Community Health Midterm Questions and Answers, Exams of Advanced Education

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Community Health Midterm Questions And

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A father confides to the parish nurse that his wife has been really hurting their 3-year- old daughter. The nurse examines the daughter and finds evidence of physical abuse. In the parish nurse role, what will the nurse do first? - correct answer. Report the findings to child protective services

A nurse who works for a hospital in employee health notes that several nurses from one unit have missed work after contracting a communicable disease from a patient. In this scenario, the host is which of the following? - correct answer. Each sick nurse

Which of the following statements are accurate descriptions of current social and economic trends in the United States? Select all that apply. - correct answer. Many families are seeing decreases in family income

Massive and unexpected social and economic changes have occurred.

What do demographic figures suggest about the ways in which the population of the United States is changing? Select all that apply - correct answer. Approximately 12% of the U.S. population was born in a different country

Hispanics are the largest minority group population

Mortality for both genders in all age-groups declined.

Life expectancy increased dramatically during the twentieth century, primarily because of: - correct answer. Sanitation and other public health activities

The family of a client diagnosed with terminal cancer has been informed the client is not expected to live more than 2 months. Which statement made by a family member indicates to the nurse that the family understands the client's prognosis? - correct answer. "Hospice nurses are going to help care for him to make him more comfortable."

What would be the best approach for a home health nurse to help a client who has right-sided paresis secondary to a stroke? - correct answer. Teach the client to participate in self-care activities

A nurse orienting to the home health role states, "I don't understand why we have to collaborate with so many other disciplines. Doesn't this conflict with the concept of nurses engaging in holistic nursing practice?" What would be the best response? - correct answer. "The nurse still functions holistically; however, interdisciplinary collaboration is necessary to prevent fragmentation of care."

A 90-yearl old client expresses a wish to die at home after being told that an esophageal stricture prevents swallowing. The client refuses a feeding tube. The family fully supports this decision. What would be the most appropriate resource for the nurse to call? - correct answer. Hospice care

The school health nurse is interested in promoting safety in the high school population. In planning safety education for this age group and their parents, the nurse would recognize the need to address which developmental risk factor for adolescents? - correct answer. Feelings of immortality related to perception of being invulnerable to risks that affect others

What is the preferred public health approach to avoid premature deaths in America? - correct answer. Influencing Americans' lifestyle behavior choices

Which hospital employees are most at risk for being exposed to and possibly developing active drug-resistant TB? - correct answer. The housekeeping staff

The occupational health nurse is preparing to administer a purified protein derivative (PPD) tuberculin skin test to an employee. Before administration, the nurse should take which actions? - correct answer. Ensure that the employee has not had a positive test result in the past

A family shared their concerns, including sexual issues, in strictest confidence with a faith community nurse. When the nurse returned to the church office, the pastor asked why the family wanted to see her. What should be the nurse's response? - correct answer. "The family had some issues they wanted to discuss in confidence, which I will keep in confidence."

Which of the following are evidence that the U.S. health care system is in crisis? Select all that apply. - correct answer. Full-time employees may not have health insurance as a benefit.

Long work hours and provider fatigue are a major factor in medical errors.

What is a useful first step in assessing potential environmental health risks in a community? - correct answer. Performing a windshield survey

What single factor is most closely correlated with poor health? - correct answer. Low socioeconomic status

What should a nurse caring for clients of another culture be sure to do? - correct answer. Alter personal nonverbal behaviors to reflect the cultural norms of the client.

A nurse states, "The best way to treat a client from another country is to care for them the same way we would want to be cared for. After all, we are all humans with the same wants and needs." What does this statement reflect in relation to culture? - correct answer. Blindness

A nurse wants to have a greater understanding of the physiological effects of selected chemicals. From whom would the nurse be most likely to find useful information? - correct answer. Toxicologist

Of the four main factors that affect health, which is the least important? - correct answer. Health care system

What is the law in relation to clinical practice by nursing students? - correct answer. Students are expected to meet the same standard of care as the professional nurse

What is the relationship between ethics and a community health nursing practice? - correct answer. Ethics is constantly involved in nurses' clinical decisions

A nurse says, "I'm not going to change the way I practice nursing based on where the client is from, because research shows that Western health care technology and research is best." What is such a belief called? - correct answer. Ethnocentrism

The state board of nursing can write regulations to clarify in a more concrete manner what the nurse practice act allows and requires. What type of effect do these regulations have on the individual nurse? - correct answer. Major, since these rules and regulations have the effect of law and must be obeyed

How does the government inadvertently encourage low-income persons to use emergency departments as their primary care provider? - correct answer. Legally, emergency departments must see clients even if clients can't pay.

A physician refuses to order pain medication for a drug addict who has been severely injured in a car accident. When reminded by nurses that pain medication has not been ordered, the physician merely replies that the patient's suffering from the pain of his injuries will build character and that the addicted patient needs to get off drugs. What ethical theory is the physician using (or misusing)? - correct answer. Consequentialism

Who is responsible for determining the scope of practice for registered nurses? - correct answer. State legislators

What is the dominant issue in ethical debate around an issue such as continuing or withdrawing treatment in acute health care? - correct answer. Upholding ethical principles

A nurse wants to help keep the community environment safe. What is the best action he can take? - correct answer. Reduce, reuse, and recycle.

In what way could Florence Nightingale be considered an epidemiologist? - correct answer. She demonstrated that a safer environment resulted in decreased mortality rate.

In which of the following activities is the nurse acting in the role of a nurse epidemiologist? - correct answer. Evaluating the number of clients presenting with similar diseases

The nurse gives a very informative and engaging presentation and then gives everyone in the audience a handout that outlines the presentation. Later, the nurse discovers that many of the handouts were thrown away before the audience left the building. What might the nurse have forgotten? - correct answer. Many Americans do not have a high reading level.

A group of teenagers with diabetes is arguing over whether to have meetings during summer vacation. Which response, by the nurse, represents an understanding of group dynamics? - correct answer. Admit that it is difficult for everyone to agree on everything; then ask whether the group can try to decide how to agree on the issue and ask whether group members think there are other issues involved.

Of the following educational objectives, which example best meets all necessary criteria for a well-written objective? - correct answer. By the end of the class, 80% of children in the course will correctly identify two vegetables on a page of food pictures

Based on research, what is the best way to increase the number of persons who come to their screening test appointments? - correct answer. Client reminders via telephone, e-mail, or mail

Statistics clearly demonstrate that there are significantly more cases of a disease in one particular neighborhood than in all the rest of the city. Assuming all else is the same, what is the most likely explanation for a single neighborhood having such a different pattern of illness? - correct answer. A cultural or ethnic concentration in the neighborhood

Research demonstrates that exercise is important for general wellness and weight control. How might the school nurse use this information to implement primary

prevention? - correct answer. Drafting policy for increases in noncompetitive physical activity programs

Which action would be most helpful for the nurse executive to implement evidence- based practice at a community nursing center that serves a large Cuban immigrant population? - correct answer. Include Cuban immigrants from the community on the center's advisory board

A man says, "I just can't get myself to leave the house and go for a 30-minute walk each day. I wish I could think of some way to motivate myself." An effective measure by the nurse would be to suggest that the man: - correct answer. Join a group that walks early each morning

In what way is nursing in the community more challenging than nursing in an acute care setting? - correct answer. It is more challenging to control the environment in the community

A school health nurse plans to use evidence-based practice (EBP) to guide the development of health education programs most likely to increase retention of learning in elementary school children. What may be the best way to use EBP in this situation? - correct answer. Compare and contrast randomized clinical trials related to learning in elementary school children.

