CSN Mental Health & Behavioral Support Flashcards

A student is referred for suspected eating disorder behaviors including skipping meals and excessive exercise. The school nurse's BEST initial action is:

Answer: Conduct a private, non-judgmental assessment and refer to an eating disorder specialist while maintaining a trusting relationship

A private, non-judgmental conversation that leads to appropriate referral preserves trust while ensuring the student receives specialized evaluation.

The school nurse is educating staff about recognizing signs of student substance use. Which finding is MOST consistent with opioid intoxication?

Answer: Pinpoint pupils, sedation, and slowed breathing

Classic signs of opioid intoxication include miosis (pinpoint pupils), central nervous system depression, and respiratory slowing.

A student discloses they have been self-harming by cutting but states they do not want to die. How should the school nurse respond?

Answer: Provide a caring, non-punitive response, assess for suicide risk, and connect the student with mental health support

Non-suicidal self-injury still requires a thorough safety assessment and mental health referral; a compassionate, non-punitive response supports engagement in care.

Which approach BEST supports trauma-informed care in the school health setting?

Answer: Creating a safe, predictable environment and responding to behavior with curiosity about underlying needs rather than punishment

Trauma-informed care focuses on creating safety, building trust, and understanding behavior as a response to underlying experiences rather than defiance.

A student with a history of bipolar disorder is observed to be extremely energetic, speaking rapidly, and claiming they haven't slept in three days. The school nurse should:

Answer: Assess the student, contact the parent regarding possible manic episode, and recommend evaluation by the student's psychiatrist

Symptoms of mania including decreased need for sleep and pressured speech require prompt parent notification and psychiatric evaluation.

The school nurse is implementing a mental health awareness program. According to best practices, which approach is MOST effective in reducing mental health stigma among students?

Answer: Sharing personal stories of recovery and emphasizing that mental health conditions are treatable medical conditions

First-person recovery narratives combined with education that frames mental health conditions as medical and treatable are most effective at reducing stigma.