National Certification Exam Candidates

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Quiz: Chapter 3

  • 1.  Quiz: Chapter 3

    Posted 01-23-2018 08:46 AM
    Thanks for this study group. I am finding the exam prep to be more challenging than originally thought.

    ​I keep getting question 5 incorrect by choosing (c), and can't seem to find a rationale for why answer (a) is the best answer in the textbook.

    Insights?

    ------------------------------
    Cheryl Czarnecki Kernus RN
    School Nurse
    Health Care District of Palm Beach County
    Lake Worth, FLCherylCzarnecki KernusSchool Nurse
    ------------------------------


  • 2.  RE: Quiz: Chapter 3

    Posted 01-24-2018 10:28 AM
    I also just ordered and am waiting for my book - unsure when I want to test yet though.





  • 3.  RE: Quiz: Chapter 3

    Posted 01-25-2018 09:19 AM
    Edited by Amy Adams, BSN, RN 01-25-2018 09:46 AM
    .

    ------------------------------
    Amy Adams BSN, RN
    School Nurse
    Monadnock School District
    Keene, NH
    ------------------------------



  • 4.  RE: Quiz: Chapter 3

    Posted 01-25-2018 09:20 AM
    Which book?

    ------------------------------
    Amy Adams BSN, RN
    School Nurse
    Monadnock School District
    Keene, NH
    ------------------------------



  • 5.  RE: Quiz: Chapter 3

    Posted 01-25-2018 10:33 AM
    Although I've had my book for a while I haven't yet decided which test window to take, summer or fall.  But...I'm here to try to better my skills as a school nurse and a test-taker.

    --
    "We cannot change the direction of the wind but we CAN adjust the sails" 

    Debi Blank, RN, BSHE
    School Nurse
    Trenton Elementary School                                  
    51 School Rd
    Trenton, Maine 04605
    deborah.blank@mdirss.org                                

    Confidentiality Notice: This email message, including any attachments, is
    for the sole use of the intended recipient(s) and may contain confidential
    and privileged information. Any unauthorized review, use, disclosure, or
    distribution is prohibited. If you are not the intended recipient, please
    contact the sender by reply email and destroy/delete all copies of the
    original message. Thank You.

    _______________________________________________





  • 6.  RE: Quiz: Chapter 3

    Posted 01-25-2018 09:21 AM
    Cheryl, I also chose C. This question seems to be a poor one in my opinion. Answer choice A has the word standardized which to me means same/common, when we know & text states "there is no typical family." This was my rationale for not choosing A.

    ------------------------------
    Jennifer Boney
    Goldsboro, NC
    ------------------------------



  • 7.  RE: Quiz: Chapter 3

    Posted 01-26-2018 02:57 PM
    I think what is throwing you off is that the first half or the sentence is correct; however, no theory provides INTERVENTIONS.

    Theory gives you a framework of what the likely response/task would be so that you know if the child/family is following a typical path or not.

    Let me know if this helps or not

    janice

    --
    Janice Selekman DNSc, RN, NCSN, FNASN
    Professor
    University of Delaware
    302-622-8884 (home)





  • 8.  RE: Quiz: Chapter 3

    Posted 01-26-2018 03:08 PM

    Thanks, Janice.  That was very helpful...great explanation.




    LaVechia Harrison, BSN, RN

    Lead Nurse Exceptional Education Services

    Jackson Public School District

    621 South State St.

    Jackson, MS 29201

    lharrison@jackson.k12.ms.us


    1472668198389_PastedImage






  • 9.  RE: Quiz: Chapter 3

    Posted 01-29-2018 08:28 AM
    Thanks, that was very helpful.

    ------------------------------
    Vicki Barrera, RN, BS
    Currituck Co. Schools
    School Nurse
    Moyock Middle School
    vbarrera@currituck.k12.nc.us
    252-435-2566 ext. 9030
    Moyock, N.C.
    ------------------------------



  • 10.  RE: Quiz: Chapter 3

    Posted 01-26-2018 09:32 AM
    I agree as well, but maybe because its a more generalized answer,  meaning option A "likely responses to stressors" rather than "set of interventions".  If that makes any sense.  I curious to see what the rationale is.

