HOW TO OBTAIN CONTINUING EDUCATION UNITS BY READING THIS ISSUE
Registered nurses may receive three contact hours by reading the articles in this issue and successfully answering the questions in the following post-test. To obtain continuing education unit credit:
1 . Read the articles carefully noting the tables and other illustrative materials which are provided to enhance your knowledge and understanding of the content.
2 . Read each question and record your answer in the registration form provided.
3. Type or print your full name and address and your social security number in spaces provided on the registration form.
4. Forward the completed form with your check or money order for $12 made out to University of Maryland, School of Nursing.
Continuing Education Units
Contact hours are granted by The University of Maryland School of Nursing Continuing Education Program which is accredited by the Eastern Regional Accrediting Committee of the American Nurses' Association. SLACK Inc. and University of Maryland School of Nursing are co-providers of this continuing education home study program.
Answers to the post-test will be graded and you will be advised that you have passed or failed within 60 days of receipt of your completed test. A score of 70% or above will comprise a passing grade. A certificate will be awarded to participants who successfully complete the test.
Ten contact hours of participation in an educational offering is awarded one CEU. A contact hour is 50 minutes of instruction. Contact hour verification can only be awarded at the completion of a program.
CONTACT HOUR UNITS RECEIVED FOR SUCCESSFUL COMPLETION OF THE POST-TEST MAY BE USED FOR CERTIFICATION OR RECERTIFICATION CREDIT.
Directions: Encircle the letter of the best answer on the registration form provided.
1. In their study of the documentation of patient care needs in the nursing home, Petrucci, McCormick, and Scheve found the recording of incontinence was . . .
a. well documented on each form of the medical record;
b. significantly different on different documentation tools;
c. most completely documented on the nursing admission form;
d. most often mentioned on the medical problem list only.
2. Petrucci, McCormick, and Scheve found the most frequently recorded patient care needs were . . .
a. alteration in thought processes
b. impaired physical mobility
c. behavioral problems
d. incontinence ibowel or bladder)
3. Which of the following would be a strategy suggested by Petrucci, et al to strengthen nursing documentation?
a. Intensive in-service education in gerontology;
b. Establish well-defined documentation tools and computerization of the documentation process;
c. Increased nursing staff to more completely document patient care needs;
d. More frequent care plan conferences to communicate and coordinate patient-care needs.
4. In the article by Chae concerning older Asians, the author states that in the elderly population between 1970 and 1980, the number of whites and blacks increased by 27% and 35% respectively. The number of Asian/Pacific and Native Americans grew by about . . .
5. Chae describes the impact of Confucianism on older Asians. Which of the following statements would be true?
a. The important aspect of the family unit is the mother-child relationship;
b. Traditionally, duty to parents demands strict obethence, and the rule of seniority is applied (child obeys parent, wife obeys husband, etc);
c. Confucianism affects only the immediate family unit's relationship;
d. In the family, the aged "step aside" for the next generation.
6. Chae states that three factors put older immigrants at risk for maladaptation in a new setting. They are . . .
a. immigrated recently, live alone, and have little education;
b. recent immigration, live with family, and in poor health;
c. recent immigration, with little education, and in poor health;
d. live alone, are in poor health, and have little education.
7. Mr. Chen is an 88-year-old Chinese man with cancer of the prostate and physical limitations due to an earlier stroke. His son has just admitted him to a nursing home, since Mr. Chen cannot care for himself, and there is no room in the home of his son. Mr. Chen has refused physical therapy and stays alone in his room in the nursing home. The nurse should:
a. recognize that Mr. Chen is showing signs of psychosis and seek psychological consultation;
b. encourage Mr. Chen's son to find a way that his father can live -with him;
c. realize that Mr. Chen's cultural beliefs make him feel his institutionalization has disgraced his family, and that only those who end their lives physically "whole" will be revered;
d. convince Mr. Chen that he should put those old ways aside and accept the American way of thinking.
8. In the article by Struble concerning agitation behaviors in the confused elderly patient, which of the statements below is true?
a. Agitation is a diagnosis with many specific signs and symptoms;
b. Agitation is described as excessive and often nonpurposeful motor activity, commonly associated with feelings of hostility, irritability, and belligerence;
c. Agitation as a symptom is well defined and specific treatments or prevention modalities can be identified;
d. The effects of agitation are more significant to the family and healthcare professional than to the patient experiencing this behavior.
