Public Health
True or False: Nurses are obligated to engage in Public Health initiatives both in their communities and globally, health policy, and social issues affecting the population.
True! The ANA Code of Ethics lists these obligations in provisions 7, 9, and 10.
How many times does a student need to vomit unexplained (no fever/other symptoms or known illness etc.) at school before they must be sent home?
Twice.
What is the organ that releases the hormone insulin in a healthy person?
The pancreas
True or False: If a UAP is approved to perform delegated carbohydrate and insulin calculation for a student, they can perform that task for multiple students.
False! Delegation training must be done for each individual student, regardless of if the task is the same.
Vaccinations are considered what level of prevention?
Primary prevention
What are the requirements for returning to school if a student has a fever?
24 hours fever-free without fever-reducing medication
What are the three "P's" of diabetes?
Polydipsia, polyuria, polyphagia
Care for students with medical needs can be delegated to UAPs only if their condition is _____?
Stable and predictable
What are at least three categories of social determinants of health?
1. Economic
2. Environment
3. Education
4. Social & Community Context
5. Healthcare Access & Quality
What are 2 questions you may ask if a student comes in complaining of a stomachache?
1. When did it start?
2. Have you eaten today/drank water today?
3. Do you have a fever?
4. Do you have any other symptoms?
5. Are you feeling anxious or nervous about something?
Less than 7.0%
UAPs can perform delegated care that does not require them to ____?
Assess
What organization sets the objectives for public health initiatives in the United States for each decade based on surveillance data and social determinants of health aimed at improving the health of the population?
United States Department of Health and Human Services: Healthy People [2030].
What should the nurse do if a student with a known seizure disorder has a seizure?
Keep the student safe from injury and time the seizure! Monitor oxygen saturation and breathing, administer emergency medication if needed per provider orders, call parent to inform them, document!
Individuals with type 1 diabetes are at risk for what kind of acid-base imbalance?
Metabolic acidosis (DKA)
Who is responsible for determining whether a UAP is compenent, willing, and able to perform delegated tasks for a student?
The nurse teaching, assessing, and delegating to them based off of the delegation protocol.
What are the three core principles of public health nursing?
Assessment, assurance, and policy development.
When should you have a student with type 1 diabetes test their urine for ketones?
If finger stick is over 300mg/dlL OR if CGM reading remains over 300mg/dL for three hours or longer, OR if student is experiencing any nausea/vomiting or abdominal pain.
Cardiovascular disease
How frequently are UAPs assessed on their delegated skills?
Within 90 days of first teaching, then every 180 days.