A health care provider is concerned about the high number of clients with type 2 diabetes mellitus who have poor glucose control. What would be the best reference for the provider to implement evidence-based practice (EBP) in the management of this problem? - correct answer. Current research findings

This year 600 of 8000 young women ages 17 to 20 years at a university health center tested positive for a sexually transmitted infection (STI). What does this finding represent? - correct answer. Prevalence

The nursing educator, who is offering a course on preparing for motherhood, asks the women taking her class to identify what they wish to learn and to write their own learning objectives. What is this method of gaining commitment called? - correct answer. A learning contract

A committee of health care professionals would like to establish a countywide program to improve Hispanic immigrant access to culturally competent health care services. Which person might be most helpful as a key informant? - correct answer. Hispanic community leader

What is the most crucial aspect in minimizing the damage from a bio-terrorism attack? - correct answer. Detecting an increase in people with similar signs and symptoms

A public health nurse found that out of the 70 people who ate the potato salad at the school picnic, 60 developed symptoms of food poisoning. What is the attack rate? - correct answer. 90%

What may be an unexpected side effect of having community members participate as full partners in creating change to improve community health? - correct answer. A change in the distribution or redistribution of power and influence.

A child came to school coughing almost constantly. The next day, six other children in the same school room were coughing. What type of outbreak is this? - correct answer. A common source outbreak

Which sof sthese spublic shealth snurse sapplicants sis sthe sleast squalified sfor sa sposition sof scase smanager sin sa srural scounty? s- s scorrect sanswer. s s sA s34-year-old swho swill sbe smoving sfrom sa slarge scity

Persons soften spoint sout sthat ssmokers schoose sto slight stheir scigarettes, salcoholics slift sthe sglass sto stheir smouths, sand sdrug saddicts sinject sor singest stheir sdrugs. sWhy, sthen, sdon't snurses ssimply sfocus son shelping spersons swho sengage sin spoor shealth sbehaviors sto sbehave sappropriately? s- s scorrect sanswer. s s sSociety smust soffer shealthy schoices, soffer ssupport, sand spractice shelpful spolicies.

A snurse snoted sthat sof s 18 schildren sin sa sday scare scenter sroom, s 5 sbecame sill. sWhat smight sbe sa shost sfactor sfor ssome sbecoming sill sand ssome snot sbecoming sill? s- s scorrect sanswer. s s sSome sof sthe schildren swere sfrom svery slow ssocioeconomic sfamilies

The snurse shas scompleted sa ssummative sevaluation sof sa sprogram sdesigned sto sdecrease sobesity sin sschool-aged schildren, sof sthe sfollowing sstatements, swhich sbest srepresents ssummative sevaluation? s- s scorrect sanswer. s s sHas sobesity sin sschool-aged schildren sdecreased

A scommunity shealth snurse sdrives sthrough sher sassigned scommunity sbefore svisiting sthe scommunity sgroups sscheduled sfor sthe sday. sShe sthen sdrives sthrough sthe scommunity sagain sthat sevening sbefore sgoing shome. sFrom sa scommunity snursing sperspective, swhat smight sbe sthe snurse's sreason sfor sdriving sthrough sthe scommunity stwice sin sthe ssame sday? s- s scorrect sanswer. s s sDriving sthrough stwice sallows sthe snurse sto ssee sthe scommunity swhen smany sresidents sare sat swork sor sat sschool sand sthen sagain swhen smost sare sat shome.

A snurse sis sinvestigating sbacteria sthat shave scaused sa shealth sproblem sin sthe scommunity. sOnly ssome sof sthe speople sexposed sto sthe sbacteria shave sbecome sill. sWhat scould saccount sfor sthis? s- s scorrect sanswer. s s sHost sfactors

Public shealth snurses shave sbeen sactivated sto sopen sa sshelter sdue sto san sapproaching shurricane. sWhat smost simportant sitems sshould sfamilies sbe sencouraged sto stake sto sthe semergency sshelter? s- s scorrect sanswer. s s sMedication sand svital srecords

A smajor sportion sof sa sconstruction sproject shas scollapsed. sThe semergency sdepartment s(ED) shas sbeen snotified sthat snumerous svictims sare sbeing stransported sto sthe sED. sWhat sshould sbe sthe sfirst saction sof sthe sED snurse? s- s scorrect sanswer. s s sAssess sdepartment sfor sresources-staff, sbeds, sequipment.

When sdoes sdisaster smanagement sbegin? s- s scorrect sanswer. s s sBefore sthe sdisaster soccurs

An soccupational shealth snurse ssees sthe svarious sinjuries sand sdiseases sthat spersons scan sacquire sfrom semployment. sWhich sof sthe sfollowing srecommendations swould sthe snurse smost slikely sprovide sabout ssafety sin sthe sworkplace? a. sFind semployment sin sphysical slabor; sat sleast syour sbody swill sbe sin sgood scondition. b. sProfessional spositions sare sthe ssafest schoice sfor semployment. c. sWhite scollar spositions sprovide sthe sleast srisk sfor sinjury. d. sThere sis sno s"safe" soccupation sor sprofession. s- s scorrect sanswer. s s sd

A snurse swho sworks sfor sa shospital sin semployee shealth snotes sthat sseveral snurses sfrom sone sunit shave smissed swork safter scontracting sa scommunicable sdisease sfrom sa spatient. sWhich sof sthe sfollowing sbest sdescribes sthe shost sfactor? a. sEach ssick snurse b. sThe scommunicable sdisease c. sThe shospital d. sThe spatient s- s scorrect sanswer. s s sa

Which sof sthe sfollowing sgroups sshould sthe soccupational shealth snurse sdevote sthe smost stime sto sregarding seducation sand sfollow-up sevaluation? a. sNew sworkers semployed sless sthan s 1 syear b. sOlder sworkers swith schronic sillnesses c. sOlder sworkers swith sdiminished shearing d. sWomen sin stheir schildbearing syears s- s scorrect sanswer. s s sa

An semployee sin sa slaboratory sdrops sa sflask, sresulting sin sa schemical ssplash sinto sthe semployee's seyes, swhich sin sturn sresults sin sburns sto sthe seyes. sWhich sof sthe sfollowing swould sbe sconsidered sthe sagent? a. sThe schemical b. sThe semployee c. sThe sflask d. sThe slaboratory s- s scorrect sanswer. s s sa

Which sof sthe sfollowing shospital semployees sare smost sat srisk sfor sbeing sexposed sto sand spossibly sdeveloping sactive sdrug-resistant sTB? a. sHousekeeping sstaff b. sMedical sstaff c. sNursing sstaff d. sWard sclerks s- s scorrect sanswer. s s sa

Which sof sthe sfollowing sis sthe smost scommon sdisabling scondition swhen smeasured sby sdays saway sfrom swork? a. sBruises b. sCuts sand slacerations c. sMental sillnesses d. sSprains sand sstrains s- s scorrect sanswer. s s sd

A snurse smakes sthe ssuggestion sthat sthe s2-week sshift srotations sshould sbe sset sup sso sthat sthe snext srotation sin sshifts sis slater srather sthan searlier. sWhich sof sthe sfollowing sis sthe snurse sattempting sto sprevent sthrough sthis ssuggestion? a. sAnxiety, sdepression, sand sexhaustion b. sFamily sturmoil c. sPhysical sillnesses d. sSleeping sdisorders s- s scorrect sanswer. s s sa

In swhich sof sthe sfollowing ssettings shave snurses smost soften sreported sbeing sthe svictims sof sviolence, sespecially sby spatients sand stheir sfamilies? a. sAcute scare sinpatient ssettings b. sCommunity sclinics sand sphysicians' soffices c. sEmergency sdepartments sand spsychiatric sunits d. sIn shomes sduring shome shealth svisits s- s scorrect sanswer. s s sc

The soccupational shealth snurse smakes scertain sall semployees shave sand sknow show sto suse spersonal sprotective sequipment s(PPE). sWhich sof sthe sfollowing sfactors swill smost slikely sdetermine show seffective sthe sPPE sis sin skeeping semployees ssafe? a. sComfort slevel sof sthe sPPE b. sEffectiveness sof sthe snurse's steaching c. sKnowledge slevel sof sthe semployee d. sPsychosocial snorms sof sthe ssetting s- s scorrect sanswer. s s sd

Which sof sthe sfollowing sis sthe sprimary sreason sthat slarge scompanies sare sbecoming smore sinvolved sin stheir semployees' spersonal shealth sand swell-being? a. sIt sis san sethical sand smoral sresponsibility. b. sIt simproves spublic srelations swithin sthe scommunity. c. sIt sallows smanagers sto sbetter sunderstand stheir semployees. d. sIt sprovides sa scost ssavings sto sthe scompany. s- s scorrect sanswer. s s sd

