Exam 31: Sexually Transmitted and Blood-Borne Infections

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Describe four innovative interventions that have been used in Canada to lower the rates of STI. Provide one rationale for each intervention. Give an example of why each intervention has been controversial.

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-Needle exchange programs: clinics/vans/drop-off stations that provide injection drug users with free sterile injecting equipment to reduce their risk of injection.

Describe four areas that influence clients to be unable or unwilling to prevent the spread of HIV. Give two specific examples related to each area that a CHN might see in practice. Discuss one type of program that CHNs may be involved in to support these clients' efficacy at implementing risk-reduction practices.

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-psychiatric deficits, e.g., fetal alcohol syndrome, mental illness
-additions, e.g., injection drug use, alcohol use
-social deficits, e.g., lack of housing, low education level
-health deficits, e.g., lack of HIV knowledge, other chronic illnesses
-CHN involvement-in comprehensive referral systems that provide housing and treatment fordeficits plus support

A nurse is working with a new immigrant group to prevent STIs. What is the nurse most likely to encounter with this population?

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Juan is HIV positive and attending the STI clinic. Adriana, the community health nurse is communicating to Juan that in addition to being HIV positive, Juan also has Syphilis. Which of the following statements is true about this situation?

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What does HPV stand for? How does HPV manifest and why is it important? How is HPV diagnosed? How is HPV prevented?

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List four social marketing campaigns that have been used to decrease the rates of sexually transmitted infections

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Carmen is working with a group of university students to implement an awareness campaign about the importance of obtaining regular Papanicolaou tests. Which of the following pieces of information is relevant for Carmen to include in the awareness campaign?

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Thomas has contracted herpes from his new partner. How will this STI be treated?

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Which of the following is true representation of the term vertical transmission?

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Which are typical acute HIV symptoms that occur two to four weeks after infection?

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Tony is seen by a nurse at the STI clinic. The nurse observes red tracks and bumps in the genital area around his groin and thighs. Tony reports itchiness in the same region. What sexually transmitted infection should the nurse suspect?

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Sangeeta is a community health nurse who works with clients who are at increased risk of obtaining blood-borne infections. Why do blood-borne infections need special consideration?

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Which of the following statements true about the Indigenous population in Canada?

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Which of the following statements is true of incarcerated persons in Canada's correctional facilities?

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Heidi is working with high school students to discuss the importance of safe sex practices. The students appear uninterested and distracted. What should Heidi be worried about?

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In 2015, what percentage of all positive adult HIV tests was among the men who have sex with men (MSM)?

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In 2014, what percentage of Canadians infected with HIV are unaware of their HIV status?

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The local health department recognized that there are high rates of various STIs among women who work as exotic dancers. Which intervention has the best chance of success in reducing the high rates of STIs?

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Which of the following terms is used to describe "a program-planning process that applies commercial marketing concepts and techniques to promote voluntary behavior change"?

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What would be an appropriate method of testing for chlamydia?

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