CHAPTER 1
The Coordinated School Health Program: Organization, Structure, and Influence on Student Health and Academic Environment
Multiple Choice
1
C
D
B
B
1. The World Health organization has identified health as which of the
following dimensions?
A. physical, vocational, ethnic
B. emotional, social, and spiritual
C. physical, mental, and social
D. spiritual, vocational, and gender-related
2. Which dimension of health relates to how individuals feel about
themselves and how they express their emotions?
A. physical
B. social
C. spiritual
D. emotional
3. The most easily identified and most often considered dimension of
health is
A. social.
B. physical.
C. emotional.
D. spiritual.
4. How individuals work with others is a part of which dimension of
health?
A. physical
B. vocational
C. emotional
D. social
B
C
A
B
C
D
5. Approximately fifty percent of premature illnesses and death is related
to
A. cancer and heart disease.
B. participation in risky health behaviors.
C. motor vehicle accidents.
D. chewing tobacco.
6. According to the National Health Objective initiative what percent of
the nation’s schools should have a planned sequential school health
education program by the year 2000?
A. 50%
B. 33%
C. 75%
D. 95%
7. The only goal that relates to the school health program in the Goals
2000: Educate America program is
A. providing drug and violence free school by the year 2000.
B. mandating employment of school nurses in all schools.
C. placing school based health clinics in all schools.
D. requiring the teaching of nutrition in all schools by the year
2000.
8. The key concepts for organizing effective school health programs are
A. medical care, disease prevention, accident preparedness.
B. health promotion, disease prevention, medical care.
C. home nursing, health prevention, disease prevention.
D. medical care, hospitalization, accident preparedness.
9. Schools tend to be more involved in
A. medical care than health promotion.
B. hospitalization than disease prevention.
C. disease prevention than medical care.
D. health promotion than disease prevention.
10. The skill development domain of learning is which of the following?
A. cognitive
B. physical
C. affective
D. psycho-motor
D
A
B
A
B
D
C
11. In elementary schools who usually provides the health instruction?
A.the school nurse
B. a health education specialist
C. the physical education teacher
D. the classroom teacher
12. In the United States most children are educated in
A. public schools.
B. private schools.
C. home schools.
D. religious schools.
13. Scoliosis screening should be carried out
A. during pre-school.
B. in upper elementary school-age children.
C. during high school years.
D. in the primary school years.
14. Scoliosis screening is helpful in identifying
A. spinal curvatures.
B. vision problems.
C. hearing problems.
D. colorblindness.
15. Requirements that children be immunized before attending school are
mandated by
A. the federal government.
B. state legislation.
C. the American Medical Association.
D. the American Academy of Pediatrics.
16. Immunizations are required for school attendance for all but which of
the following?
A. rubella and tetanus
B. rubeola and pertussis
C. diphtheria and polio
D. HIV/AIDS and herpes
17. DPT immunization provides protection against
A. dental decay, plague, and typhoid.
B. dental decay, pertussis, and typhoid.
C. diphtheria, pertussis, and tetanus.
D. diphtheria, polio, and tetanus.
D
18. The federal legislation which established the national school lunch
program was passed
A. following the war in Viet Nam.
B. just before the Civil War.
C. during the presidency of Ronald Reagan.
D. following World War II.
1
A
C
True/False
True
True
False
False
True
True
False
19. Administrative management of the national school lunch program is
the responsibility of the United States Department of
A. Agriculture.
B. Health and Human Services.
C. Nutrition and Eating.
D. Labor.
20. Elementary and middle-level school physical education should
emphasize all but which one of the following?
A. cardiovascular health
B. coordination and good posture
C. athletic skill development
D. agility and flexibility
1. One’s personal appearance is a part of the physical dimension of health.
2. People with poor emotional dimension of health will probably have low
self-esteem.
3. The spiritual dimension of health relates solely to religious beliefs and
values.
4. The World Health Organization definition of health includes principally
the social dimension.
5. Since the turn of this century length and quality of life has improved.
6. Educational reform initiatives have generally called for a decrease in
school health.