    ------------------------------
    Vicki Barrera, RN, BS
    Currituck Co. Schools
    School Nurse
    Moyock Middle School
    vbarrera@currituck.k12.nc.us
    252-435-2566 ext. 9030
    Moyock, N.C.
    ------------------------------



  • 11.  RE: Quiz: Chapter 3

    Posted 01-26-2018 11:34 AM
    Hello Everyone!
    I agree with discussion about question 5 that has been brought up.   I am also curious about rationale.  I have one other question (not sure everyone saw it, I think it was on another post).   In looking at what interventions are primary prevention, secondary prevention, etc.   It logically has immunizations under primary prevention.   It also lists flu shots under secondary- I am thinking they are both preventive- can anyone help me in why flu shots and immunizations are not together?
    Thanks!
    Nicky

    ------------------------------
    Nicola Zimmerman RN, MSN
    School Nurse
    MESD
    Hillsboro, OR
    ------------------------------



  • 12.  RE: Quiz: Chapter 3

    Posted 01-26-2018 07:41 PM
    Hi everyone! It is fantastic to see the lively discussion in this study group.  Your feedback is very helpful to the NBCSN group who is tasked with reviewing and revising test questions and the study guide.  I am going to ask @Janice Selekman, DNSc, RN, NCSN, FNASN to share her thoughts on this issue!

    ------------------------------
    Robin Cogan MEd, RN, NCSN
    School Nurse
    Rutgers University - Camden
    Cherry Hill, NJ
    ------------------------------



  • 13.  RE: Quiz: Chapter 3

    Posted 01-26-2018 08:43 PM
    Yes, there is a question on primary vs. secondary prevention. Here is how I teach it. If you think of primary as being a "1" (which looks like an i) and secondary as beginning with "S"......then use the 1 as an 'i' for immunizations and the 's' for screening

    Immunizations is primary prevention (as it is for everyone)
    Screening is secondary prevention (as it is for select populations at risk)

    ------------------------------
    Janice Selekman DNSc, RN, NCSN, FNASN
    Professor
    University of Delaware
    Wilmington, DE
    ------------------------------



  • 14.  RE: Quiz: Chapter 3

    Posted 01-29-2018 12:39 PM
    I am thinking that "Immunizations" are the ones required by state law, and the CDC, to attend public school (ie. MMR, Dtap, Varicella, Polio, and Hep B). The flu vaccines are "recommended" not required. This is why the flu vaccine falls into the secondary category.

    ------------------------------
    Amber Guillot R.N., B.S.N.
    School District Nurse Kersey CO
    ------------------------------



  • 15.  RE: Quiz: Chapter 3

    Posted 01-30-2018 07:26 AM
    ​Thank you Janice for the primary and secondary prevention information.  I will never forget it or get confused again, the example was great!

    ------------------------------
    Marie Karitis-Smith RN, BSN
    School Nurse
    Indian River School District
    Selbyville, DE
    ------------------------------



  • 16.  RE: Quiz: Chapter 3

    Posted 01-31-2018 10:29 AM
    Okay Janice; lets see if I've got the beat on this.  In order for a child to be immunized someone has to vaccinate her/him?  Yes?

    --
    "We cannot change the direction of the wind but we CAN adjust the sails" 

    Debi Blank, RN, BSHE
    School Nurse
    Trenton Elementary School                                  
    51 School Rd
    Trenton, Maine 04605
    deborah.blank@mdirss.org                                

    Confidentiality Notice: This email message, including any attachments, is
    for the sole use of the intended recipient(s) and may contain confidential
    and privileged information. Any unauthorized review, use, disclosure, or
    distribution is prohibited. If you are not the intended recipient, please
    contact the sender by reply email and destroy/delete all copies of the
    original message. Thank You.

    _______________________________________________





  • 17.  RE: Quiz: Chapter 3

    Posted 02-01-2018 09:32 AM
    For the certification exam - yes

    Technically, when you have the disease, you are then immunized against it...so you do not need to have a vaccination to get protected.

    --
    Janice Selekman DNSc, RN, NCSN, FNASN
    Professor
    University of Delaware
    302-622-8884 (home)





  • 18.  RE: Quiz: Chapter 3

    Posted 02-06-2018 01:51 PM
    Janice,
    I can't believe I made such a silly mistake.  Could it be that we've become so used to having immunizations against so many diseases that we forget that people could really get sick from them?  Personally almost all my immunities come from "natural" sources, i.e. the disease itself.  Just think, kids today don't have to miss a week or more from such as mumps or measles and they miss the joy of having to make up all that work!  How did my generation ever survive? 