The soccupational shealth snurse scontinually sreminds semployees sto swear stheir ssafety sgoggles sand sear splugs. sWhich sof sthe sfollowing slevels sof sprevention sis sbeing simplemented? a. sBoth ssecondary sand stertiary sprevention b. sPrimary sprevention c. sSecondary sprevention d. sTertiary sprevention s- s scorrect sanswer. s s sb

An soccupational shealth snurse sis sremoving sa sforeign sbody sfrom sa spatient's seye. sWhich sof sthe sfollowing slevels sof sprevention sis sbeing simplemented? a. sInjury sprevention b. sPrimary sprevention c. sSecondary sprevention d. sTertiary sprevention s- s scorrect sanswer. s s sc

An soccupational shealth snurse speriodically sconducts sspirometry stesting sof semployees swho swork saround shazardous sgases. sWhich sof sthe sfollowing slevels sof sprevention sis sbeing simplemented? a. sPrimary sprevention b. sSecondary sprevention c. sTertiary sprevention d. sTertiary scare sprevention s- s scorrect sanswer. s s sb

The soccupational shealth snurse ssuggests sthat san semployee swork sonly shalf-days sfor sthree sweeks sand sthen sreturn sto sfull-time semployment. sWhich sof sthe sfollowing sbest sdescribes sthe srationale sfor sthis ssuggestion? a. sTo sprovide san sexample sto sother semployees sto sensure sfuture scooperation swith ssafety smeasures b. sTo senforce san seconomic spenalty sfor snot sobeying snurse's sinstructions sregarding ssafety smeasures c. sTo sensure sthat sall semployees skeep stheir spositions sduring san seconomic sdownturn d. sTo scontinue semployment sand sincome swith slimited sduty sas sa srehabilitation seffort safter san sinjury s- s scorrect sanswer. s s sd

An soccupational shealth snurse sis sworking swith sthe smanager sto schange sthe sassignment sof san semployee sfrom sworking swith sheavy smetal sto susing smachinery sto sassist swith sloading sand sunloading sboxes sat sthe struck sdock. sWhich sof sthe sfollowing sbest sexplains sthe srationale sfor sthis schange? a. sTo sprevent sinjury b. sTo slimit sdisability c. sTo sprovide sprimary sprevention d. sTo sprovide stertiary sprevention s- s scorrect sanswer. s s sb

A snurse sis scompleting sa shealth shistory son sa sclient sduring sa sroutine sphysical sexam. sWhich sof sthe sfollowing squestions, swhich sis soften somitted, sshould sbe sasked sby sthe snurse? a. s"How sis syour sfamily sdoing" b. s"What sproblems shave syou sbeen shaving" c. s"What shealth sconcerns sdo syou shave stoday" d. s"Where sdo syou swork sand swhat sdo syou sdo sthere" s- s scorrect sanswer. s s sd

A snurse sis sinterviewing sa sperson swho shas sstated son sher sentry shealth sform sthat sshe sis sretired. sWhich sof sthe sfollowing sis sthe smost scrucial squestion sfor sthe snurse sto sask? a. s"Have syou shad sany sproblems ssince sleaving syour semployment"

b. s"How sdo syou sspend syour stime snow" c. s"What shas sretirement sbeen slike sfor syou" d. s"Where swere syou spreviously semployed sand swhat sdid syou sdo sthere" s- s scorrect sanswer. s s sd

A snurse skeeps songoing sdocumentation sof sall sthe sclients sseen sat sthe scommunity shealth sclinic. sThe snurse senters sthe sdemographic sdata sand sthe sprimary sdiagnoses sinto sthe scomputer sto shave sa scomprehensive sperspective sof sthe sclinic's sclients. sWhich sof sthe sfollowing sbest sexplains swhy sthe snurse sis scollecting sthis sdata? a. sThis sdata swill sbe suseful sin sa sresearch sstudy sthe snurse sis sconducting. b. sThis sdata swill sprovide sevidence sof sclinic sresources sbeing swasted son sminor shealth sproblems. c. sThis sdata swill shelp sidentify spatterns sin sthe srisk sfactors sassociated swith sa sparticular ssubgroup. d. sThis sdata scan sbe sused sto sshow strends sthat scan sbe sincluded sin sthe snext sgrant sproposal sfor sfurther sfunding. s- s scorrect sanswer. s s sc

As sthe ssingle soccupational shealth semployee sat sa scompany, sa snurse sis sbusy swith ssafety sprograms sand sfirst said swhen semployees sare shurt. sHowever, sthe snurse sstill sfinds stime sto swalk sthrough sthe sentire sfacility sonce sa sday. sWhich sof sthe sfollowing sbest sexplains sthe srationale sfor sthis saction sby sthe snurse? a. sTo sdocument semployee sefficiency sand seffectiveness sat stheir sjobs b. sTo slook sfor sevidence sof spersonal sprotective sequipment sbeing storn sor sdestroyed c. sTo sobserve swhether semployees sare staking stheir srest speriods sas sscheduled sand sdrinking sadequate sfluids sduring sthe sday d. sTo sobserve seffectiveness sof ssafety seducation sand sequipment s- s scorrect sanswer. s s sd

Which sof sthe sfollowing sinterventions sregarding sworker ssafety swould sbe sthe sleast seffective? a. sUsing sjob srotation sand sworkplace smonitoring b. sDesigning sequipment sso sthat semployee sexposure sto shazards sis sminimized c. sHaving semployees suse ssafety smeasures sand spersonal sprotective sequipment d. sDesigning sthe senvironment sto sencourage semployees sto sfollow sworkplace sprocedures s- s scorrect sanswer. s s sc

Which sof sthe sfollowing sbest sdescribes sthe smission sof sOSHA? a. sTo screate san sinspection ssystem sto savoid spreventable sloss sof slife b. sTo sensure ssafe sand shealthful sworking sconditions c. sTo sestablish srules sfor semployee ssafety d. sTo sshare sfactory sillness sand sinjury srates swith sthe spublic s- s scorrect sanswer. s s sb

Which sof sthe sfollowing sstatements sbest sdescribes show sworkers' scompensation slegislation shas schanged semployer sbehavior? a. sEmployers shave simproved ssafety sof sworking sconditions sbecause ssafety sdata sis snow spublic sinformation.

b. sCompanies shave simproved ssafety sof sworking sconditions sbecause sworker's scompensation sinsurance spremiums sare snow sbased son sprevious sclaims. c. sEmployers swere slegally srequired sto simplement ssafety schanges. d. sCompanies shave sbecome smore sinvolved sin sthe slegislative sprocess. s- s scorrect sanswer. s s sb

Which sof sthe sfollowing swould smost slikely sbe sone sof sthe sfirst ssteps staken sin semployer sdisaster splanning? a. sAll semployees sare sinvited sto sattend ssessions son sdisaster splanning. b. sEmployers sstress sthe simportance sof sdisaster sdrills sand sencourage sactive sparticipation. c. sExhaustive sinventory sof schemicals sand sindustrial shazards sis scompleted. d. sWritten sdisaster splans sare sdistributed sto seach semployee sand seach sworksite. s- s scorrect sanswer. s s sc

Which sof sthe sfollowing sdescribes show soccupational shealth snursing sdiffers sfrom sother snursing sspecialties s(Select sall sthat sapply.) a. sIt sis sautonomous, sbecause sthe soccupational snurse sworks sindependently. b. sThe smajor sfocus sis son sthe senvironment. c. sNurses sfocus son shealth spromotion sand sdisease sprevention. d. sNursing scare sis sgiven sin sthe scommunity. s- s scorrect sanswer. s s sab

An soccupational shealth snurse sshould sbe saware sof swhich sof sthe sfollowing strends sin sthe smarketplace s(Select sall sthat sapply.) a. sA smajority sof snew sjobs swill sbe sin sservice-oriented semployment. b. sEmployees swill soften shave scompressed swork sweeks, sshift swork, sand sreduced sjob ssecurity. c. sA smajority sof spositions swill sstill sbe sheld sby smales. d. sMany semployees swill sbe solder sand ssuffer schronic shealth sproblems. s- s scorrect sanswer. s s sabd