9. Struble and Sivertsen have identified four categories of behavior in their article. From their data, which category of behavior was observed most often during an episode of agitation?
a. psychomotor behaviors;
b. aggressive/antisocial behaviors;
c. speech patterns;
d. physiologic behaviors.
10. Struble and Sivertsen state that causes and contributing factors of agitation in the elderly are both physiological and psychological. Which of the following would NOT be considered a cause or contributing factor?
a. drug intoxication;
b. sensory impairment and communication problems;
c. environmental isolation;
11 . According to Lipkin and Faude, how many people over the age of 65 are severely disabled with Alzheimer's disease?
12. In the article concerning dementia education for the caregiver, Lipkin and Faude describe the important function of the nurse within the group sessions. Which of the following statements is true?
a. The nurse is most important because he or she is the only professional to have observed changes in the patient;
b. The nurse is best able to assume a nonjudgmental approach as group leader;
c. The primary nurse's knowledge of the patient and ongoing contact with the family builds the foundation for support and guidance;
d. The nurse is best able to serve the liaison role and coordinate the group's activities.
13. Lipkin and Faude describe the key diagnostic feature of Alzheimer's disease to be . . .
a. disturbed sleep and night wandering;
b. impaired judgment and behavioral changes;
c. apraxias and an increasing inability to perform activities of daily living;
d. interference in social or occupational functioning due to deterioration of previously acquired intellectual abilities.
14. lipkin and Faude state that there are numerous benefits of education/support groups for the caregiver of the patient with dementia. According to the article, which of the following statements would be FALSE?
a. The groups improve understanding of Alzheimer's disease, its cause, and its course;
b. Participants learn from the professionals and the other group members, as each share their experiences about various stages of the illness;
c. Adult children's fear increases as information concerning heredity is discussed;
d. Family members begin to feel less guilty, angry, and frustrated when they meet others sharing the same emotions.
15. According to Richter, the most significant primary support group for the bereaved is:
a. friends and neighbors;
c. healthcare professionals;
d. chaplain, priest, or rabbi.
16. In Richter's research concerning support during mate loss, which of the following resources was identified most often?
a. information, aid, and services;
b. religious and spiritual beliefs;
c. emotional support;
d. behavioral actions, such as "keeping busy."
1 7 . Richter's article indicates that the loss of a spouse for the elderly can be one of the most devastating losses experienced by an individual. Which of the statements below is true?
a. When the spouse of an elderly person dies, the most important source of emotional and social support ceases;
b. The health of the widow/widower improves since he or she can now concentrate on his or her own health needs;
c. Family and friends will come to offer the necessary support so that the spouse will not risk social isolation;
d. Religious and spiritual beliefs are inconsequential as a source of support for widows/widowers.
18. In Bobb's study, the sample population was age 55 years and older. Which group had the highest mortality rates in this sample?
a. 55-65 years
b. 66-70 years
c. 71-80 years
d. 81-101 years
19. Mr. A 76 years old, and Mrs. A, 69 years old, are in a car accident together in which Mr. A is driving. Mr. A experiences blunt chest trauma from the steering wheel, along with facial cuts and bruises. Mrs. A is bruised about the face and experiences a laceration over her right eye. Mr. A's medical history includes high blood pressure for the last eight years and a "heart attack" three years ago. Mrs. A states she has been healthy her whole life, and even now, takes no medicines. From the research conducted by Bobb, which of the following statements would be true?
a. Because Mr. A's health history appears worse than his wife's, his hospital stay will be longer;
b. Mrs. A has a greater chance of surviving her injury since she was in better health before the accident;
c. Mr. A will have to stay in the hospital longer because he is older;
d. Since health status prior to an accident was shown to have little relationship to length of hospital stay, whether Mr. or Mrs. A will stay longer in the hospital cannot be predicted.
20. Bobb's research on trauma in the elderly suggests . . .
a. Too little is known about the elderly's response to injury;
b. That since age has little significace to injury, the care plann developed for someone under 40 years of age would apply to someonne who is elderly;
c. The same criteria can be used to triage all ages of accident victims;
d. The elderly accident victim with less severe injuries has little risk of death.