    --
    "We cannot change the direction of the wind but we CAN adjust the sails" 

    Debi Blank, RN, BSHE
    School Nurse
    Trenton Elementary School                                  
    51 School Rd
    Trenton, Maine 04605
    deborah.blank@mdirss.org                                

    Confidentiality Notice: This email message, including any attachments, is
    for the sole use of the intended recipient(s) and may contain confidential
    and privileged information. Any unauthorized review, use, disclosure, or
    distribution is prohibited. If you are not the intended recipient, please
    contact the sender by reply email and destroy/delete all copies of the
    original message. Thank You.

    _______________________________________________





  • 19.  RE: Quiz: Chapter 3

    Posted 01-30-2018 08:28 AM
    vaccination and immunization are often used interchangeably. Technically, vaccination is the shot you give; immunization is how your body responds to make or use the antibodies to protect you.

    These terms are medical and have nothing to do with laws and policies.

    --
    Janice Selekman DNSc, RN, NCSN, FNASN
    Professor
    University of Delaware
    302-622-8884 (home)





  • 20.  RE: Quiz: Chapter 3

    Posted 02-01-2018 12:37 PM
    So, following this logic, since HPV vaccination is not required would it be considered a secondary intervention?  I still don't think I am getting it because both Primary and Secondary say "disease prevention" in their description.

    ------------------------------
    Vicki Ross BSN. RN
    School Nurse
    Utah Schools for the Deaf and Blind
    Ogden, UT
    ------------------------------



  • 21.  RE: Quiz: Chapter 3

    Posted 02-01-2018 02:11 PM
    So glad I am not the only one trying to figure out why certain vaccines are primary and others are secondary.  If anyone has some insight, please share!
    Nicky

    ------------------------------
    Nicola Zimmerman RN, MSN
    School Nurse
    MESD
    Hillsboro, OR
    ------------------------------



  • 22.  RE: Quiz: Chapter 3

    Posted 02-02-2018 08:44 AM
    I caution you from getting to picky on a public health model that was developed before many of the vaccinations. Think general; think public health. Immunizations protect ALL of the public - and therefore are primary; screening is for selected high risk groups and so it is secondary.

    --
    Janice Selekman DNSc, RN, NCSN, FNASN
    Professor
    University of Delaware
    302-622-8884 (home)





  • 23.  RE: Quiz: Chapter 3

    Posted 02-05-2018 10:40 AM
    HPV still protects all the public, whether or not its required.  Same with all immunizations.  

    --
    "We cannot change the direction of the wind but we CAN adjust the sails" 

    Debi Blank, RN, BSHE
    School Nurse
    Trenton Elementary School                                  
    51 School Rd
    Trenton, Maine 04605
    deborah.blank@mdirss.org                                

    Confidentiality Notice: This email message, including any attachments, is
    for the sole use of the intended recipient(s) and may contain confidential
    and privileged information. Any unauthorized review, use, disclosure, or
    distribution is prohibited. If you are not the intended recipient, please
    contact the sender by reply email and destroy/delete all copies of the
    original message. Thank You.

    _______________________________________________





  • 24.  RE: Quiz: Chapter 3

    Posted 02-05-2018 02:15 PM
    Debi,
    You're still not getting the point...
    Immunization IS your immunity already acquired from vaccinations or already having the disease. It's something you already have protecting you from the disease. Think of it as a bulletproof vest that you're wearing. This is your PRIMARY defense, because you already have it working to protect you.

    Your secondary defenses are things that you CAN do to protect yourself, in the future, like getting the HPV vaccines. Once you finish the series of vaccines, you will develop an immunity, in the future, to the disease. This immunity is your immunizations, and then becomes a PRIMARY defense, BECAUSE YOU ALREADY HAVE IT.

    ------------------------------
    Amber Guillot R.N., B.S.N.
    School District Nurse Kersey CO
    ------------------------------



  • 25.  RE: Quiz: Chapter 3

    Posted 02-05-2018 04:40 PM
    Ok, the original question was "In looking at what interventions are primary prevention, secondary prevention, etc.   It logically has immunizations under primary prevention.   It also lists flu shots under secondary- I am thinking they are both preventive- can anyone help me in why flu shots and immunizations are not together?"

    The answers on this string have been more about immunizations versus screening and not actually answering the question why are flu shots not considered Primary.  I think the answer might be, correct me if I am wrong Janice, that immunizations to most diseases are considered active immunity and last a long time and a flu shot is considered passive immunity and only lasts a few weeks or months and therefore needs to be obtained frequently, i.e. yearly, which would make it a Secondary Intervention.


