NURS 418 Community Questions With Complete Solutions
Blood Borne Pathogens (BBPs)
-HIV
-HBV & HCV
Sexually Transmitted or other route
-Blood transfusion
-Blood splashes
-Needle stick injuries/Needles
-IVDU
-Vertical transmission (Mother/child)
Vaginal Infections
Falls under category of STIs
-Bacterial Vaginosis (BV) not STI
-Candidiasis (Yeast) not STI
-Trichomonoiasis (Trich) - parasite
Certified Practice
Restricted activities that RN's cannot initiate or carry out until
they have been certified by CRNBC
-RN First Call
-Remote Nursing
-Reproductive Health
e.g. Contraceptive Management, STI education
Community Health Nurse STI Knowledge & Judgement
regarding...
,-Socio-Economic DoH
-Etiology, S&S, testing
-Assessing, tx, & f/u
-Education & counselling
-Determining approach and appropriate strategies for tx & risk
reduction
-Documentation & reporting requirements
Community Health Nurse STI Skills
-Ascertain clients' knowledge of sexual health, STIs, risky
behaviour
-Obtain sexual health hx
-Perform relevant STI physical exam
-Collect specimens
-Administer STI meds
-Provide education
-Conduct notification procedures (partners)
-Document data for surveillance, reporting and case
management
Community Health Nurse STI Attitude
-Respects clients' choices and beliefs
-Demonstrates self awareness of own beliefs, values, and
practice limitations
-Demonstrates sensitivity regarding impact of STI dx, infectious
disease surveillance, reporting, and partner notification
Comprehensive STI Assessment includes...(4)
,1. Sexual health hx
2. Risk Assessment
3. Physical Assessment
4. Specific diagnostic tests (urine, swabs, blood)
STI Risk Factors
-Sex with someone with known STI
-Sexually active under 25 yrs of age
-New sex partner or more than 2 sexual partners in past year
-Sole use of non barrier contraception (unprotected oral, genital,
anal sex)
-Sharing drug use paraphernalia
-ETOH or chemical use associated with sex
-Sharing sex toys
-Victims of sexual assault
-Previous STI
Sexual Health Hx includes...
-Demographic info, method of contact
-Symptoms
-Immunization hx
-Reproductive health hx
-Sexual contact
-Previous STI and HIV testing & results
-Drug & ETOH use practices
Cardinal STI S&S
-Abnormal urethral, vaginal, or rectal discharge
-Dyspareunia (pain with intercourse)
, -Urinary-frequency, colour, urgency, odour, or dysuria
-Unexpected Vaginal bleeding
-Genital irritation, inflammation, lesions
Risk Assessment for STIs
Provides info for the CHN regarding the sites potentially
exposed to infection and to support clinical judgement
regarding:
-Diagnostic tests required
-Sites for specimen collection
-Partner notification, referral services
-Client education
STI Risk Assessment includes...
-Date of last sexual contact
-Sex of contacts
-Number of partners, feasibility of contacting
-Type of sexual contact and % of time a barrier contraceptive
was used
-Locations of sexual contacts
-Sex and drug use practices, and STI & HIV status of sexual
contacts
-occupational or accidental exposure
Physical Assessment
Head to toe approach using inspection and palpation
STI High Risk Populations
MSM- Men who have sex with men
STW- Sex Trade Workers
Blood Borne Pathogens (BBPs)
-HIV
-HBV & HCV
Sexually Transmitted or other route
-Blood transfusion
-Blood splashes
-Needle stick injuries/Needles
-IVDU
-Vertical transmission (Mother/child)
Vaginal Infections
Falls under category of STIs
-Bacterial Vaginosis (BV) not STI
-Candidiasis (Yeast) not STI
-Trichomonoiasis (Trich) - parasite
Certified Practice
Restricted activities that RN's cannot initiate or carry out until
they have been certified by CRNBC
-RN First Call
-Remote Nursing
-Reproductive Health
e.g. Contraceptive Management, STI education
Community Health Nurse STI Knowledge & Judgement
regarding...
,-Socio-Economic DoH
-Etiology, S&S, testing
-Assessing, tx, & f/u
-Education & counselling
-Determining approach and appropriate strategies for tx & risk
reduction
-Documentation & reporting requirements
Community Health Nurse STI Skills
-Ascertain clients' knowledge of sexual health, STIs, risky
behaviour
-Obtain sexual health hx
-Perform relevant STI physical exam
-Collect specimens
-Administer STI meds
-Provide education
-Conduct notification procedures (partners)
-Document data for surveillance, reporting and case
management
Community Health Nurse STI Attitude
-Respects clients' choices and beliefs
-Demonstrates self awareness of own beliefs, values, and
practice limitations
-Demonstrates sensitivity regarding impact of STI dx, infectious
disease surveillance, reporting, and partner notification
Comprehensive STI Assessment includes...(4)
,1. Sexual health hx
2. Risk Assessment
3. Physical Assessment
4. Specific diagnostic tests (urine, swabs, blood)
STI Risk Factors
-Sex with someone with known STI
-Sexually active under 25 yrs of age
-New sex partner or more than 2 sexual partners in past year
-Sole use of non barrier contraception (unprotected oral, genital,
anal sex)
-Sharing drug use paraphernalia
-ETOH or chemical use associated with sex
-Sharing sex toys
-Victims of sexual assault
-Previous STI
Sexual Health Hx includes...
-Demographic info, method of contact
-Symptoms
-Immunization hx
-Reproductive health hx
-Sexual contact
-Previous STI and HIV testing & results
-Drug & ETOH use practices
Cardinal STI S&S
-Abnormal urethral, vaginal, or rectal discharge
-Dyspareunia (pain with intercourse)
, -Urinary-frequency, colour, urgency, odour, or dysuria
-Unexpected Vaginal bleeding
-Genital irritation, inflammation, lesions
Risk Assessment for STIs
Provides info for the CHN regarding the sites potentially
exposed to infection and to support clinical judgement
regarding:
-Diagnostic tests required
-Sites for specimen collection
-Partner notification, referral services
-Client education
STI Risk Assessment includes...
-Date of last sexual contact
-Sex of contacts
-Number of partners, feasibility of contacting
-Type of sexual contact and % of time a barrier contraceptive
was used
-Locations of sexual contacts
-Sex and drug use practices, and STI & HIV status of sexual
contacts
-occupational or accidental exposure
Physical Assessment
Head to toe approach using inspection and palpation
STI High Risk Populations
MSM- Men who have sex with men
STW- Sex Trade Workers
