Question 1

James is a community health nurse working with his client Joseph. Joseph is currently experiencing withdrawal symptoms. What term is best used to describe Joseph's experience?

Accepted Answer

A)  Addiction 
B)  Psychological dependence 
C)  Substance use disorder 
D)  Physical dependence 
A)  Addiction 
B)  Psychological dependence 
C)  Substance use disorder 
D)  Physical dependence D

Question 2

Which of the following populations in Canada can be at increased risk for prescription drug abuse?

Accepted Answer

A)  Health care professionals in any specialty 
B)  Young children living in lone parent homes 
C)  Young adults with full time jobs 
D)  Families with more than 4 individuals 
A)  Health care professionals in any specialty 
B)  Young children living in lone parent homes 
C)  Young adults with full time jobs 
D)  Families with more than 4 individuals A

Question 3

List the DSM-5 Criteria for substance use disorders.

Accepted Answer

-Substance often taken in larger amounts or over a longer period of time than intended
-A persistent desire or unsuccessful efforts to cut down or control use
-A great deal of time spent in activities necessary to obtain the substance, use it, or recover from its effects
-Craving, or a strong desire or urge to use
-Recurrent use resulting in failure to fulfill major role obligations at work, school, or home
-Continued use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by use
-Important social, occupational, or recreational activities given up or reduced because of use
-Recurrent use in situations that are physically hazardous
-Use is continued despite knowledge of having a persistent or recurrent physical or psychological problem likely to have been caused or exacerbated by use
-Tolerance: the need for markedly increased amounts of substance to achieve intoxication or desired effect, or a markedly diminished effect with continued use of same amount
-Withdrawal: a characteristic syndrome, or use to relieve or avoid withdrawal

Question 4

Why is it important for community health nurses to take intersectional analysis in their substance use work? Select all that apply.

Accepted Answer

A)  Because it draws attention to the dynamics of the intersections between problematic substance use and social identity 
B)  Because it draws attention to the dynamics of the intersections between problematic substance use and different forms of oppression 
C)  Because it can guide us in addressing the multiple inequities and stigmas associated with substance use 
D)  Because we need to recognize how peoples' experiences are differentiated by the disadvantages posed by their location across dimension 
E)  None of above 
A)  Because it draws attention to the dynamics of the intersections between problematic substance use and social identity 
B)  Because it draws attention to the dynamics of the intersections between problematic substance use and different forms of oppression 
C)  Because it can guide us in addressing the multiple inequities and stigmas associated with substance use 
D)  Because we need to recognize how peoples' experiences are differentiated by the disadvantages posed by their location across dimension 
E)  None of above

Question 5

Poverty is a significant systemic factor that increases risk related to substance use. A community health nurse is working to support public policy making that reduces structural inequities. What level of prevention is the nurse working at?

Accepted Answer

A)  Quaternary 
B)  Secondary 
C)  Primary 
D)  Primordial 
A)  Quaternary 
B)  Secondary 
C)  Primary 
D)  Primordial

Question 6

Methadone maintenance treatment programs were introduced across Canada in response to the increasing use of opioids and the extensive cycle of this devastating drug dependency. Methadone alleviates the symptoms of opioid withdrawal by creating stable and sufficient blood levels of methadone. Methadone maintenance treatment programs are an example of which level of prevention?

Accepted Answer

A)  Primary 
B)  Quaternary 
C)  Secondary 
D)  Tertiary 
A)  Primary 
B)  Quaternary 
C)  Secondary 
D)  Tertiary

Question 7

What is the leading cause of preventable death in Canada?

Accepted Answer

A)  Alcohol use 
B)  Illicit drug use 
C)  Tobacco use 
D)  Licit drug use 
A)  Alcohol use 
B)  Illicit drug use 
C)  Tobacco use 
D)  Licit drug use

Question 8

Give three examples of appropriate activities a CHN could implement in a high school as part of a substance use prevention program.

Accepted Answer

- develop school drug/alcohol policies
-

Question 9

What term is used to describe a maladaptive pattern of substance use that results in harmful consequences due to repeated use?

Accepted Answer

A)  Substance dependence 
B)  Substance use 
C)  Substance use disorder 
D)  Substance experimentation 
A)  Substance dependence 
B)  Substance use 
C)  Substance use disorder 
D)  Substance experimentation

Question 10

The harms of illicit drug use are made worse in which of the following social conditions? Select all that apply.

Accepted Answer

A)  When an individual is homeless 
B)  When an individual is living in poverty 
C)  When an individual is lacking permanent housing 
D)  When an individual is experiencing social marginalization 
E)  None of above 
A)  When an individual is homeless 
B)  When an individual is living in poverty 
C)  When an individual is lacking permanent housing 
D)  When an individual is experiencing social marginalization 
E)  None of above

Question 11

Compare and contrast secondary and tertiary prevention in the context of substance use.

Accepted Answer

-Secondary prevention involves early ide

Question 12

A group of nurses are working in an impoverished area of a large city where substance use is present. The nurses want to focus on substance use primary prevention strategies for youth in this neighbourhood. What would be the best strategy to use with this population?

Accepted Answer

A)  Initiate a medically supervised safe injection site 
B)  Hold a weekend drug education workshop for at risk youth 
C)  Encourage the development of a home drinking policy 
D)  Engage police in closing down drug houses 
A)  Initiate a medically supervised safe injection site 
B)  Hold a weekend drug education workshop for at risk youth 
C)  Encourage the development of a home drinking policy 
D)  Engage police in closing down drug houses

Question 13

List the presenting signs of substance use during pregnancy and postpartum.

Accepted Answer

-Missed or inadequate prenatal care
-Rec

Question 14

Which of the following are determinants of problematic substance use? Select all that apply.