    ------------------------------
    Vicki Ross BSN. RN
    School Nurse
    Utah Schools for the Deaf and Blind
    Ogden, UT
    ------------------------------



  • 26.  RE: Quiz: Chapter 3

    Posted 02-06-2018 07:46 AM
    Vicki, the flu shot is also active immunity - it stimulates the immune system to make antibodies. The reason you have to get a new one each year has to do with the virus changing and no longer responding to the antibodies you have. Please everybody, for the exam, just think immunizations are primary prevention.

    ------------------------------
    Janice Selekman DNSc, RN, NCSN, FNASN
    Professor
    University of Delaware
    Wilmington, DE
    ------------------------------



  • 27.  RE: Quiz: Chapter 3

    Posted 02-06-2018 08:24 AM

    I have been following this thread and am wondering where the confusion is coming from.  I looked back on the original post

     

    Hello Everyone!
    I agree with discussion about question 5 that has been brought up.   I am also curious about rationale.  I have one other question (not sure everyone saw it, I think it was on another post).   In looking at what interventions are primary prevention, secondary prevention, etc.   It logically has immunizations under primary prevention.   It also lists flu shots under secondary- I am thinking they are both preventive- can anyone help me in why flu shots and immunizations are not together?
    Thanks!
    Nicky

     

    I am looking for where it is noted that flu vaccines are secondary prevention.  I don't see that anywhere.  So my question would be Where does it say that influenza vaccine is secondary prevention?

     

    I think this might be a case of where people are overthinking.  Overthinking can lead to difficulties in exam taking.  Look at the information that is given and choose the most appropriate answer.  

     

    Vaccines are considered primary prevention, activities that are designed to promote the overall health of the population.

     

    Pat Krin, MSN,RN, FNP-BC, FNASN, NCSN

    School Health Consulting Services

    patkrin@outlook.com

     






  • 28.  RE: Quiz: Chapter 3

    Posted 02-06-2018 08:52 AM

    In the School Nurse certification review book it does mention flu shot as secondary prevention. I do not have the book with me to specifically reference the page but it is noted in Chapter 3.

    ------------------------------
    Julie Hendley RN BSN
    School Nurse
    Nashoba Regional School District
    Lancaster, MA
    ------------------------------



  • 29.  RE: Quiz: Chapter 3

    Posted 02-06-2018 10:16 AM
    On pg. 31 under Secondary Disease Prevention it states that "the goal is to resolve health problems and prevent serious consequences; it also includes interventions to prevent disease" and then on pg.32 under "3) Includes encouraging staff to get pap smears, perform breast or testicular self-exams, and get flu shots"

    All of the items listed are done on a regular basis, yearly or monthly. Aside from a few recommended boosters, the CDC Immunization schedule (DTap, IPV, etc.) is considered complete once all required vaccinations are obtained and disease immunity is assumed. Whereas with the flu shot you get annually you are trying to prevent the flu, you know that you may still acquire the flu but it should be a milder form and that every year you will need to receive a new flu vaccination for that years prevalent strand as there are multiple strands of the flu virus it is not possible to acquire complete immunity from it. 


    ------------------------------
    Janese Brown, BSN, BSA, RN
    ]
    ------------------------------



  • 30.  RE: Quiz: Chapter 3

    Posted 02-06-2018 10:28 AM
    Janese, thanks for that reference. I will check it out.

    Sent from my iPhone
    Pat Krin




  • 31.  RE: Quiz: Chapter 3

    Posted 02-06-2018 10:43 AM

    OK, I found it, it is actually on page 32 in my copy.

     

    Here is what I think.  While immunizations per se  are primary prevention i.e. health promotion and preventing disease, encouraging staff to get flu vaccine is secondary prevention i.e. resolve health problems and prevent serious consequences. It is the act of encouraging the flu shot that is secondary prevention, not the immunization itself.

     

    I am not sure if that helps, I really am just hoping that people won't stay stuck on the confusion of this thread.

     

    Pat Krin, MSN,RN, FNP-BC, FNASN, NCSN

    School Health Consulting Services

    patkrin@outlook.com

     






  • 32.  RE: Quiz: Chapter 3

    Posted 02-07-2018 09:18 AM
    Thanks Pat this explanation does make sense.

    ------------------------------
    Vicki Barrera, RN, BS
    Currituck Co. Schools
    School Nurse
    Moyock Middle School
    vbarrera@currituck.k12.nc.us
    252-435-2566 ext. 9030
    Moyock, N.C.
    ------------------------------