Question 1

During a group counselling session for perpetrators of intimate partner violence, which of the following statements made by one of the clients indicates a lack of insight into his violent behaviour?

Accepted Answer

Violence is defined as those nonaccidental acts that result in physical or psychological injury.Although the client may now be feeling remorse, at the time that the violent act was committed against the girlfriend, his intent was to inflict harm.

Question 2

Which of the following actions by a case manager would be classified as primary prevention?

Accepted Answer

Primary prevention involves the use of the information exchange process to increase the client's understanding of the health care system.Remember that primary prevention occurs at a point before an illness or a problem occurs.In all of the other options, the client's health concern already exists and interventions have been employed.

Question 3

A mother confides to the CHN that her live-in boyfriend pushed her 2-year-old child because he was crying too much.She begs the CHN not to tell anyone because her boyfriend has agreed to take anger management classes.What should the CHN do?

Accepted Answer

All individuals in Canada who suspect child abuse are required to report it to the proper child protection agencies as mandated by law.First Nations peoples have their own child protection agencies.All of the other options put the child's welfare at risk.

Question 4

Which one of the following characteristics observed in a teenage boy should always alert the CHN to the possibility of suicide?

Accepted Answer

Depression and homosexuality are two of the leading risk factors for adolescent suicide.Those who threaten peers or torture and abuse animals are more likely to cause harm to others than to themselves.

Question 5

Which one of the following actions is the best example of enabling in a family with an alcoholic father?

Accepted Answer

Enabling is the act of shielding or preventing the addict from experiencing the consequences of his or her addiction.

Question 6

A client reports that the narcotic she took for pain on a regular basis made her feel bad and that when she tried an alternative analgesic, she experienced withdrawal symptoms.What is this client suffering from?

Accepted Answer

The terms drug dependence and drug addiction often are used interchangeably, but they are not synonymous.Drug dependence is a state of neuroadaptation caused by the chronic, regular use of a drug.People who are dependent on drugs must continue using them to prevent withdrawal symptoms.Drug addiction, in contrast, is a pattern of abuse characterized by an overwhelming preoccupation with the use (compulsive use) of a drug and securing its supply, and a high tendency to relapse if the drug is removed.

Question 7

At a district board meeting, the CHN requests funding for an after-school recreation program that promotes healthy, fun activities in an effort to decrease drug abuse.Which level of prevention does this exemplify?

Accepted Answer

Primary prevention includes the promotion of healthy lifestyles and resiliency factors.The harm reduction approach to the issue of substance abuse focuses on health promotion and disease prevention.

Question 8

A CHN suspects that a new client may be a drug addict.When getting the health history of the client, the CHN needs to keep in mind that the client may not admit to drug use.Which one of the following is a primary symptom of addiction?

Accepted Answer

A primary symptom of addiction involves a refusal to acknowledge that a drug use or substance use problem exists.

Question 9

Which of the following statements made by a parent indicates a need for more education about child abuse?

Accepted Answer

Emotional abuse involves extreme debasement of feelings and may result in the child feeling inadequate, inept, uncared for, and worthless.A parent is emotionally abusing the children by yelling at them ("to stop being stupid") and frightening them ("boogeyman stealing them away at night").

Question 10

An intravenous (IV) drug abuser admits to the CHN that he has no desire to give up his addiction, so the CHN counsels him on the importance of sterilizing his needles to prevent infection and transmission of blood-borne diseases.Which level of prevention does this action represent?

Accepted Answer

Tertiary prevention is implemented in people who already have a health concern or problem (in this instance, someone who is already addicted) to prevent complications (harm reduction).In this instance, because the client does not plan to stop the drug abuse, the CHN is trying to prevent complications arising from use of contaminated needles.Emphasis is placed on reducing the transmission of blood-borne diseases through contaminated needles.Giving up the addiction is the best solution but unrealistic for many addicts.Using the harm reduction model, the CHN should provide education on cleaning needles with bleach between uses and about needle exchange programs to decrease the spread of blood-borne pathogens.

Question 11

A CHN is asked by a parent group to explain the risk factors for alcoholism.Which of the following statements should the CHN include in the explanation?

Accepted Answer

Research has shown conclusively that alcoholism is, at least in part, genetic and not just the result of family environment.

Quiz 11: Working With Vulnerable Populations