A school nurse realizes that a student who has asthma visits the health office two to three times every day to use their rescue inhaler. Which of the following interventions should the nurse plan to implement first?

Discuss the manifestations of asthma with the student's teacher.

Encourage the student's parent to identify and reduce environmental triggers.

Review breathing exercises with the student.

Determine if the student sees their provider on a regular basis.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Discuss the manifestations of asthma with the student's teacher is incorrect as the first action because while educating the teacher is important for classroom management, it does not address the immediate concern of frequent inhaler use and potential uncontrolled asthma.

B. Encourage the student's parent to identify and reduce environmental triggers is important but is not the first step. Environmental interventions are part of long-term asthma management, but the priority is identifying why the student is needing frequent rescue medication.

C. Review breathing exercises with the student is incorrect as the first step because breathing techniques are supportive interventions; they do not address the underlying cause of frequent inhaler use or ensure proper medical management.

D. Determine if the student sees their provider on a regular basis is correct because frequent use of a rescue inhaler indicates possible poorly controlled asthma. The nurse’s first priority is to assess the student’s current medical management and ensure they are receiving appropriate follow-up care. This helps identify whether a change in medication, treatment plan, or further evaluation is needed.

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Correct Answer is A

Explanation

Rationale:

A. This reflects individual lifestyle choices, as smoking is a behavior directly influenced by personal decisions, habits, and social factors. Lifestyle choices affect health outcomes and risk factors for chronic diseases, making them an important focus in community assessments.

B. This represents an environmental determinant of health, as it can contribute to air pollution, occupational hazards, and overall community exposure risks, but it is not an individual lifestyle choice.

C. Access to technology is a social determinant of health, providing opportunities for education, telehealth, and social connectivity. It reflects community infrastructure rather than individual behaviors.

D. This is part of healthcare services and resources, a structural determinant that supports the community’s access to preventive and acute care. It does not reflect personal lifestyle choices.

A. Cognitive behavioral therapy B. Light therapy C. Electroconvulsive therapy D. Occupational therapy

Correct Answer is A

Explanation

Rationale:

A. Cognitive behavioral therapy (CBT) is an evidence-based psychotherapy that helps clients experiencing complicated grief identify and modify unhelpful thoughts and behaviors, process the loss, and develop coping strategies. CBT can assist the client in resolving persistent grief, reducing depressive symptoms, and improving daily functioning. Referral to a mental health professional trained in grief-focused CBT is appropriate for complicated grief, which is prolonged, intense, and impairs functioning.

B. Light therapy is primarily used to treat seasonal affective disorder (SAD) and certain types of depression related to seasonal changes. It is not indicated for complicated grief.

C. Electroconvulsive therapy (ECT) is reserved for severe, treatment-resistant depression or certain psychiatric conditions when rapid symptom relief is needed. It is not a standard treatment for grief.

D. Occupational therapy focuses on helping clients regain or improve functional abilities in daily activities. While it can support clients struggling with self-care, it does not directly address the psychological aspects of complicated grief.

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A school nurse realizes that a student who has asthma visits the health office two to three times every day to use their rescue inhaler. Which of the following interventions should the nurse plan to implement first?

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