Author Question: An elementary school student comes to school nurse's office reporting a headache. The nursing ... (Read 117 times)

futuristic · **on:** Jul 8, 2018

An elementary school student comes to school nurse's office reporting a headache. The nursing assessment begins by gathering which subjective data? (Select all that apply.)

A) Where it hurts on the child's head
B) Whether the pain is constant, throbbing, or intermittent
C) What the child's temperature is on arrival
D) How bad the pain is on a scale of 1 to 10
E) The presence of a bruise on the child's forehead

Question 2

The school nurse at a public high school recently noticed an increase in students smoking before and after school. Using the community school model to reduce tobacco use among your students, which interventions are appropriate?

(Select all that apply.)
A) Starting an after-school tobacco cessation program with the assistance of local representatives of the American Cancer Society
B) Having a local clinical oncologist speak at a PTA meeting about the hazards of tobacco use among children
C) Confronting groups of students while they are smoking with information regarding the school's smoking policy and the dangers of smoking
D) Promoting the community's great smoke-out smoking cessation event each year
E) Encouraging the school's administration to designate a single smoking area outside to limit nonsmokers' exposure to the smoke

chjcharjto14 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: A, B, D
Feedback:
The nurse should begin by collecting subjective data gathered from the child, teacher, or parent, or any other witness to the complaint. Subjective data are those that are reported by the client or others but that are not directly observable by the nurse. Data should include location, frequency, duration and severity, quality, quantity, setting, associated symptoms, and factors that make the symptom better or worse. Objective data are those that are directly observable by the nurse, such as the child's temperature on arrival and the presence of a bruise on the child's forehead.

Answer to Question 2

Ans: A, B, D
Feedback:
One solution for the provision of comprehensive school health services is called the community school model. This model is a collaborative design that uses the resources of a community to provide structured preventive services such as after-school programs, parent outreach, and crisis intervention. These preventive services are designed to promote changes throughout the school environment. Confronting a group of smokers by yourself is not an example of collaboration or of drawing on community resources to promote changes throughout the school environment. Encouraging the designation of a smoking area, although it might benefit nonsmokers, will not decrease smoking among students and might even encourage it. All of the other examples demonstrate collaborative, community-based approaches to smoking cessation.