Care Planning Flashcards

A school nurse covers four buildings. Which strategy BEST ensures care plans are carried out when the nurse is not on site?

Answer: Share the relevant EAPs with appropriate staff, provide training, and set a clear communication and supervision plan

Sharing need-to-know plans with trained staff and maintaining supervision ensures continuity of care when the nurse is not present.

Under FERPA, health information in a student's IHP may be shared with school staff who:

Answer: Have a legitimate educational interest in the information

FERPA allows disclosure without consent to school officials with a legitimate educational interest.

A student with a ventriculoperitoneal (VP) shunt has an IHP. Which finding should be listed in the EAP as requiring immediate action?

Answer: Severe headache with vomiting and lethargy

Headache, vomiting, and decreased alertness may indicate shunt malfunction and increased intracranial pressure.

Which planning step should come right after the school nurse identifies nursing diagnoses for a student?

Answer: Establish expected outcomes and goals

In the nursing process, outcome identification and planning follow diagnosis and come before implementation.

A student returning to school after a concussion should have a care plan that MOST likely includes:

Answer: Gradual return-to-learn accommodations, such as reduced screen time and rest breaks, coordinated with the provider

Return-to-learn plans use temporary academic accommodations, adjusted as symptoms resolve, before return-to-play.

Which source is considered the standard of practice for individualized healthcare plans in U.S. school nursing?

Answer: NASN's guidance and the Scope and Standards of School Nursing Practice

The National Association of School Nurses and the school nursing scope and standards guide IHP development.

A student's asthma action plan uses green, yellow, and red zones. The student has a peak flow at 65% of personal best and is coughing. Which action does the plan direct?

Answer: Give the quick-relief medication per the yellow-zone instructions and monitor response

A peak flow of 50 to 79% of personal best is the yellow zone, which calls for quick-relief medication and reassessment.