Which sof sthe sfollowing sexplains swhy ssome soccupational shealth sspecialists sare svery sconcerned sabout schemicals sin sthe sworkplace s(Select sall sthat sapply.) a. sAll schemicals sare sinherently sdangerous sto shumans. b. sChemicals sare soften sused swhen snatural ssubstances sare sequally seffective. c. sEffects sof schemicals scan sbe scumulative. d. sInteractions sof schemicals sare stypically sunknown. s- s scorrect sanswer. s s scd

Which sof sthe sfollowing sare sthe sprimary sreasons sthat semployers shave sincreasingly sfocused son sensuring sa shealthy sand ssafe senvironment sfor sworkers s(Select sall sthat sapply.) a. sTo sfulfill stheir sethical sand smoral sresponsibility b. sTo savoid sthe scost sof sliability ssuits, sworkers' scompensation, setc. c. sTo smaintain sgood spublic srelations d. sTo smeet slegislated sstandards sand savoid ssignificant spenalties sfor snoncompliance s- s scorrect sanswer. s s sbd

An soccupational shealth snurse swants sto sknow sthe sNAICS scode sof sa sprospective semployer. sWhich sof sthe sfollowing sbest sexplains swhy sthe snurse swould sbe sinterested sin sthis sinformation s(Select sall sthat sapply.) a. sTo sassess show sothers shave srated sthe scompany sin srelation sto semployment sthere b. sTo scompare sthe sprospective semployer's sinjury srate swith ssimilar semployers' srates c. sTo slearn smore sabout sthe susual sprocesses sand sproducts sof sthe scompany sas swell sas stypical shazards d. sTo slearn show semployees sfeel sabout sthe semployer s- s scorrect sanswer. s s sbc

The sdifference sbetween sthe sOccupational sSafety sand sHealth sAdministration s(OSHA) sand sthe sNational sInstitute sfor sOccupational sSafety sand sHealth s(NIOSH) scan sbest sbe sdescribed sas swhich sof sthe sfollowing? a. sNIOSH senforces sworkplace ssafety, sand sOSHA seducates sabout soccupational sinjury sand sillness sprevention. b. sNIOSH smonitors swork-related sinjury/illness sincidence, sprevalence, sand sprevention, sand sOSHA sgoverns sfinancial scompensation sunder sWorkers' sCompensation. c. sOSHA sis spart sof sthe sDepartment sof sLabor, sand sNIOSH sis spart sof sthe sNational sInstitutes sof sHealth. d. sOSHA ssets sthe sworkplace ssafety sstandards, sand sNIOSH sexamines spotential shazards sof snew swork stechnologies sand spractices. s- s scorrect sanswer. s s sd

A srecent snews sarticle sreported sthe sdeath sof sa s60-year-old sroad sconstruction sworker son sa sday swith sa sposted sheat sadvisory. sAn soccupational shealth snurse swould srecognize sthe sadditional shost sfactors sthat scontributed sto sthis sfatality sas swhich sof sthe sfollowing? a. sAge sand swork spractices b. sGender sand slifestyle c. sHealth sstatus sand sage d. sWork spractices sand shealth sstatus s- s scorrect sanswer. s s sa

A swidely srecognized schemical shealth shazard sin shealth scare senvironments sis swhich sof sthe sfollowing? a. sBurn-out b. sLatex sallergy c. sRadiation d. sViruses s- s scorrect sanswer. s s sb

An seffective sindustrial sdisaster splan sis sa swritten splan sthat sis sshared swith sall swho swill sbe sinvolved, ssuch sas sthe sinternal sfirst sresponders, sexternal scommunity-based semergency spersonnel s(transportation, sfire, sEMS, shospitals), sand sother skey sresources sin sthe scommunity. sAnother sfactor sthat sinfluences sthe seffectiveness sof san sindustrial sdisaster splan sis swhich sof sthe sfollowing? a. sAddressing sactivities sfor swork sareas sthat sare sat sgreater srisk b. sConducting sa sresponse sagency sworksite swalk-through c. sTesting swith sa sbiannual sdrill d. sTraining sspecific semployees sfor sfire sbrigade sprocedures s- s scorrect sanswer. s s sb

Changes sin sthe sworkforce swill spose snew schallenges sto sprotecting sworker shealth sand ssafety. sWhich sof sthe sfollowing strends swill sinfluence sbusiness sstrategies sto sincrease shealth sstatus, semployment slongevity, sand ssatisfaction sof sworkers?

Select sall sthat sapply.

a. sExpanded syounger sworkforce b. sFemale sworkforce sincreasing c. sIncrease sin sminority sworkers d. sJob sshifts sto smanufacturing e. sMore sracially sdiverse sworkforce s- s scorrect sanswer. s s sbce

The soccupational shealth snurse sis saware sthat sseveral semployees sfrom sthe saccounting/finance sdepartments sare scomplaining sabout sexhaustion, sanxiety, sand sheartburn sand snotes san sincrease sin sabsenteeism sfor sthese sdepartments. sOn sfurther sexploration, sthe snurse slearns sthat sa snew schief sfinancial sofficer s(CFO) shas sbeen sin splace sfor s 1 smonth. sThe snew sCFO sis sdemanding shigher sproductivity sand sturnaround swith sexpectations sof sworking sovertime sand sweekends sto s"get sthe sjob sdone" sahead sof sdeadlines. sThe soccupational shealth snurse, susing sthe sepidemiologic smodel, srecognizes sthis sas sa spsychological sagent sthat scan sbest sbe sdescribed sas swhich sof sthe sfollowing? a. sEmployment sconditions b. sNonfatal sviolence c. sOrganizational sculture d. sShift swork s- s scorrect sanswer. s s sc

The sgreatest srisk sfor sexperiencing swork-related saccidents swith ssubsequent sinjuries sis sto swhich sof sthe sfollowing? a. sNew sworkers swith sless sthan s 1 syear sof sexperience son sthe scurrent sjob b. sOlder sworkers swith s 2 syears sof sexperience son sthe sjob c. sWomen sover s 50 syears sof sage swith s 3 syears sof sexperience son sthe scurrent sjob d. sWorkers swith ssafe, slow-level sexposure son sthe sjob s- s scorrect sanswer. s s sa

Which sof sthe sfollowing sis sa sunique scharacteristic sof sthe srole sof sthe soccupational shealth snurse? a. sAdapts sto sthe sneeds sof sthe sagency sand sspecific sgroups sof sworkers b. sWorks sas sa ssolo sclinician sand/or sindependent scontractor c. sIs sinterdisciplinary sin snature d. sSpecializes sin shealth spromotion sand seducation s- s scorrect sanswer. s s sa

In shealth scare sfacilities sand sclinical slaboratories, sthe soccupational shealth snurse sneeds sto sbe saware sof sthe sworker sgroups sthat sare sat srisk sfor sexposure sto sbiological sagents. sBesides sthe shealth scare sworkers, sworker sgroups sat srisk sfor sexposure sto sbiological sinfectious sagents smay sinclude swhich sof sthe sfollowing? a. sClerical sstaff b. sMaintenance spersonnel

c. sReceptionists d. sChaplains s- s scorrect sanswer. s s sb

During sa srecent sheat sadvisory, sbaggage shandlers sat sthe slocal sairport swere splaced son sa s1-hour sshift srotation. sThis swork-health sinteraction sdemonstrates sthe stheoretical sapplication sof swhich sof sthe sfollowing? a. sAggregate spopulations b. sEpidemiologic smodel c. sHost srisk sfactor d. sOccupational sexposure s- s scorrect sanswer. s s sb

American sAcademy sof sPediatrics s(AAP) s- s scorrect sanswer. s s sa sprofessional sorganization sfor spediatricians sthat ssets spolicy sstatements sfor schild shealth

Americans swith sDisabilities sAct s(ADA) s- s scorrect sanswer. s s san sact spassed sin s 1990 sthat smandated sthat sindividuals swith smental sand sphysical sdisabilities sbe sbrought sinto sthe smainstream sof sAmerican sLife

Case sManager s- s scorrect sanswer. s s sa sschool snurse swho sperforms sa snumber sof sgeneral sactivities sconcerning shealth sproblems sof sthe schildren

Centers sfor sDisease sControl sand sPrevention s(CDC) s- s scorrect sanswer. s s sa sbranch sof sthe sU.S. spublic shealth sservice swhose sprimary sresponsibility sis sto spropose, scoordinate sand sevaluate schanges sin sthe ssurveillance sof sdisease sin sthe sU.S.