7. Health education in the schools is included in the Goals 2000: Educate
America program.
True
False
True
False
True
False
False
True
False
True
True
True
False
False
False
8. Medical care includes activities with a focus on sick individuals.
9. Emphasis on hand washing before eating is an example of medical care.
10. Schools are more active in disease prevention initiatives than in the
delivery of medical care.
11. Health promotion and medical care are synonymous.
12. Health education should include planning of learning goals and
objectives in each learning domain.
13. Research indicates that more time in formal instruction are necessary
to produce changes in the cognitive domain that in the affective
domain.
14. It is expected in most school districts that immunizations will be
provided by the local public health department.
15. School districts should have written policies for managing sick and
injured students while at school.
16. Based on federal law the classroom teacher must make necessary
repairs to school equipment that is potentially dangerous to students.
17. School districts have the responsibility for safety of children being
transported on school buses.
18. Dietary behaviors of students are important in physical development.
19. The national support for the school lunch program rests in the
Department of Agriculture.
20. Schools are mandated to participate in the federal school lunch
program.
21. Recess should be eliminated following grade two because of the need
for more academic time.
22. The average length of time for elementary school physical education
classes is ten minutes.
True
True
23. School districts are a good location for providing work-site health
promotion programs.
24. School districts should establish school health advisory councils.
1
True
25. Schools should seek ways to work with non-profit health agencies in
the community.
1
Short Answer
1. What is the physical dimension of health?
2. Discuss the various components of the spiritual dimension of health.
3. What is meant by the concept of participation in risky health behaviors?
4. What are the six preventable behaviors that have been identified as important in prevention of
illness and premature death?
5. What is the difference between disease prevention and health promotion?
6. What differences are there between the affective domain and cognitive domain of learning?
7. What responsibilities do school personnel have for caring for students who become ill or
injured while at school?
8. What is the responsibility of teachers relating to physical hazards around the school facility?
9. What has research indicated regarding the relationship between students who eat a school
lunch program and school attendance and achievement?
10. In what ways does the school psychologist and social worker contribute to the goals and
objectives of the school health program?
11. What is work-site health promotion?
12. Why should teachers be in good health?
1
Essay
1. Explain the unique features of the five different dimensions of health.
2. Discuss the significance and details of the Healthy People initiative.
3. Trace the various national initiatives in educational reform since the early 1980s to the present
and emphasize the role of health education in these various reports and initiatives.
4. Discuss the three key concepts in organizing an effective school health program.
5. Explain the impact of the national health education standards initiative on school health
program development.
6. What are the immunizations that a child must have before being able to enroll in school?
7. Identify some of the physical hazards around a school that impact the health and well-being of
children.
8. Discuss the relationship between nutritional status and academic achievement at school of
elementary and middle-level school children.
9. How can the school nutrition/feeding program be coordinated with the school nutritional
instructional program.
10. What contributions to wellness and good health status can the elementary and middle-level
physical education program provide?
11. Discuss some of the ways in which a school health program can be a part of a broader based
community health program.
12. Identify some of the agencies, organizations, and activities within your community that have
programming which the school teacher can use in the school health program.
1
CHAPTER 2
School Health Services: Activities to Protect and Promote the Health of Students
Multiple Choice
1
C
D
B
D
B
1. Most school-based/school-linked health clinics are found in
A. elementary schools.
B. middle-level schools.
C. secondary schools.
D. pre-schools and nursery schools.
2. The classroom teacher should perform all but which one of the
following?
A. gathering of information
B. referral
C. student observation
D. diagnosis of condition
3. The physical examination of an elementary school-age child should be
conducted by the
A. hospital director.
B. family physician.
C. school director of medicine.
D. local public health officer.
4. Health screening activities conducted within the school setting are
usually the responsibility of the
A. classroom teacher.
B. school medical director
C. school secretary.
D. school nurse.
5. The school nurse
A. only has to have an RN in order to work in the schools.
B. is not usually certified to teach health education classes.
C. must be certified as a teacher of health.
D. is never certified as a school nurse provider.
B
B
D
C
A
6. The school nurse
A. teaches health classes.
B. serves as a liaison with the parents regarding the health status of the child.
C. is overpaid for his or her skills and training.
D. is the only individual in the school who should be permitted to
perform first aid.