Accepted Answer

A)  Genetic 
B)  Psychological 
C)  Socioeconomical 
D)  Historical 
E)  None of above 
A)  Genetic 
B)  Psychological 
C)  Socioeconomical 
D)  Historical 
E)  None of above

Question 15

Which of the following disorders is manifested by developmental, neurological, and behavioural delays in infants and young children that persist into adulthood?

Accepted Answer

A)  Neonatal abstinence syndrome 
B)  Concurrent disorder 
C)  Fetal alcohol spectrum disorder 
D)  Physiological dependence disorder 
A)  Neonatal abstinence syndrome 
B)  Concurrent disorder 
C)  Fetal alcohol spectrum disorder 
D)  Physiological dependence disorder

Question 16

Sameer is a community health nurse working with clients who use substances problematically. He notices that his clients are at increased risk for overdose, suicide, and contracting blood-borne infections. What type of drugs are Sameer's clients likely using?

Accepted Answer

A)  Drugs that are smoked 
B)  Drugs that are snorted 
C)  Drugs that are swallowed 
D)  Drugs that are injected 
A)  Drugs that are smoked 
B)  Drugs that are snorted 
C)  Drugs that are swallowed 
D)  Drugs that are injected

Question 17

Mae Lee is a community health nurse working with a client who has a concurrent disorder. What does this mean?

Accepted Answer

A)  The client has a co-occurring mental health and substance use problem 
B)  The client has a co-occurring physiological and substance abuse problem 
C)  The client has a co-occurring gambling and substance abuse problem 
D)  The client has a co-occurring social and substance abuse problem 
A)  The client has a co-occurring mental health and substance use problem 
B)  The client has a co-occurring physiological and substance abuse problem 
C)  The client has a co-occurring gambling and substance abuse problem 
D)  The client has a co-occurring social and substance abuse problem

Question 18

Which of the following terms is used to describe drugs that are used for medicinal purposes?

Accepted Answer

A)  Illicit drugs 
B)  Licit drugs 
C)  Street drugs 
D)  Legitimate drugs 
A)  Illicit drugs 
B)  Licit drugs 
C)  Street drugs 
D)  Legitimate drugs

Question 19

The recent surge in the abuse of _____________ can cost up to $50 billion a year.

Accepted Answer

A)  Tobacco 
B)  Alcohol 
C)  Prescription opioid pain relievers 
D)  Illicit use of cocaine 
A)  Tobacco 
B)  Alcohol 
C)  Prescription opioid pain relievers 
D)  Illicit use of cocaine

Question 20

Which of the following are pillars of Canada's Federal Drug Strategy? Select all that apply

Accepted Answer

A)  Harm reduction 
B)  Prevention 
C)  Treatment 
D)  Enforcement 
E)  None of above 
A)  Harm reduction 
B)  Prevention 
C)  Treatment 
D)  Enforcement 
E)  None of above

Exam 30: Substance Use

James is a community health nurse working with his client Joseph. Joseph is currently experiencing withdrawal symptoms. What term is best used to describe Joseph's experience?

Which of the following populations in Canada can be at increased risk for prescription drug abuse?

List the DSM-5 Criteria for substance use disorders.

Why is it important for community health nurses to take intersectional analysis in their substance use work? Select all that apply.

Poverty is a significant systemic factor that increases risk related to substance use. A community health nurse is working to support public policy making that reduces structural inequities. What level of prevention is the nurse working at?

What is the leading cause of preventable death in Canada?

Give three examples of appropriate activities a CHN could implement in a high school as part of a substance use prevention program.

What term is used to describe a maladaptive pattern of substance use that results in harmful consequences due to repeated use?

The harms of illicit drug use are made worse in which of the following social conditions? Select all that apply.

Compare and contrast secondary and tertiary prevention in the context of substance use.

A group of nurses are working in an impoverished area of a large city where substance use is present. The nurses want to focus on substance use primary prevention strategies for youth in this neighbourhood. What would be the best strategy to use with this population?

List the presenting signs of substance use during pregnancy and postpartum.

Which of the following are determinants of problematic substance use? Select all that apply.

Which of the following disorders is manifested by developmental, neurological, and behavioural delays in infants and young children that persist into adulthood?

Sameer is a community health nurse working with clients who use substances problematically. He notices that his clients are at increased risk for overdose, suicide, and contracting blood-borne infections. What type of drugs are Sameer's clients likely using?

Mae Lee is a community health nurse working with a client who has a concurrent disorder. What does this mean?

Which of the following terms is used to describe drugs that are used for medicinal purposes?

The recent surge in the abuse of _____________ can cost up to $50 billion a year.

Which of the following are pillars of Canada's Federal Drug Strategy? Select all that apply

The History of Community Health Nursing in Canada

Policy, Politics, and Power in Health Care

Nursing Roles, Functions, and Practice Settings

Public Health Nursing

Home Health Nursing in Canada

Advocacy, Ethical, and Legal Considerations

Theoretical Foundations of Community Health Nursing

Health Promotion

Race, Culture, and Health

Research

Epidemiology

Communicable Diseases

Community Nursing Process

Community Health Planning, Monitoring, and Evaluation

Digital Health

Maternal, Newborn, and Child Health

School Health

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Lesbian, Gay, Bisexual, Transgender, Queer, and Two Spirit Clients

Older Adult Health

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Rural and Remote Health

Chronic Care, Long-Term Care, and Palliative Care

Correctional Health

Ecological Determinants of Health and Environmental Health Inequities

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Poverty, Homelessness, and Food Insecurity

Sexually Transmitted and Blood-Borne Infections

Emergency Preparedness and Disaster Nursing

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