Community sOutreach s- s scorrect sanswer. s s sa srole sof sa snurse swhogivescare soutside sone sdefined ssetting

consultant s- s scorrect sanswer. s s ssomeone swho sprovides sprofessional sadvice, sservices, sor sinfromation

counsler s- s scorrect sanswer. s s sa srole sof sa snurse swhen smental shealth ssupport sis sprovided

crisis steams s- s scorrect sanswer. s s sschool sstaff sdesignated sto sdeal swith scrises sat sschool

direct scaregiver s- s scorrect sanswer. s s sa srole sof sa snurse sgiving shealth scare sto sthe sill sor sinjured

do-not-resuscitate s(DNR) sorders s- s scorrect sanswer. s s sphyscians sorders sto snot smedically sintervene swhen sdeathis sabout sto soccur

emergency splan s- s scorrect sanswer. s s sprocedures sto seffectively sgive scare sin sa scrisis ssituation

full-service sschool-based shealth scenters s(FSSBHCs) s- s scorrect sanswer. s s sa sfederal sprogram sproviding scomprehensive shealth scare sat sa ssite swithin sa sschool sto sall sincluding ssocial sservices, sday scare, sand sjob straining may sprovide ssocial sservices, sday scare, sjob straining, seducational scounseling, smedical sand snursing scare, smental shealth scounseling sand sdental scare

health seducator s- s scorrect sanswer. s s sa srole sof sa snurse sin sproviding sinstruction son sheealth stopics

individualized seducation splans s(IEPs) s- s scorrect sanswer. s s splans sto sdecide seducational saccommodations sfor sdisabled schildren

National sAssociation sof sSchool sNurses s(NASN) s- s scorrect sanswer. s s sprofessional sorganization sfor sschool snurses sthat ssets sstandards sand sguidelines sfor sthem

PL s93-112 sSection s 504 sof sthe sRehabilitation sAct sof s 1973 s- s scorrect sanswer. s s sfederal slaw srequiring sservices sfor spersons swith shandicaps

PL s105-17 sIndividuals sWith sDisabilities sEducation sAct s(IDEA) s- s scorrect sanswer. s s seducational sservices sthat smust sbe sprovided sfor sdisabled schildren sfrom sbirth sthrough sage s 22

Primary sprevention sin sSchool sNursing s- s scorrect sanswer. s s shealth spromotion sand seducation; s provides shealth spromotion sand seducation sto sprevent schildhood sinjuries sand ssubstance sabuse

researcher s- s scorrect sanswer. s s sa srole sof sa snurse sto sinvestigate sphenomena srelated sto shealth

Safe sKids sCampaign s- s scorrect sanswer. s s sa sfederal sprogram sto sprovide seducation sto schildren sabout ssafety

School sbased shealth scenters s(SBHCs) s- s scorrect sanswer. s s sa sfederal sprogram sproviding shealth scare, sdental scare sand smental shealth scare sto schildren sand sfamilies sin sschools

School sHealth sPolicies sand sPrograms sStudy s 2000 s(SHPPS s2000) s- s scorrect sanswer. s s sa sfederal sstudy sof sCDC-funded sschool shealth sprogram srun sby scommunity shealth sagency

Secondary sprevention sin sSchool sNursing s- s scorrect sanswer. s s sscreening sand sproviding shealth scare sthat sinvolves sscreening schildren sfor sillnesses sand sproviding sdirect snursing scare

Standard sPrecations s- s scorrect sanswer. s s sprocedures sto sprevent sexposure sto sblood- borne sdiseases

tertiary sprevention s- s scorrect sanswer. s s scontinued slong-term shealth scare

After sWorld sWar sII, sas sthe snumber sof schldren swith scommunicable sdiseases sdecreased sdue sto simmunizations sand santibiotic suse, sthe sSchool sNurses sturned stheir sattention sto sscreening schildren sfor swhat? s- s scorrect sanswer. s s sCommon sHealth sproblems, svision sand shearing,

The sAAP sstated sthat sschool snurses sshould sensure: s- s scorrect sanswer. s s s- sThat schildren sget sthe shealth scare sthey sneed, sincluding semergency scare sin sthe sschool

• sThat sthe snurse skeeps strack sof sthe sstate-required svaccinations sthat schildren shave sreceived
• sThat sthe snurse scarries sout sthe srequired sscreening sof sthe schildren sbased son sstate slaw
• sthat schildren swit shealth sproblems sare sable sto slearn sin steh sclassroom

The sAAP srecommends sthat sthe snurse sbe swhat smember sof sthe shealth steam sthat sincludes sa sphysician, sschool scounselor, sschool spsychologist, smembers sof sthe sschool sstaff sincluding sthe sadministrator, sand steachers? s- s scorrect sanswer. s s sThe shead sof sthe shealth steam

The sgoal sof sthe sAAP sstandards/recommendations sfor sschool snurses sis? s- s scorrect sanswer. s s sfor schildren sto sobtain scomplete shealth scare sin sthe sschools

School sNurses sgive scare sto schildren sas? s- s scorrect sanswer. s s sdirect scaregivers, seducators, scounselors s, sconsultants, sand scase smanagers.

The seight sparts sof sthe sCDC sschool shealth sprogram sare: s- s scorrect sanswer. s s sHealth sEducation Physical sEducation Health sservices Nutrition sservices Counseling sand spsychological sand ssocial sservices Healthy sschool senvironment Health spromotion sfor sstaff Family sand scommunity sinvolvement

A sschool snurses sprimary sprevention sefforts sdo swhat? s- s scorrect sanswer. s s s- sAccess schildren sand sfamilies sto sdetermine stheir slevel sof sknowledge sabout shealth sissues

• sFind sout swhether schildren sare sat srisk sfor spreventable sproblems
• sAnalyze sthe sassessment sfindings
• sMake splans sto sdevelop steachingoplans sor shealth spromotion sactivities
• sImplement sthe shealth spromotion sactivities
• sEvaluate sand srevise shealth spromotion splans

The sschool snurse sfocuses son swhat sareas sof spromary sprevention? s- s scorrect sanswer. s s s- sPreventing schildhood sinjuries

• sPreventing ssubstance sabuse sbehaviors

• sReducing sthe srisk sof steh sdevelopment sof schronic sdiseases
• sMonitoring sthe simmunization sstatus sof schildren

School sNurses sassess sschool splaygrounds sfor sequipment ssafety son swhat sbasis? s- s scorrect sanswer. s s sthe sU.S. sconsumer sProduct sSafety sCommission sguidelines

It sis sthe sjob sof sthe sschool snurse sto steach steenagers sabout sthe sdangers sof sall? s- s scorrect sanswer. s s sDrugs

Getting swhat sinformation sto sthe sparents sof sthe schildren sis soften sa schallenge sfor steh sschool snurse? s- s scorrect sanswer. s s shealth spromotion

The simmunization/vaccination srecords sof sall schildren sin sa sschool, sthat sare skept sby sthe sschool snurse, smust shave swhat sin sthem? s- s scorrect sanswer. s s s- sName sof sStudent

• sDate sof sbirth
• sAddress
• sTelephone snumber
• sParent'/guardians' snames
• sContact sinfrmation
• sPrimary shealth scare sproviders sname, stelephone snumber sand saddress
• sAll sthe svaccinations swith steh sdates sthe schild sreceived sbooster sshots

What slevel sof sprevention sis sthe sschool snurses slargest sresponsibility? s- s scorrect sanswer. s s sSecondary sPrevention