7. School Nurses usually are employed
A. only by local boards of health.
B. by both health departments and school boards.
C. only by school boards of education.
D. by private agencies assigned to the schools.
8. Who has the primary responsibility for meeting the specialized needs of
the medically fragile child while at school?
A. school physician
B. school secretary
C. classroom teacher
D. school nurse
9. Diagnosis of a physical growth and development disorder is the
responsibility of
A. the school nurse.
B. the classroom teacher.
C. a physician.
D. a physical therapist.
10. A student with conjunctivitis should
A. stay home and be isolated from other students.
B. be permitted to attend school.
C. drink additional amounts of water.
D. attend school when given permission by the parents.
1
A
11. Conjunctivitis is commonly called
A. pinkeye.
B. glaucoma.
C. astigmatism.
D. myopia.
C
C
B
A
C
D
B
12. An inflammation of the sebaceous gland on the edge of the eyelid is a
A. cataract.
B. strabismus.
C. sty.
D. pigmentosa
13. The leading cause of blindness worldwide is
A. oncocerciasis.
B. astigmatism.
C. trachoma.
D. glaucoma.
14. Trachoma is a
A. viral infection that affects the optic nerve.
B. bacterial infection that affects the cornea.
C. fungal infection of the pupil of the eye.
D. viral infection that affects the rods and cones of the retina.
15. Uveitis is caused by a
A. protozoan parasite.
B. virus.
C. fungus.
D. bacterial infection.
16. If an object becomes imbedded in the eyeball,
A. the teacher should have the school nurse remove the object.
B. the athletic trainer should remove the object.
C. no effort should be taken to remove the object.
D. have the student carefully remove the object so as to reduce the
pain.
17. The buildup of the vitreous fluid in the interior of the eye is
A. strabismus.
B. uveitis.
C. cataract.
D. glaucoma.
18. Which of the following are refractive errors of the eye?
A. glaucoma and cataract.
B. hyperopia and myopia.
C. retinal detachment and strabismus.
1
D. strabismus and hyperopia.
B
C
A
A
C
D
19. When one has myopia objects at a distance
A. appear fuzzy and blurry, as do those that are nearby.
B. appear fuzzy and blurry, nearby objects are clear.
C. appear clear, but nearby objects are fuzzy.
D. and nearby objects are both very clear.
20. In cases of myopia the light rays focus
A. behind the retina.
B. on the retina.
C. short of the retina.
D. on the cornea.
21. Myopia can be corrected by wearing glasses with
A. concave lenses.
B. convex lenses.
C. circular lenses.
D. diagonal lenses.
22. Astigmatism occurs when there is an imperfectly shaped
A. cornea.
B. lens.
C. retina.
D. optic nerve.
23. The first state-wide school vision screening program was established
in
A. New York.
B. Massachusetts.
C. Connecticut.
D. Virginia.
24. The most commonly used and least expensive vision screening device
in the schools is
A. Keystone Telebinocular.
B. Massachusetts Vision Test.
C. Bausch and Lomb School Ortho-Rater.
D. Snellen Eye chart.
C
A
25. Children are examined at what distance when the Snellen Eye Chart
test is given?
