NUR390 Practice Questions With Complete Solutions
A client comes to a consumption and treatment service site and
says to the nurse, "I heard I can get crack pipes here." The nurse
confirms that they do distribute safer stem kits at this CTS.
1. What should the nurse ask the client when providing them
with the safer stem kit?
2. The client says they've never seen a kit like this before. Go
through the safer stem kit and identify each component. Explain
how each component contributes to the lessening of harm
associated with smoking crack cocaine.
3. List three additional strategies that this client can use to
further reduce the risks associated with use. Correct Answer 1.
What kind of equipment do you currently use? Do you share
your equipment? Do you regularly apply chapstick? Do you use
alone? Do you carry Naloxone?
2. i. Heat-resistant stem: reduces risks of burns/blisters/cuts
ii. Vinyl mouthpiece: reduces risks of burns/blisters/cuts
iii. Wooden push sticks: prevents damage to stem, lessens risk of
inhaling melted plastic
iv. Copper screen: prevents inhalation of burning bits of steel
wool
3. i. Prepare equipment in advance and be sure to mark
mouthpiece
ii. Don't share equipment
iii. Don't use alone and carry nalxone
A nurse who provides home care to individuals living with
HIV/AIDS is interested in enacting prevention interventions
across the natural course of this illness. What are some examples
,of primary prevention interventions that the nurse could
mobilize for this patient population? What are some examples of
secondary prevention activities the nurse could mobilize for this
patient population? What are some examples of tertiary
prevention activities that the nurse could mobilize for this
patient population? Correct Answer i. Primary prevention =
HIV testing to identify positive cases and to prevent spread
ii. Secondary prevention = Educate those with HIV how to
reduce risk of spread and support HIV+ clients to adhere to
medications
iii. Tertiary prevention = Improve access to ART and improve
access to self help groups, reorient health and social support
services to improve HIV prevention and care
A school nurse is approached by a student who would like to
start binding. What follow up questions might the school nurse
ask the student and what rationale should they provide for each
question? What information should the nurse provide to the
student to promote safe binding practices? Correct Answer Do
you happen to know your chest size so we can provide you with
a properly sized binder? Binding may be uncomfortable, but it
should not hurt! Build up your tolerance, starting with a few
hours a day and work your way up, but always bind for less than
8hrs a day and take frequent breaks. Do not sleep with a binder
on, and limit exercise with a binder as it hinders movement and
breathing. Make sure to wear a properly sized binder as a
smaller size can hurt you. Apply baby powder or wear a thin
shirt between skin and binder to avoid rashes/skin breakdown.
Define racism. How does structural racism operate in Canadian
society? Provide three examples. Correct Answer An attitude
, or behaviour based on the belief that "race" produces inherent
cognitive, moral and behavioural traits often involving the belief
that one's own race is superior to others. Structural racism is
often hidden from us, but influences everything we think and do.
i. Indian Act -> legislated and supports multiple forms of anti-
Indigenous racism
ii. Over policing -> based on stereotypes and racist fears about
the perceived threat of Indigenous peoples
iii. Media -> promotes negative stereotypes by focusing on
health disparities, social issues and poverty
Define the following terms: gender dysphoria, gender
incongruence, gender euphoria. Correct Answer Gender
dysphoria: the distress a person feels due to a mismatch between
their gender identity and their sex assigned at birth
Gender Incongruence: discontent with their assigned gender and
the identification with a gender other than that of their birth sex.
Gender euphoria: a range of positive feelings including comfort,
confidence, certainty, satisfaction and joy in response to
affirmation of one's body or one's gender identity
Define the terms sex, gender, gender identity, and gender
expression. Correct Answer i. Sex = anatomical classification
as male, female, or intersex
ii. Gender = socially constructed roles, behaviours and identities
iii. Gender identity = each persons internal and individual
experience of gender
iv. Gender expression = how a person publicly expresses or
presents their gender
A client comes to a consumption and treatment service site and
says to the nurse, "I heard I can get crack pipes here." The nurse
confirms that they do distribute safer stem kits at this CTS.
1. What should the nurse ask the client when providing them
with the safer stem kit?
2. The client says they've never seen a kit like this before. Go
through the safer stem kit and identify each component. Explain
how each component contributes to the lessening of harm
associated with smoking crack cocaine.
3. List three additional strategies that this client can use to
further reduce the risks associated with use. Correct Answer 1.
What kind of equipment do you currently use? Do you share
your equipment? Do you regularly apply chapstick? Do you use
alone? Do you carry Naloxone?
2. i. Heat-resistant stem: reduces risks of burns/blisters/cuts
ii. Vinyl mouthpiece: reduces risks of burns/blisters/cuts
iii. Wooden push sticks: prevents damage to stem, lessens risk of
inhaling melted plastic
iv. Copper screen: prevents inhalation of burning bits of steel
wool
3. i. Prepare equipment in advance and be sure to mark
mouthpiece
ii. Don't share equipment
iii. Don't use alone and carry nalxone
A nurse who provides home care to individuals living with
HIV/AIDS is interested in enacting prevention interventions
across the natural course of this illness. What are some examples
,of primary prevention interventions that the nurse could
mobilize for this patient population? What are some examples of
secondary prevention activities the nurse could mobilize for this
patient population? What are some examples of tertiary
prevention activities that the nurse could mobilize for this
patient population? Correct Answer i. Primary prevention =
HIV testing to identify positive cases and to prevent spread
ii. Secondary prevention = Educate those with HIV how to
reduce risk of spread and support HIV+ clients to adhere to
medications
iii. Tertiary prevention = Improve access to ART and improve
access to self help groups, reorient health and social support
services to improve HIV prevention and care
A school nurse is approached by a student who would like to
start binding. What follow up questions might the school nurse
ask the student and what rationale should they provide for each
question? What information should the nurse provide to the
student to promote safe binding practices? Correct Answer Do
you happen to know your chest size so we can provide you with
a properly sized binder? Binding may be uncomfortable, but it
should not hurt! Build up your tolerance, starting with a few
hours a day and work your way up, but always bind for less than
8hrs a day and take frequent breaks. Do not sleep with a binder
on, and limit exercise with a binder as it hinders movement and
breathing. Make sure to wear a properly sized binder as a
smaller size can hurt you. Apply baby powder or wear a thin
shirt between skin and binder to avoid rashes/skin breakdown.
Define racism. How does structural racism operate in Canadian
society? Provide three examples. Correct Answer An attitude
, or behaviour based on the belief that "race" produces inherent
cognitive, moral and behavioural traits often involving the belief
that one's own race is superior to others. Structural racism is
often hidden from us, but influences everything we think and do.
i. Indian Act -> legislated and supports multiple forms of anti-
Indigenous racism
ii. Over policing -> based on stereotypes and racist fears about
the perceived threat of Indigenous peoples
iii. Media -> promotes negative stereotypes by focusing on
health disparities, social issues and poverty
Define the following terms: gender dysphoria, gender
incongruence, gender euphoria. Correct Answer Gender
dysphoria: the distress a person feels due to a mismatch between
their gender identity and their sex assigned at birth
Gender Incongruence: discontent with their assigned gender and
the identification with a gender other than that of their birth sex.
Gender euphoria: a range of positive feelings including comfort,
confidence, certainty, satisfaction and joy in response to
affirmation of one's body or one's gender identity
Define the terms sex, gender, gender identity, and gender
expression. Correct Answer i. Sex = anatomical classification
as male, female, or intersex
ii. Gender = socially constructed roles, behaviours and identities
iii. Gender identity = each persons internal and individual
experience of gender
iv. Gender expression = how a person publicly expresses or
presents their gender
