Question

The registered nurse at the local middle school is responsible for health promotion and disease prevention of the seventh and eighth grade students. The nurse provides screenings and illness care as well as assurance that immunizations are up to date with documentation on file. Nurses who work with the school population are aware of their significant influence on the students and the importance of teaching ways to develop and maintain good health habits at a young age. Nurses hope the students will carry the information home and have an influence on the health of the families as well.

1. The mother of a 13-year-old boy approaches the school nurse because she is concerned about her son’s weight. She states that she approached his pediatrician about the issue and felt dismissed. The nurse assesses the height and weight of the boy and determines that he is above the 95th percentile for his age. What are the next steps for the school nurse?

a. Educate about a healthy diet but tell the mother that her son is too young to be concerned about his weight.

b. Place the student on a diet and exercise plan with a goal of losing 2 to 3 lb per week.

c. Educate about a healthy diet and physical activity and instruct the mother that her son should maintain his current weight while he continues to increase his height.

d. Inform the mother that she should have been more concerned before her son reached puberty.

2. The school nurse provides education to the students about injury prevention measures. What educational topic is shared with the middle school age?

a. Bicycle safety

b. Poisoning prevention

c. Violence

d. Motor vehicle safety

3. A student presents to the nurses’ office with a severe allergic reaction to a bee sting. What is the primary role of the nurse in delivering emergent care to the child?

a. Call the parents to obtain phone consent for treatment.

b. Provide emergency care and then inform the parents.

c. Call the child’s primary care physician to obtain orders.

d. Send the student to the nearest emergency department.

4. A parent who fails to ensure that their child attends school is exhibiting

a. acts of commission.

b. psychological abuse.

c. acts of demission.

d. acts of omission.

Answer 1

1.Increased weight is always a concern at any age group

A child who is 95th percebtule for his age is considered to be obese at this age ,so it is necessary to maintain a healthy diet with weight reduction by 1_2 pounds.Losing two to three pounds a week is quite faster and will lead to health issues

The current weight is s overweight and should be reduced

It will be a greatest concern if the child reaches puberty because of many hormonal changes

Ans: Inform the mother that she should have been more concerned before her son reached puberty

2.Middle school age children are more prone for motor vehicle accident.

Violence can happen diring adolescent, teenagers life

Bicycle safety is for young children

Poisoning is possible in high school children

Ans: Motor vehicle accident

3.Phone consent stands second only after safeguaring the child life by treating

Incase of severe allergic reaction unitate emergency treatment to dabe the child and them inform the parents

First aid should be initiated and not the primary care doctor to get ordersin critical situation

If the child is unconconcious then can be sent to emergency department immediately

Ans: Provide emergency care and then inform the parents

4. Acts of commission means the parents ensure the child attend the school

Psychosocial an se refers to causing harm to a child mentally

Acts of omission refers to parents avoiding or neglecting to ensure their child attens school

Acts of demission refers to parents not taking their role as a parents to their child

Ans:Acts of omission