Children sseek sout sa sschool snurse sfor swhat sdifferent sneeds? s- s scorrect sanswer. s s s- sHeadaches

• sStomaches
• sDiarrhea
• sAnxiety sover sbeing sseparated sfrom sthe sparents
• scuts, sbruises, sor sother sinjuries

At sleast show smany sdifferent sstaff smemebers smust sbe sidentified sas sresponsible sfor sdetermining sif semergency scare sis sneeded? s- s scorrect sanswer. s s s 2

The s 2 sstaff smembers swho sare sidentified sas sresponsible sto sdetermine sif semergency scare sis sneeded sshould sbe seducated sby swhom sin swhat? s- s scorrect sanswer. s s sBy steh sSchool sNurse sin sfirst said stechniques

What stwo sthings sshould sbe skept sby sthe sschool snurse sor sother sschool soffical sthat sis sresponsible sfor sensuring semergency scare sis sprovided sfor sa ssick sor sinjured schild? s- s scorrect sanswer. s s sAn sinjury sor sillness slog sand sProcedures son snotifying sparents sabout sthe semergency sthat sinclude swhat swas sdone sfor sthe schild, swhere sthe schild sis, sand swhat sis srequired

The sschool snurse sshould shave swhat snecessary sequipment? s- s scorrect sanswer. s s sFull soxygen stanks sw/oxygen smasks sof sdifferent skinds, sand ssplints s Cervical sspine scollars sin sdifferent ssizes sterile sdressings

In sregards sto slice sand snits swhat sare steh sschool snurses sresponsibilities? s- s scorrect sanswer. s s s- sTeach schildren, sparents, sand steachers show sto sprevent slice sand streat scases sof sinfestations

• sTeach sparent show sto scompletely streat sthe schild swith sthe santi-lice smedications
• sTeach sparents sto sremove sall snits sfrom sthe shead swith sfine stoothed scomb
• sTeach sparents sto swash sall sbed slinens sand sclothing

Nurses sshould sdo swhat sto said sin sSuicide sPrevention sefforts sin sadolescents: s- s scorrect sanswer. s s s. sLead seducational sprograms swithin sthe sschools sto semphazise scoping sstrategies sand sstress smanagement stechniques sfor schildren sand sadolescents swho shave sproblems sand sto steah sabout sthe srisks

• sTeach sfaculty smembers sto slook sfor sthe srisk sfactors
• sHelp sorganize sa speer sassistance sprogram stohelp steenagers scope swith sschool sstresses

What sis sthe sbest saction sfor sa sschool snurse sto sdo sif sa sadolescent sin sschool sthreatens sto scommit ssuicide? s- s scorrect sanswer. s s s- sremove sthe sstudent sfrom sthe sschool ssituation simmediately

• snotify sthe sparents swhile sassessing sthe sstudents srisk
• srefer sthe schild sor steenager sto scrisis sintervention sor smental shealth sservices

What ssix scharacteristics smay spoint sout sa sstudent swho smay sbe sthinking sof scomminting san sact sof sviolence sagnist stheir sschool? s- s scorrect sanswer. s s s1. sventing: shaving smood sswings

2. sVocalizing: sthreatening sothers
3. sVandalizing: sdamaging sproperty
4. sVictimizing: sseeign shimself sor sherself sas sa svictim
5. sVying: sbelonging sto sgangs
6. sViewing: switnessing sthe sabuse sof sothers

How scan sthe sschool snurse shelp sprevent sviolent sactions sby schildren/students? s- s scorrect sanswer. s s sby steaching steachers sand sstudents sthe ssix scharacteristics sthat spoint sout sa sstudent swho sis sat srisk sto scommit sdrastic sviolent sacts sand sby sproviding sfollow sup son schildren/students swho sneed shelp.

The scrisis splan sshould sinclude swhat? s- s scorrect sanswer. s s sAn sadministrative spolicy smade seither sfor sentire sschool sdistrict sor sfor sindividual sschools sin sthe sdistrict. The snames sof spersons son sthe scrisis steam
The ssuperintendent sof sthe sschool sdistrict The sschool snurse the sguidance scounselor the sschool spsychologist sor ssocial sworker

police sor sschool ssecurity clery sfrom scommunity Parents

How soften sshould sa scrisis splan sbe supdated? s- s scorrect sanswer. s s severy syear

When sdose sa sschool snurse sgive stertiary sprevention scare? s- s scorrect sanswer. s s swhen sworking swith schildren/students swho shave slong-term sor schronic sillnesses sor swhen sworking swith schildren swith sspecial sneeds

When sdealing swith sIEPs sthe snurses sresponsibilities sinclude? s- s scorrect sanswer. s s s- sHavinginformation sabout sthe schild's smedications sto sbe sgiven sduring sschool shours

• sKnowing sif sthe schild sneeds sany stherapy sduring sthe sschool sday,, ssuch sas sphysical sor soccupational stherapy
• sKnowing sif sthe schild shas shearing sor svision sproblem
• sasking sthe steacher sto sseat sthe schild sin sbest splace sin sthe sclassroom sso sthe schild scan sbetter ssee sor shear sthe steacher

If sa schild sis sin sa swheelchair sor suses scrutches, sthen sthe sschool sbuilding sitself sneeds sto sbe salteed stoallow sthe schid saccess sand suse sof sthe sschoo sfacilities, swho sis sresponsible sfor stellig sthe sschool sadministrators sabout sthese sspecial sneeds sif schanges sneed sto sbe smade? s- s scorrect sanswer. s s sThe sschool snurse

What sresponibities sdose sthe sschool snurse shave swhen sdealing swith shomebound schildren? s- s scorrect sanswer. s s s- sBeing sthe sliaison sbetween sthe schild's steacher, sphysician, sschool sadministrators, sand sparents sregarding sthe schild's sneeds

• sHelping sindividuals smake sup sthe schild's sIEP sin sa sway sthat sdosn't sremove snecessary slearning sform sthe splan
• sAllowing sthe schild sto sgo sto sschool swhen spossible Coordinating sthe schild's shealth scare sneeds sand sclasses

In sthe searly s1900's sschool snurses sdid sscreenings sfor swhat sin sschool schildren? s- s scorrect sanswer. s s sinfectious sdiseases

Since s 2002 sschool snurses shave sbeen sdirectly sresponsible sfor swhat snursing scare? s- s scorrect sanswer. s s sdirect scare health seducation counseling s case smanagement community soutreach

A sschool snurses srequired slevel sof seducation sdepends son swhat? s- s scorrect sanswer. s s sState slaws

In sthe sschool ssetting sschool snurses smust scarry sout swhat sskills soften? s- s scorrect sanswer. s s scatheterizations, ssuctioning, sgastrostomy sfeedings, sand sother sskills sin sschools

Ethical sdilemmas sin sschools sare srelated sto? s- s scorrect sanswer. s s swomen's shealth scare sand sreligious sbeliefs sof sthe sstudents sor snurses

A sunique scharacteristic sof sthe sstandards sof spractice sfor sschool snurses sis swhich sof sthe sfollowing?

sAlignment swith sthe sAmerican sAcademy sof sPediatrics s(AAP) sguidelines sfor sproviding shealth scare sto sstudents sRequirement sof sbachelor's sdegrees sin snursing sand sspecial scertification sin sschool snursing sRestriction son sdelegation sof scare sto sother sschool spersonnel sUse sof sresearch sfindings sin sthe spractice sof sschool snursing s- s scorrect sanswer. s s sA

In sgeneral, sthe sNational sAssociation sof sSchool sNurses s(NASN) sstandards salign swith sthose sdeveloped sby sthe sAmerican sAcademy sof sPediatrics s(AAP) sregarding sgiving shealth scare sto sstudents sin sthe sschools. sThe sAAP sdeveloped sits sown sideas sabout show snurses sfunction sin sschools sbased son sits sassessment sof sschool schildren's shealth sneeds. sThese sguidelines sare svery ssimilar sto sthose swritten sby sthe sNASN. sAdditionally, sthe sAAP srecommends sthat sthe snurse sbe sthe shead sof sa shealth scare steam sthat sincludes sa sphysician s(preferably sa spediatrician), sschool scounselors, sthe sschool spsychologist, sand smembers sof sthe sschool sstaff sincluding sthe sadministrators sand steachers. DIF: sCognitive sLevel: sComprehension REF: sPage s 569

