The nurse being interviewed for a position at a local school ...

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The nurse being interviewed for a position at a local school expects that the position responsibilities will entail screening, monitoring immunization status, and performing minor first-aid duties.
 
  The nurse being interviewed for a position at a local school expects that the position responsibilities will entail screening, monitoring immunization status, and performing minor first-aid duties. However the nurse is surprised to learn that other duties include: (Select all that apply.)
  1. Case finding and case management.
  2. Counseling and referrals to other services.
  3. Staff health promotion.
  4. Parental, student, and community involvement in school activities.
  5. Reviewing health policies in the community.

Question 2

In the program that the school nurse developed to teach children about health, the teachers assume responsibility for teaching the health principles. The nurse becomes aware that program outcomes are not being achieved.
 
  In the program that the school nurse developed to teach children about health, the teachers assume responsibility for teaching the health principles. The nurse becomes aware that program outcomes are not being achieved. What should the nurse do to resolve this?
  1. Reinforce to the teachers the importance of teaching health concepts.
  2. Plan to assume all teaching responsibilities for health in the school.
  3. Ask for parental involvement to help teach health concepts.
  4. Modify the program to include strategies to teach health in the classroom and the home.

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Answer to Question 1

Answer: 1, 2, 3, 4
Explanation: 1. An integrated school health program involves case finding and case management, counseling and referrals to other services, staff health promotion, and parental, student, and community involvement in school activities in addition to monitoring physical education activities at the school and the nutrition of the meals provided there. Reviewing community health policies is not a school nurse responsibility.
2. An integrated school health program involves case finding and case management, counseling and referrals to other services, staff health promotion, and parental, student, and community involvement in school activities in addition to monitoring physical education activities at the school and the nutrition of the meals provided there. Reviewing community health policies is not a school nurse responsibility.
3. An integrated school health program involves case finding and case management, counseling and referrals to other services, staff health promotion, and parental, student, and community involvement in school activities in addition to monitoring physical education activities at the school and the nutrition of the meals provided there. Reviewing community health policies is not a school nurse responsibility.
4. An integrated school health program involves case finding and case management, counseling and referrals to other services, staff health promotion, and parental, student, and community involvement in school activities in addition to monitoring physical education activities at the school and the nutrition of the meals provided there. Reviewing community health policies is not a school nurse responsibility.

Answer to Question 2

Answer: 4
Explanation: 4. In order for a school health program to succeed, there needs to be involvement on all levels: in the classroom, in the home, and in the community. If program outcomes are not being achieved, the program needs to be modified so that teaching occurs in the classroom and the home. One person cannot hold the responsibility for teaching and reinforcing health concepts. Reinforcing to the teachers the importance of teaching health creates another burden upon them. Expecting the school nurse to assume all teaching responsibilities will quickly create burnout, and may create a neglect of other school nurse responsibilities. Asking for parental involvement to teach health concepts is a partial solution, but the better solution is an integrated approach.