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

- develop school drug/alcohol policies
- encourage an integrated drug/alcohol education curriculum
- provide ongoing training for teachers and others involved
- hold special events that are drug/alcohol free
- organize student interest groups
- provide early identification and intervention programs in the school

Question 2

Case 1 A group of nurses are working in an impoverished area of a large city where substance abuse is rampant.The nurses are an integral part of the city's four-pillar drug strategy.
(Refer to Case 1 above. )The nurses want to focus on substance abuse 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 like "Get Plugged In"
C) Encourage the development of a home drinking policy
D) Engage police in closing down drug houses

Accepted Answer

Holding a drug education workshop for youth would be the most effective substance abuse prevention strategy in this case. This would provide education and support to youth in making informed decisions about drug use and reduce the likelihood of them developing substance abuse problems in the future. A medically supervised safe injection site may be a harm reduction strategy for those who are already struggling with substance use, but it does not focus on prevention. Encouraging a home drinking policy may also be a prevention strategy, but it is not specific to substance abuse and may not be effective in this particular population. Engaging police in closing down drug houses may be a harm reduction strategy, but it does not focus on prevention either.

Question 3

Case 1 A group of nurses are working in an impoverished area of a large city where substance abuse is rampant.The nurses are an integral part of the city's four-pillar drug strategy.
(Refer to Case 1 above. )The nurses are working with an advocacy group to develop alternative health recovery options for individuals struggling with addiction.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

Accepted Answer

Starting a drug treatment court (DTC) program would provide an alternative health recovery option for individuals struggling with addiction. A DTC program involves close supervision of drug offenders who are also given access to treatment programs and support services to help them beat addiction. This approach has proven to be effective in reducing criminal activity and substance use, improving mental and physical health, and increasing employment and education outcomes. Developing a more accessible methadone maintenance treatment program and supplying free crack kits may also be beneficial but do not necessarily address alternative health recovery options. Developing stronger health warning labels would not directly provide alternative health recovery options.

Question 4

Ally,22 years old,is addicted to a prescription medication.What type of medication is she most likely abusing?
A) Tranquilizer-diazepam (Valium)
B) Opioid-oxycodone (Oxycotine)
C) Sedative-secobarbital (Seconal)
D) Antidepressant -fluoxetine (Prozac)

Accepted Answer

Ally is most likely abusing an opioid medication, such as oxycodone, as they are highly addictive and commonly abused prescription drugs. Tranquilizers such as Valium, sedatives such as Seconal, and antidepressants such as Prozac can also be addictive, but opioids have a higher potential for abuse and addiction.

Question 5

In Canada,what percentage of hospitalizations is due to substance abuse?
A) 5
B) 25
C) 19
D) 38

Accepted Answer

According to a 2017 report by the Canadian Institute for Health Information, substance abuse accounted for 19% of hospitalizations in Canada. This includes hospitalizations related to alcohol, opioids, and other drugs. Therefore, option C is correct. The other options are not supported by data.

Question 6

What is the most widely used illicit drug in Canada?
A) Heroin
B) Cocaine
C) Cannabis
D) Alcohol

Accepted Answer

Cannabis is the most widely used illicit drug in Canada, with approximately 43% of Canadians reporting having used it at least once in their lifetime. The use of heroin and cocaine is comparatively lower, and alcohol is not considered an illicit drug as it is legal for those over the age of 19.

Question 7

What is an example of a harm reduction initiative?
A) Patrolling areas where drug usage is high
B) Impaired driving counter measures
C) Alcoholics Anonymous support group
D) DanceSafe program

Accepted Answer

The DanceSafe program is a harm reduction initiative that provides education, drug testing services, and other resources to promote safer drug use at music festivals and other events. Patrolling areas where drug usage is high may deter drug use, but it does not promote safer use. Impaired driving counter measures and Alcoholics Anonymous are focused on preventing or treating addiction, rather than reducing harm for those who continue to use substances.

Question 8

What substance poses a serious public health problem in rural Canada?
A) Cocaine
B) Tobacco
C) Marijuana
D) Alcohol

Accepted Answer

Tobacco poses a serious public health problem in rural Canada due to higher smoking rates compared to urban areas, leading to increased health issues.

Question 9

Case 1 A group of nurses are working in an impoverished area of a large city where substance abuse is rampant.The nurses are an integral part of the city's four-pillar drug strategy.
(Refer to Case 1 above. )Which example is consistent with a harm reduction approach to substance abuse?
A) Targeting drug traffickers
B) A needle exchange program
C) An Al-Anon group
D) Students against drunk driving

Accepted Answer

A needle exchange program is consistent with a harm reduction approach, as it aims to reduce the harm associated with drug use by providing access to clean needles, reducing the spread of disease, and offering counseling and referral services. Targeting drug traffickers, an Al-Anon group, and Students against drunk driving may all have their benefits, but they do not directly address harm reduction in the same way as a needle exchange program.

Question 10

Case 1 A group of nurses are working in an impoverished area of a large city where substance abuse is rampant.The nurses are an integral part of the city's four-pillar drug strategy.
(Refer to Case 1 above. )The nurses are assessing the community using the community resilience framework.What would be an example of a social risk factor?
A) Many personal social supports
B) Poor economic base
C) Low individual literacy levels
D) Strong volunteer network

Accepted Answer

Poor economic base is an example of a social risk factor as it can lead to a lack of resources, limited access to healthcare, and higher rates of substance abuse. Having many personal social supports and a strong volunteer network are examples of protective factors, while low individual literacy levels can be considered an individual risk factor but not a social risk factor.

Question 11

What percentage of deaths in Canada is due to substance abuse?
A) 5
B) 43
C) 21
D) 15

Accepted Answer

21% of deaths in Canada are attributed to substance abuse, reflecting the significant impact of this issue on public health.

Quiz 28: Substance Use

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

Ally,22 years old,is addicted to a prescription medication.What type of medication is she most likely abusing?

In Canada,what percentage of hospitalizations is due to substance abuse?

What is the most widely used illicit drug in Canada?

What is an example of a harm reduction initiative?

What substance poses a serious public health problem in rural Canada?

Case 1 A group of nurses are working in an impoverished area of a large city where substance abuse is rampant.The nurses are an integral part of the city's four-pillar drug strategy. (Refer to Case 1 above. ) Which example is consistent with a harm reduction approach to substance abuse?

What percentage of deaths in Canada is due to substance abuse?