Which of the following led to school nurses moving beyond the role of

Which of the following led to school nurses moving beyond the role of screening, assessment, intervention, and exclusion of children for communicable diseases?

a. A communicable disease outbreak, which led to the requirement that all children be vaccinated against common infectious diseases
b. Federal legislation, which required immunizations for communicable diseases
c. Political movements such as temperance, which led schools to educate about the effects of alcohol and tobacco
d. The need for inspecting schools to identify children who were ill and exclude them until they were no longer infectious

ESSAYBID ANSWER

ANS: C
The federal government was not involved in school health because education and health are responsibilities of the state government. The first citywide vaccination program—against smallpox—was in the 1870s before school nurses were first employed in 1902. Other issues beyond treatment for minor problems quickly became part of school nurse school practice. In the early part of the twentieth century, the temperance movement led schools to teach about the effects of alcohol and tobacco.