Question 1

The comprehensive school health approach is the nursing process applied in collaboration with a school community. Outline this process.

Accepted Answer

-Create a shared vision of the school as a "healthy school"
-Assess existing strengths and needs
-Prioritize an issue
-Develop a comprehensive plan addressing 4 areas (social and physical environment, teaching and learning, partnerships and services, & healthy school policy)
-Implement the plan
-Monitor and evaluate
-Celebrate and communicate successes

Question 2

A school health nurse is working with the school community to support the initiation of a health action team to examine how health promoting the school is overall. List the questions a PHN can use to engage stakeholders in this process?

Accepted Answer

-What are the steps involved in a comprehensive consultation with all members of the school community?
-Who do I need to consult with? Am I able to partner with youth during this consultation in a shared leadership approach?
-Is the school aware of and able to access support services from the board and local community to support the health of students, staff, and families in the school community?
-Does the school have a democratic and supportive social environment with shared decision making that enables the voices of young people to be heard and considered?
-How effective is the health, physical education, and other curriculum delivery? Is the physical environment supportive of the health curriculum being taught in the classroom?
-Does the school implement and enforce health-supporting policies?

Question 3

Which of the following statements is true about the commprehensive school health approach?

Accepted Answer

A)   It describes a sociopolitical approach to disease prevention in schools
B)   It involves mobilizing a talking group of parents and students
C)   It recognizes that an educational approach alone doesn't change behaviours
D)   It's not important for school policies to reinforce educational messages C

Question 4

Angelique, 12 years old, lives in a suburban area. What type of non-fatal injury is she most likely to suffer in the next year?

Accepted Answer

A)   Suicide attempt
B)   Sports injury
C)   Serious head injury
D)   Injury from pertussis

Question 5

Which group of 15- to 19-year-old youths is most likely to complete their suicide attempt?

Accepted Answer

A)   Youth who areIndigenous
B)   Youth who identify as transgender
C)   Male youth who are Asian
D)   Youth of immigrant families

Question 6

What percentage of indiginous youth live in poverty?

Accepted Answer

A)   25%
B)   38%
C)   75%
D)   60%

Question 7

Which statement is true about physical activity and weight in children?

Accepted Answer

A)   One in 3 Canadian children is overweight
B)   It's a problem of equal concern in girls and boys
C)   Of Grade 6 to 10 students, 25% are physically inactive
D)   Over 70% of children on reserve are overweight

Question 8

Randy, a school nurse, is doing an environmental scan of youth and risk-taking behaviours. Which statement would he include in this scan as being accurate?

Accepted Answer

A)   31% of youth aged 15 to 19 years report smoking
B)   50% of youth aged 12 to 17 years have tried marijuana
C)   20% of youth aged 15 to 17 years report having intercourse without using a condom
D)   75% of youth aged 15 to 17 years reported drinking alcohol

Question 9

The school nurse working on an Indigenous reserve identifies that youth are in a high-risk group for suicide. What action should the nurse take in relation to teaching and learning?

Accepted Answer

A)   Incorporate student performances in health promotion events
B)   Integrate traditional medicine practices in care of Indigenous students
C)   Ensure government participation with respect to funding initiatives
D)   Provide formal recognition of staff contributions in health initiatives

Question 10

In a group of 100 youth attending grades 7-12, how many could the school nurse expect to use alcohol?

Accepted Answer

A)   40
B)   25
C)   15
D)   70

Question 11

Which group of children has the highest mortality rate from motor vehicle collissions?

Accepted Answer

A)   Youth between the ages of 10 and 19 years
B)   Adolescent females
C)   Children under 3 years
D)   Pre-adolescent males

Question 12

In working with youth who are engaging in risk-taking behaviours, discuss three ways that the nurse could lessen the potential harm and encourage more health-enhancing behaviours. Provide a community health nursing practice example for each point.

Accepted Answer

The answer of In working with youth who are engaging...

Question 13

Discuss the drawbacks of comprehensive school health?

Accepted Answer

The answer of Discuss the drawbacks of comprehensive school health?...

Question 14

Yolanda works as a nurse within a Youth Health Centre. Describe how the Youth Health Centre Model opperates.

Accepted Answer

The answer of Yolanda works as a nurse within a...

Question 15

Which of the following statements is true about children who experience developmental disabilities? Select all that apply.

Accepted Answer

A)   They are more likely to have fewer friends
B)   They are more likely to be raised by a single parent
C)   They are more likely to live in poverty
D)   They are more likely to have experienced a variety of adversity
E)   None of the above

Question 16

What is an example of a public health nurse promoting health with small groups or classrooms?

Accepted Answer

A)   Providing or recommending curriculim materials to teachers
B)   Ensuring equitable access to health and social services for the school population
C)   Collecting statistics to identify trends and prevailing issues
D)   Assessment, supportive counselling, and referring students to services

Question 17

What percentage of Canadian children under age 18 live in poverty?

Accepted Answer

A)   17%
B)   29%
C)   49%
D)   39%

Question 18

Jennifer is a school nurse working in Nova Scotia. What model is she likely working with?

Accepted Answer

A)   Youth Health Centre Model
B)   Healthy School Profile
C)   Global School Health
D)   School-based Health Clinic Model

Question 19

Karl is a new nurse working in several inner-city schools. What will he learn through his community assessment?

Accepted Answer

A)   20% of Caucasian (white)  children live in poverty
B)   Children who are new immigrants to Canada are less likely to live in poverty
C)   Children with disabilities are more likely to live in poverty
D)   Aboriginal children who live off reserve are less likely to live in poverty

Question 20

A group of school nurses are working with the high school student council to create a school health committee to identify health issues. What component of the Health Promoting Schools approach are the nurses using?

Accepted Answer

A)   Teaching and learning
B)   Healthy school policy
C)   Partnership and services
D)   Supportive environment

Exam 17: School Health