Question: The NASN School Nurse Practice Framework TM includes layers of support for Care Coordination, Community Public Health, Quality Improvement and Leadership. Which of the following answers best describes the framework's usage.
A. Direct health services in schools fall within quality improvement.
B. Care Coordination includes support for health screenings.
C. The framework provides graphic illustration of the key principles of school nurse practice.
D. Connecting students and families to available resources is included in leadership.
Correct Answer: C. The framework provides graphic illustration of the key principles of school nurse practice.
Rationale: The NASN School Nurse Practice Framework TM outlines the core principles and components of school nursing practice. Direct care falls under care coordination, and health screenings are considered community and public health. Care coordination includes linking students and families to services, not leadership.
Domain: 4, Professional Responsibility
Resources: Selekman, J. & Knox, E. (Eds.). (2025). School Nursing Certification Review. (4th edition). National Board for Certification of School Nurses.p.13.
R. Shannon, & C. Yonkaitis, C. (Eds.). (2025). School Nursing: A Comprehensive Text (4th edition). F.A. Davis Company.p 774.
Question: The care of the school age child involves the school nurse's awareness of the child's growth and development. Considering you are an elementary school nurse, which of Erik Erikson's Theory of Psychosocial Development stages would be most beneficial in understanding the elementary school child development.
A. Identity vs. Role Confusion.
B. Concrete vs. Formal Operations.
C. Initiative vs. Guilt.
D. Industry vs. Inferiority.
Correct Answer: D. Industry vs. Inferiority.
Rationale: Industry vs. Inferiority best defines the school age and middle childhood for ages 6-12. During this stage, the students gain confidence as they successfully learn new skills. A supportive environment and positive recognition of accomplishments helps establish a sense of purpose and productivity. Identity vs. Role Confusion is the best stage for the Adolescent ages 13-18. Concrete and Formal Operation are cognitive development stages for the school age child based on Jean Piaget's Theory of Cognitive Development and Initiative vs. Guilt exemplifies the toddlerhood of ages 1-3 years.
Domain: 1, Health Appraisal And Nursing Process.
Resources: Selekman, J. & Knox, E. (Eds.). (2025). School Nursing Certification Review. (4th edition). National Board for Certification of School Nurses. P.19-20.
R. Shannon, & C. Yonkaitis, C. (Eds.). (2025). School Nursing: A Comprehensive Text (4th edition). F.A. Davis Company. P 185-188.
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Alana Parker MSN-Ed, BSN, RN, NCSN
Mesa, AZ United States
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