A ssecond-grade schild swith scerebral spalsy sreceives sservices sfrom sa sphysical stherapist sand soccupational stherapist sduring sthe schild's sacademic sday. sThe sschool snurse ssets sup sthe sschedule sto sensure sthat sthe stherapists' svisits sdo snot sunnecessarily saffect sthe schild's sacademic sday snegatively. sThis srole sof sthe sschool snurse sis sbest sdescribed sas swhich sof sthe sfollowing?

sCase smanager sCounselor sConsultant sDirect scaregiver s- s scorrect sanswer. s s sA

The sschool snurse sis sexpected sto sfunction sas sa scase smanager, shelping sto scoordinate sthe shealth scare sfor schildren swith scomplex shealth sproblems. sThis smay sinclude sthe schild swho sis sdisabled sor schronically sill, swho smay sbe sseen sby sa sphysical stherapist, san soccupational stherapist, sa sspeech stherapist, sor sanother shealth scare sprovider sduring sthe sschool sday. sThe snurse ssets sup sthe sschedule sfor sthe schild's svisits sso sthat sthose sappointments sdo snot sunnecessarily shave sa snegative seffect son sthe schild's sacademic sday. sDirect scaregiver sis sthe straditional srole sof sthe sschool snurse swhere simmediate snursing scare sis sprovided. sAs sa sconsultant, sthe sschool snurse scan sprovide sprofessional sinformation sabout sproposed

schanges sin sthe sschool senvironment sand stheir seffect son sthe shealth sof sthe schildren. sThe sschool snurse sas scounselor soccurs swhen schildren sgo sto sthe snurse sto sshare simportant shealth sinformation. DIF: sCognitive sLevel: sApplication REF: sPage s 570

A smiddle sschool sstudent sapproaches sthe sschool snurse sand sasks, s"Can sI sspeak swith syou sabout ssomething simportant?" sThe sschool snurse sresponds saffirmatively sbut sshould salso sstate swhich sof sthe sfollowing?

s"Anything syou stell sme swill sbe skept sprivate sand sconfidential." s"If sanything syou stell sme sindicates sthat ssomeone sis sin sdanger, sthe sparents sand sschool sofficials smust sbe stold." s"It smay sbe sbest sfor sme sto sset sup san sappointment swith sthe sschool scounselor." s"You scan salways sspeak sto sme sif syou sare sin strouble sor swhen syou sneed ssomeone sto stalk sto." s- s scorrect sanswer. s s sB

The sschool snurse smay sbe sthe sperson swhom schildren strust sto stell simportant ssecrets sabout stheir shealth. sThe sschool snurse shas sa sreputation sas sbeing sa strustworthy sperson sto swhom sthe schildren scan sgo sif sthey sare sin strouble sor swhen sthey sneed sto stalk sto ssomeone. sNurses sin sthis ssituation sshould stell sthe schildren sthat sif sanything sthey sreveal spoints sout sthat ssomeone sis sin sdanger, sthe sparents sand sschool sofficials smust sbe stold. DIF: sCognitive sLevel: sApplication REF: sPage s 570

At sthe send sof seach sschool sterm, sthe sschool snurse sschedules san sequipment ssafety sassessment sof seach sschool splayground sin sthe sdistrict. sThe sschool snurse suses sthe sguidelines sof sthe sU.S. sConsumer sProtection sSafety sCommission sand sprepares sa sreport sof sthe sfindings sfor sthe sschool sboard sfor splanning spurposes. sThis sintervention sby sthe sschool snurse sis san sexample sof swhich sof sthe sfollowing?

sCommunity soutreach sPrimary sprevention sSecondary sprevention sTertiary sprevention s- s scorrect sanswer. s s sB

Injuries sare sthe sleading scause sof sdeath sin schildren sand steenagers. sThe sschool snurse seducates schildren, steachers, sand sparents sabout spreventing sinjuries. sSchool snurses salso sprovide sinformation son show sto sprevent splayground sinjuries. sThey sassess sschool splaygrounds sfor sequipment ssafety son sthe sbasis sof sthe sU.S. sConsumer sProduct sSafety sCommission sguidelines. DIF: sCognitive sLevel: sApplication REF: sPage s 573

A schild swith ssevere smacular sdegeneration sand ssome shearing sloss swill sbe sattending sthe sthird sgrade sin sa slocal sschool. sA stertiary sprevention sintervention sthe sschool snurse sshould sperform swould sbe swhich sof sthe sfollowing?

sAssess sthe schild's slanguage sskills, smotor sabilities, sand ssocial sabilities. sEnsure sthat sa stelephone sis savailable sfor scalling semergency spersonnel sor sparents. sLead seducational sprograms sto saddress scoping sstrategies sand sstress smanagement stechniques. sMeet swith sthe sassigned steachers sto sdiscuss sclassroom sseating sto senhance sthe schild's slearning sexperience. s- s scorrect sanswer. s s sD

The sschool snurse sgives snursing scare srelated sto stertiary sprevention swhen sworking swith schildren swho shave slong-term sor schronic sillnesses sor swith sspecial sneeds. sThis smay sinclude sparticipation sin sthe sdevelopment sof san sindividual seducation splan s(IEP); sidentification sof smedication, stherapy sneeds, sand/or sphysical, sauditory, sor svisual slimitations; sand sinterventions sto sensure sthe sappropriate splacement sof sthe schild sin sthe sclassroom senvironment sor sphysical saccommodations srequired, swhich senhances sthe schild's slearning sexperience. DIF: sCognitive sLevel: sApplication REF: sPage s 578

The sfuture sof sschool snursing sis svery sstrong sand swill sbe sfurther senhanced sby sthe sfuture strend sin swhich sof sthe sfollowing?

sDevelopment sof san sHIV/AIDS shealth scurriculum sEnhanced suse sof spicture sboards sImproving sthe sair squality sof sschool sbuildings sTelehealth sand stelecounseling s- s scorrect sanswer. s s sD

The samount sof shealth scare sbeing sgiven sin sthe sschools sis sincreasing. sIn sthe sfuture, sschool snursing swill suse stelehealth sand stelecounseling sto steach shealth seducation. sSchool snurses swill suse sthe sInternet sto swork swith schildren sand sparents. sThe sschool snurse sis sresponsible sfor skeeping sup swith sthe slatest schanges sin shealth scare sand shealth spractice sso sthat sthe shealth sof schildren sin sthe sschools scan sbe senhanced sby snew strends sin shealth scare. DIF: sCognitive sLevel: sKnowledge REF: sPage s 581

A sschool sdistrict sin sthe sMidwest shas sincluded shealth seducation, sphysical seducation, shealth sservices, snutrition sservices, sand scounseling, spsychological, sand ssocial sservices sas scomponents sof sthe sstudent shealth sservices. sAdditionally, sthe sdistrict shas sintegrated sfamily/community sinvolvement, sstaff shealth spromotion, sand sa scommitment sto sa shealthy

sschool senvironment sin sits sprogram sdesign. sThis sschool sdistrict shas sadopted sthe sschool shealth sservice sprogram sscope sof swhich sof sthe sfollowing?

sCDC's sFederal sSchool sHealth sProgram sHealthy sSchools, sHealthy sCommunities sprogram sHealthy sPeople s 2020 sSchool-linked sprogram s- s scorrect sanswer. s s sA

The sfederal sgovernment, sthrough sthe scoordination sof sthe sCDC, shas sdeveloped sthe sFederal sSchool sHealth sProgram. sThe splan sincludes seight sparts: shealth seducation; sphysical seducation; shealth sservices; snutrition sservices; scounseling, spsychological, sand ssocial sservices; shealthy sschool senvironment; shealth spromotion sfor sstaff; sand sfamily/community sinvolvement. DIF: sCognitive sLevel: sApplication REF: sPages s570-571

