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 lhe questions in the following post-test. To obtain continuing education unit credit:
1. Read the articles carefully noting the tables and olher 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 fufl 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 lest. A score of 70% or above will comprise a passing grade. A certificate will be awarded to participants who successfully complete the lest.
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 lhe best answer on lhe registration form provided.
1. What portion of the functionally disabled population is comprised of adults 65 years of age or older?
2. Carlson in Adult Rehabilitation -Attitudes and Implications identified several factors that limit rehabilitation for the older adult. These include all of the following except:
a. belief that oldei adults can't !earn
b. the economic investment is too great since the older adult will die soon
c. there are not enough rehabilitation professionals available to provide services
d. there have been no research studies that indicate a rehabilitation benefit in older adults
3. Rehabilitation for the disabled older adult occurs in a variety of settings. Which of the following is the most under utilized?
a. clients' homes
b. day hospitals
c. nursing homes
d. specialized geriatric units
4. Clients receiving Medicare benefits in an intensive rehabilitation hospital or DRG exempt unit must be physically capable of benefiting from and participating in a minimum of how many hours of physical and/or occupational therapy a day (5 times a week)?
5. In "Improving Safety for the Hospitalized Elderly" the authors identified as the best indicator of those at high risk to falls as those who:
a. are confused
b. have a prior history of fails
c. have sensory deficits
d. receive multiple medications
6. In performing an admission assessment that provides a data base appropriate to the issue of falls in a hospital, the nurse should be certain to include:
a. dietary preferences
b. routines of toileting
c. home use of medications
d. vital signs
7. Which of the following safety interventions for falls is the most controversial?
a. locking wheels on furniture
b. non-skid footwear
c. use of nightlights
d. use of side-rails
8. According to Spellbring, et al, to place a patient on "falls precautions" the patient needs to manifest one only from the following list:
a. advanced age
b. communication deficit
c. emotional upsets
d. mental status changes
9. Reasons given for a continuing problem with group A streptococcal outbreak in a long-term, gero-psychiatric ward included ail of the following except the:
a. difficulty in detecting signs and symptoms in the aged.
b. highly virulent nature of this organism
c. inability of patients to communicate symptoms
d. lack of awareness by the staff
10. When the initial outbreak of group A streptococcal infection occurred, it was decided not to treat all the patients on the unit prophylactically because of the:
a. high cost
b. potential for allergic reactions
c. expectation that infection would not spread
d. philosophy of not treating infections in
11. As the search for the reason for this outbreak of infections continued, all of the following were discovered except:
a. staff members tested negative
b. patients from other wards who ate with the outbreak group did not get the disease
c. the organism was found on water fountain spigot and ashtrays
d. the family member of a patient tested positive
12. The authors' conclusion of what probably stopped the outbreak of infections was:
a. aggressive case finding
c. use of antiseptics in cleaning the ward
d. widespread antibiotic therapy
13. In Bernier and Smalls' study to identify disruptive behaviors in a long-term care facility, the authors found that the residents of the facility identified only one patient behavior as being disruptive to their living environment. This was:
a. bad (messy) table manners
b. entering the wrong room
c. making loud noises
d. poor personal hygiene
14. While patients identified only one behavior from a list of 22 as being disruptive to their living/working environment, the nursing staff identified how many as being disruptive to them?
15. Those residents of the long-term care faculty who tended to be more tolerant of aberrant behaviors included all of the following except:
a. those who had lived longer at the facility
b. those with greater cognitive capabilities
c. those with greater agitation
d. those with greater dependence for self care
16. The authors suggest that since the residents and nursing staff did not share a common perspective on disruptive behaviors in this long-term care facility that:
a. an investigation of differences in their perceptions of situations is indicated
b. the patients were more mentally deficient than they originally thought
c. the patients and staff would not be expected to view situations similarly since it is a living environment for patients and a work environment for staff
d. the staff was more inclined Io be entical since they were also experiencing job dissatisfaction
17. In "A Conceptual Model for CNS Practice" the authors discuss chronic health deviations in the elderly. All of the following are true except:
a. the major health-care problem of the aged is chronic health deviations
b. of people over 65, 86% have one or more chronic conditions
c. of those over 65 with chronic conditions, 50% have functional limitations d. when hospitalized, those over 65 have a length of stay about equal to those under 65.
18. The Loomis and Wood model offers several prototypes of health-care situations. These include all of the following except:
a. health problems precede human responses
b. human responses precede health problems
c. health problems are defined by human responses
d. human responses are defined by health problems
19. The gerontological clinical nurse specialist can benefit from using a model, such as the Loomis and Wood model, because:
a. a conceptual model allows the specialist to organize clinical practice to diagnose and treat the human responses to actual or potential health problems
b. models enhance health-care delivery to groups of people but are often insufficient when working with individuals
c. models provide definition and suggest interactions and outcomes
d. the medical model is insufficient in addressing the chronic health-care needs of the aged
20. When the prototype of, human responses precede health problems in the Loomis and Wood model is considered, the nurse should primarily explore with the client:
a. experiences with previous illnesses
b. physical responses
c. psychological responses
d. recent changes in lifestyle