Question 1

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

Accepted Answer

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Question 2

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

Methadone maintenance treatment programs are an example of tertiary prevention because they aim to reduce the impact of an already established disease by helping to manage addiction and prevent further complications or deterioration in individuals who are already dependent on opioids.

Question 3

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?

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Question 4

List the DSM-5 Criteria for substance use disorders.

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Question 5

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.

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Question 6

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

Clients who inject drugs are at increased risk for overdose, as they are using a more potent method of administration. Injecting drugs also puts them at risk for contracting blood-borne infections if needles are shared. Additionally, problematic substance use can lead to increased risk for suicide.

Question 7

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

Accepted Answer

Fetal alcohol spectrum disorder is the only disorder among the options that can cause developmental, neurological, and behavioural delays in infants and young children that persist into adulthood. Neonatal abstinence syndrome and physiological dependence disorder are related to substance use during pregnancy or withdrawal from substances, but do not necessarily result in long-term developmental delays. Concurrent disorder is a term used to describe the co-occurrence of a mental health and substance use disorder, and is not specific to infants and young children.

Question 8

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

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Question 9

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

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Question 10

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

Accepted Answer

A concurrent disorder refers to the co-occurrence of a substance use disorder and a mental health disorder. Therefore, choice A is the correct answer. The other options do not accurately describe a concurrent disorder.

Quiz 30: Substance Use