An surban sschool-based sclinic sis slocated sin sa sschool sdistrict swhere smany sof sthe schildren slack shealth sinsurance. sThe sschool snurse scontinues sto sprovide sscreening, sassessment, sfirst said, sand srecord skeeping sbut scan srefer sstudents swho srequire sadditional sservices sto sthe snurse spractitioners sthat sstaff sthe sschool-based shealth scenter s(SBHC) son sthe sschool sgrounds. sThe sSBHC sis sfederally sfunded sunder swhich sof sthe sfollowing?

sCDC's sFederal sSchool sHealth sProgram sThe sAffordable sCare sAct sHealthy sPeople s 2010 sSchool-linked sprogram s- s scorrect sanswer. s s sB

School-based shealth scenters sare sfamily-centered, scommunity-based sclinics srun swithin sschools sunder sa sfederally sfunded sprogram. sThese sclinics sgive sexpanded shealth sservices, sincluding smental shealth sand sdental scare, sin saddition sto sthe smore straditional shealth scare sservices. sThe sAffordable sCare sAct sof s 2010 sappropriated s$200 smillion sto simprove sand sexpand sservices sat sSBHC. sThey scan svary sin ssize, shours, sand sdays sof soperation, sor sadministrative smodel s(i.e., sschool sclinic, shealth scenter, sschool-linked sprogram). sThey sare ssuccessful sbecause sthey sfocus son sbringing shealth scare sservices sto schildren sin sa scommunity sschool slocation sand sare scoordinated swith sthe sschool shealth sprogram. DIF: sCognitive sLevel: sKnowledge REF: sPage s 571

The sschool snurse sat sthe sintermediate slevel sarranges sfor sa spresentation sby sthe strauma seducator sat sthe slocal sregional smedical scenter. sBicycle sand shelmet ssafety swill sbe sthe sprimary stopic sat sthe sschool's sopen shouse. sThis sis san sexample sof swhich sof sthe sfollowing sschool snurse sroles?

sCommunity soutreach sCounselor sConsultant sCase smanager s- s scorrect sanswer. s s sA

When sparticipating sin scommunity soutreach, snurses scan sbe sinvolved sin scommunity shealth sfairs, sreaching sothers sabout sinfluenza simmunization sprograms, spromoting shealth seducation sfairs, sand scoordinating swith slocal scharities sto sprovide seducation sto sthe sschools. sAs sa sconsultant, sthe sschool snurse scan sprovide sprofessional sinformation sabout sproposed schanges sin sthe sschool senvironment sand stheir seffect son sthe shealth sof sthe schildren. sThe sschool snurse sis sexpected sto sfunction sas sa scase smanager, shelping sto scoordinate sthe shealth scare sfor schildren swith scomplex shealth sproblems. sThe sschool snurse sas scounselor sis savailable sto sstudents swho sneed sto sdiscuss sconfidential shealth smatters. DIF: sCognitive sLevel: sApplication REF: sPage s 570

Secondary sprevention sactivities sare sthe slargest sresponsibility sof sthe sschool snurse sand smay sinclude swhich sof sthe sfollowing? s(Select sall sthat sapply.)

sEstablishing san semergency splan swhen sa schild sor sstaff s smember sneeds simmediate scare sGiving smedications sto schildren sduring sthe sschool sday sParticipating sin sdeveloping san sindividual seducation splan s s(IEP) sfor sstudents swith slong-term shealth sneeds sScreening sfor svision, shearing, sheight sand sweight, soral s shealth, sTB, sand sscoliosis sTeaching sstandard sprecautions sto sall sstaff s- s scorrect sanswer. s s sA, sB, sD, sE

Secondary sprevention sinvolves scaring sfor schildren swhen sthey sneed scare sand sis sthe slargest sresponsibility sof sthe sschool snurse. sIt smay sinclude ssuch sactivities sas scaring sfor sill sor sinjured schildren sor sstaff s(including sthe sdevelopment sof san semergency splan sand sappropriate straining sof sstaff sin sstandard sprecautions, sfirst said, sand srelevant semergency sprocedures); sscreening sand sassessing schildren; smaking sappropriate sreferrals; sgiving smedications; sidentifying sabuse sand sneglect; scommunicating swith shealth scare sproviders; spreventing ssuicide sand sviolence; sand sresponding sto sdisasters. DIF: sCognitive sLevel: sApplication REF: sPages s574-575

1. sWhat sis sthe smost sessential sdifference sbetween shome shealth scare sand sacute sclient scare? a. sAcute sclient scare sis sindividualized sfor sthe sclient sand sfamily. b. sHome shealth scare sis sprovided sin sthe sclient's senvironment. c. sReimbursement sfor shome shealth scare svaries sfrom sthat sof scare sprovided sin sinstitutions.

d. sThe sfocus sof sacute sclient scare sis son scommunity shealth. s- s scorrect sanswer. s s s: sB Home shealth sdiffers sfrom sother sareas sof shealth scare sin sthat shealth scare sproviders spractice sin sthe sclient's senvironment. sAll snurses sgive sindividualized scare sto sclients.

: sCognitive sLevel: sKnowledge sREF: sp. s 561

s2. sA snurse shas sjust sreceived sword sthat sMedicaid swill sreimburse sfor scare sprovided sto sa shomeless sman swith sschizophrenia swho sis safraid sto scome sto sthe sclinic sto sreceive shealth scare. sHow swould sthis stype sof snursing sservice sbe sbest sclassified? a. sCommunity-oriented snursing b. sHome shealth snursing c. sHospice snursing d. sPrivate sduty snursing s- s scorrect sanswer. s s s: sB Home shealth snursing sis sprovided sin sthe sclient's senvironment, sregardless sof swhere sthat smay sbe. s"Home" smay sbe sa shouse, sapartment, strailer, sboarding shouse, sshelter, scar, smakeshift sshelter sunder sa sbridge, sor scardboard sbox.

: sCognitive sLevel: sKnowledge sREF: sp. s 561

s3. sA shospital snurse swants sto sknow swhy shome shealth snurses soften stake smore stime swith sassessment sthan snurses sdo sin sthe shospital. sWhat sis san sadequate sexplanation sfor sthis? a. sHome scare sassessment sincludes snot sonly sthe sclient sbut sthe ssupplies sand sequipment sthe sfamily smay shave savailable sfor suse. b. sThe shome senvironment sis sless sorganized sand sequipped sfor sthe snurse's suse. c. sFamily smembers smust salso sbe sassessed sfor spossible sproblems sthat scould sinterfere swith sthe sprimary sclient's srecovery. d. sTo sbe seffective, sthe shome shealth snurse smust searn sthe sfamily's strust sand swork sin spartnership swith sthem. s- s scorrect sanswer. s s s: sD Although sall sthe sresponses scontain ssome struth, sthe sprimary sreason sthat sassessment smay stake slonger sfor sthe shome shealth snurse sis sbecause swhen sworking sin sa sclient's shome, sthe snurse sis sa sguest. sTo sbe seffective, sthe snurse smust searn sthe strust sof sthe sfamily sand sestablish sa spartnership swith sclient sand sfamily.

: sCognitive sLevel: sKnowledge sREF: sp. s 562

s4. sHistorically, shome scare snurses swere ssocial sreformers, sliving sin simmigrant scommunities, sdeveloping sneeded sprograms, sand sproviding snecessary sservices sfrom shealth seducation sto scare sfor sthe ssick. sWhat sled sto sthe scurrent semphasis son scaring sfor sacutely sill sclients sexpected sto simprove sand sthe sincreased sdemands sfor sextensive sdocumentation? a. sAdvances sin smedical stechnology sand spharmacology b. sConstantly sincreasing slawsuits sfor ssubstandard scare c. sIntroduction sof sMedicare d. sSocial sSecurity sAct sof sthe s1930s s- s scorrect sanswer. s s s: sC The scombination sof spreventive sservices sand sillness scare sfollowed sthe sintroduction sof sMedicare sin s1966. sThe sMedicare sprogram semphasized scare sfor smore sacutely sill speople