare Plans (IHPs), 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 IHP that addresses the educational implications of a student's health impairment?

,A) observing the student unobtrusively in a variety of school settings

B) evaluating the student's care in terms of how the student's daily health needs compare to those of
other students

C) checking tentative diagnoses of possible learning problems with colleagues

D) making a home visit to assess family capacity for assisting the student with his or her illness or
condition - CORRECT ANSWER✅✅Correct Response: A.



When conducting a comprehensive assessment for an Individualized Healthcare Plan (IHP), a school
nurse gathers, analyzes, and interprets information about a given student using professional health
knowledge and expertise.



What must the nurse do when determining how a students health condition affects the students
academic skills and school activites? - CORRECT ANSWER✅✅gain first hand knowledge via observation



What are the two school nurse organizations? - CORRECT ANSWER✅✅National Association of School
Nurses

and

Texas School Nurses Associations



What is the vision of the NASN? - CORRECT ANSWER✅✅"all students are safe healthy and ready to
learn"



What is the mission of the NASN? - CORRECT ANSWER✅✅"optimize student health and learning by
advancing the practice of school nursing"



What is the mission of the Texas School Nurses Association? - CORRECT ANSWER✅✅"to enhance
student wellness and learning by strengthening school nursing practice"



What is the vision of the Texas School Nurses Association? - CORRECT ANSWER✅✅Student access to
health and learning. All day. Everyday.

,At what age must children have their first vision and hearing screened? - CORRECT ANSWER✅✅those
who are 4yo by Sept 1st and kindergarteners



Within how many days of admission must a vision and hearing screening be performed? - CORRECT
ANSWER✅✅120 days



In what other grades a vision/hearing screenings performed? - CORRECT ANSWER✅✅1st

3rd

5th

7th



What is the referral criteria for vision screenings in children ages 3, 4, and 5(and up) - CORRECT
ANSWER✅✅3- 20/50

4- 20/40

5- 20/32 or 20/30



Color blindness usually happens between what colors? - CORRECT ANSWER✅✅greens and reds

blues



How many times but female students have a spinal screening? Males? - CORRECT ANSWER✅✅Females
twice and males onces



At what two ages must female students have spinal screening s performed? - CORRECT
ANSWER✅✅age 10 (fall semester of grade 5)

age 12 (fall semester of grade 7)



What are the s/sx of scoliosis? - CORRECT ANSWER✅✅uneven shoulders

prominent shoulder blade

visible curve

hips uneven

, asymmetrical waist

upper hump back

lower hump back



Lice infestations are no longer considered active and does not require tx when? - CORRECT
ANSWER✅✅no nymphs or adults are seen and the nits are found more than 1/2 inch from the scalp



It is very important that the child does not see the administers ____during a hearing screen - CORRECT
ANSWER✅✅hands



What color headphone goes on the Right ear during hearing screen? Left? - CORRECT ANSWER✅✅Left
is blue

Right is red



What should the initial hertz and dB setting be for hearing screening? - CORRECT ANSWER✅✅1000hz
and 40dB



then move to dial to 2dB

then 2000hz and 20dB

then 4000hz and 20dB



switch ears and repeat



What are examples of primary prevention in school nursing? - CORRECT ANSWER✅✅vaccines

education on safe-sex

education on nutrition

handwashing/cough hygiene

gun violence

mental health awareness

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