Care Planning Flashcards

A student with newly diagnosed type 1 diabetes enrolls mid-year. Which document should the school nurse develop FIRST to guide daily nursing care at school?

Answer: Individualized Healthcare Plan (IHP)

The IHP is the nursing care plan the school nurse writes to direct daily health management, and it can later inform 504 or IEP accommodations.

Which statement is the BEST example of a measurable student outcome in an IHP for a student with asthma?

Answer: The student will demonstrate correct inhaler technique with a spacer to the school nurse by October 30.

A measurable outcome names an observable behavior, the criteria, and a time frame.

An Emergency Action Plan (EAP) for a student with a severe peanut allergy is primarily written for which audience?

Answer: Unlicensed school staff who may need to respond to an emergency

EAPs are written in plain language so teachers, bus drivers, and other non-nursing staff can recognize and respond to emergencies.

During the assessment phase of care planning for a student with seizures, which data source is MOST important for individualizing the plan?

Answer: Seizure history from parents and provider, including type, typical duration, and prior rescue medication use

Individualized assessment data, such as the student's specific seizure pattern and orders, drives an accurate IHP.

Which nursing diagnosis is MOST appropriate for a student with type 1 diabetes whose glucose logs show frequent unexplained lows during physical education?

Answer: Risk for unstable blood glucose level

Recurrent lows linked to activity point to risk for unstable blood glucose level as the priority diagnosis.

How often should a school nurse, at minimum, review and update an IHP?

Answer: At least annually and whenever the student's health status or orders change

Best practice is to review IHPs at least yearly and whenever there is a change in condition, orders, or school setting.

In the evaluation phase of the nursing process, the school nurse primarily determines:

Answer: Whether the student has met the expected outcomes and if the plan needs revision

Evaluation compares the student's actual progress to the expected outcomes and guides plan revision.