Deck 30: Substance Use

Question 1

Which of the following terms is used to describe the need for markedly increased amounts of substance to achieve intoxication or desired effect, or a markedly diminished effect with continued use of the same amount?

A) Addiction
B) Tolerance
C) Withdrawal
D) Recurrent use

Answer 1

Tolerance

Question 2

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

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

Answer 2

Harm reduction
Prevention
Treatment
Enforcement

Question 3

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

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 the above

Answer 3

When an individual is homeless
When an individual is living in poverty
When an individual is lacking permanent housing
When an individual is experiencing social marginalization

Question 4

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

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

Question 5

What is the leading cause of preventable death in Canada?

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

Question 6

What is the most commonly used substance in Canada?

A) Opioid pain medication
B) Alcohol
C) Tobacco
D) Cannabis

Question 7

A group of nurses are working in an impoverished area of a large city where substance use is present. The nurses are an integral part of the city's four-pillar drug strategy. Which examples are consistent with a harm reduction approach to substance use? Select all that apply.

A) Targeting drug traffickers
B) A needle exchange program
C) An Al-Anon group
D) Supervised consumption sites

Question 8

A group of nurses are working in an impoverished area of a large city where substance use is present. The nurses are an integral part of the city's four-pillar drug strategy. The nurses are working with an advocacy group to develop alternatives to incarceration of repeat substance-involved offenders. What initiative would meet this goal?

A) Develop a more accessible methadone maintenance treatment program
B) Start a drug treatment court (DTC) program
C) Develop stronger health warning labels
D) Supply free crack kits at shelters and soup kitchens

Question 9

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

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

Question 10

A group of nurses are working in an impoverished area of a large city where substance use is present. The nurses are an integral part of the city's four-pillar drug strategy. The nurses are educating the community on the new Low-Risk Alcohol Drinking Guidelines. What level of prevention are the nurses working at?

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

Question 11

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

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

Question 12

Which of the following are described as behavioural addictions? Select all that apply.

A) Gambling
B) Shopping
C) Opioid pain medication use
D) Regular cannabis use

Question 13

Which of the following terms is consistent with the principles of patient-centred pain management where there is an emphasis on the need for health care professionals to be self-reflexive to recognize that the client may experience the world differently?

A) Cultural competence
B) Cultural awareness
C) Cultural safety
D) Cultural violence

Question 14

Sherry is a community health nurse doing a postpartum home visit. She notices that the infant may be experiencing neonatal abstinence syndrome? Which of the following types of drugs is the mother most likely to have used?

A) Opioid drugs
B) Alcohol
C) Non-opioid drugs
D) Bath salts

Question 15

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

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 the above

Question 16

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

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

Question 17

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

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

Question 18

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?

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

Question 19

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?

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

Question 20

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?

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 21

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

Question 22

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?

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

Question 23

Which level of prevention involves addressing stigma around substances within the health care system and among health professionals to ensure that community health nurses are following the lead of individuals, families, and communities in determining if substance use is problematic?

A) Cultural safety
B) Primordial prevention
C) Tertiary prevention
D) Quaternary prevention

Question 24

List the DSM-5 Criteria for substance use disorders.

Question 25

List and discuss the four key dimensions that provide a framework for understanding the essential elements of equity oriented primary health care services when working with populations that have been marginalized by social and structural inequity.

Question 26

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?

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

Question 27

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

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

Question 28

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

Question 29

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

Question 30

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

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