A. ten feet
B. ten yards
C. twenty feet
D. twenty yards
26. A report of 20/40 on the Snellen Eye Screening indicates that the child
can see at
1
C
D
B
C
C
A. twenty feet what the normal child can see at forty feet.
B. forty feet what the normal child can see at twenty feet.
C. twenty yards what the normal child can see at forty yards.
D. forty yards what the normal child can see at twenty yards.
27. Color blindness is found
A. more commonly in females than males.
B. most commonly in Asian-American females.
C. more commonly in males than in females.
D. most commonly in African-American teen males.
28. Hearing screening in schools is mandated
A. by the federal government in all elementary schools.
B. for middle-level school children by the federal government.
C. for junior high students in half of the states by state law.
D. in several states for preschool and kindergarten children.
29. Hearing screening is performed with the
A. scoliotic screening device.
B. pure-tone audiometer.
C. Snellen chart.
D. Ishihara plates.
30. The one single most reliable test frequency for hearing is
A. 500 Hz.
B. 750 Hz.
C. 1,000 Hz.
D. 1,500 Hz.
31. Conductive hearing losses affect the
A. outer and inner ear.
B. inner ear.
C. middle and outer ear.
D. middle and inner ear.
B
D
B
C
C
C
C
32. An audiogram that shows greater loss in the high frequencies indicates
a
A. conductive hearing loss.
B. sensorineural hearing loss.
C. astigmatism hearing loss.
D. mixed hearing loss.
33. Otitis Media is an infection of the
A. outer ear.
B. inner ear.
C. optic nerve.
D. middle ear.
34. What are the two types of scoliosis?
A. postural an dinner nodular
B. structural and postural
C. inner circular and postural
D. structural and circular.
35. Scoliosis is a lateral curvature of the
A. optic nerve.
B. upper extremity.
C. spine.
D. lower extremities.
36. Immunization is required by law for admission to school in
A. about half of the states.
B. only those states south of the Ohio River.
C. all of the states.
D. 37 of the states.
37. Immunization for school admittance include which of the following?
A. diphtheria, polio, and pneumonia
B. hepatitis, HIV, and rubeola
C. rubella, rubeola, and diphtheria
D. influenza, tetanus, an pertussis
38. Immunization for school admittance include which of the following?
A. common cold, polio, pinkeye
B. tetanus, polio, and influenza
C. tetanus, polio, and pertussis
D. diphtheria, HIV, and common cold.
D
B
C
39. Pertussis is an infection of the
A. skeletal system.
B. digestive system.
C. reproductive system
D. respiratory system.
40. Poliomyelitis is a disease of the
A. respiratory system.
B. central nervous system.
C. skeletal system.
D. digestive system.
41. Which of the following childhood disease has a serious impact as a
cause of birth defects?
A. polio
B. rubeola
C. rubella
1
C
D
A
C
D. tetanus
42. Today it is recommended that children be immunized for rubeola
A. at eight months of age
B. any time prior to one year of age.
C. after their first birthday.
D. at the same time as they receive DPT vaccine.
43. Hepatitis is a disease of the
A. heart.
B. skeletal system.
C. gall bladder.
D. liver.
44. Vaccines are available for
A. hepatitis A and hepatitis B.
B. hepatitis C and hepatitis A.
C. hepatitis B and hepatitis C.
D. all three types of hepatitis.
45. Hepatitis A is spread by
A. blood transfusions.
B. exposure to pertussis.
C. close person to person contact.
D. the HIV virus.
A
D
C
C
D
True/False
False
46. Hepatitis B virus is found in
A. blood and other body secretions.
B. human waste.
C. vaccines developed in third world nations.
D. post-war studies in Egypt.
47. Hepatitis B is spread by
A. infected food handlers.
B. exposure to early childhood diseases.
C. diabetes.
D. unprotected sex, razors, and toothbrushes.
48. The policies and procedures governing the giving of first aid and
emergency treatment in the schools should be
A. those recommended by the state department of education.
B. those recommended by the local fire department.
C. locally determined by a committee.
D. written by the medical director of the local health
commissioner.
49. In every school, the plan for first aid and emergency care should
A. include having locked first aid kits, with the key held by the
school nurse.
B. provide any and all supplies that might conceivably be helpful.
C. include a list of clear, concise standing orders.
D. limit the provision of first aid to health professionals.
50. The Family Rights and Privacy Act gave parents
A. the right to request that no records be kept on the children by
the school district.
B. no authority to see the school records of their children.
C. the right to remove their students from school should there be
no school health records being kept by their school district.
D. the right to examine information placed on the school records of their children.
1. It is unconstitutional for health department personnel to carry out health
services within the school environment.