HOW TO OBTAIN CONTINUING EDUCATION UNITS BY READING THIS ISSUE
Registered nurses may receive three contad 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 youranswer 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 ihe post-tesl wulbe 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 wilt 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 minules of instruction. Contact hour vérification 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 . An appropriate outcome measure for the usefulness of remotivation therapy in an adult day care center for elders is:
a. client behavior
b. nursing intensity
c. patient census
d. quality of care
2. In this article, adaptations of classic remotivation therapy to cognitively impaired elders focused on:
a. decreasing the total amount of time per session.
b. increasing the quantity of sensory stimufation per session.
c. randomizing the group membership for each session.
d. reducing the number of steps included in each session.
3. The therapeutic purpose of sharing past work history (step 4) in this remotivation therapy program was to:
a. strengthen remote memory in cognitively impaired elders.
b. re-orient the individual to who he/she is as a person.
c. make linkages between the past and the present.
d. focus on individual group member differences.
4. Based on the information in the article, which of the following conclusions about remotivation therapy is correct?
a. It can be used successfully with psychiatric patients only.
b. Negative outcomes occur primarily in eiders with mild cognitive impairments.
c. Positive outcomes occur with moderately to severely cognitively impaired elders.
d. The negative outcomes outweigh the positive, regardless of the participants Cognitive status.
5. In the article by Rumpb, the Social Security Amendment of 1983 mandated:
a. a cost-based reimbursement for Medicare.
b. a prospective payment system for Medicare.
c. Medicare reimbursement for longterm care.
d. Medigap insurance for noninsured eîders.
6. Ail of the following are possible negative effects of prospective payment systems on the elderly except:
a. early hospital discharge of sicker patients.
b. geographic differences in available medical services.
c. hospitals specializing in particular services.
d. increased out-of-pocket expenses for
7. The use of the term swing beds in hospitals means:
a. using the same hospital bed interchangeably for acute or subacute care.
b. phasing out pediatrie and obstetric beds as the population in the community ages.
c. shiftinga predetermined portion of surgical beds to a same day outpatient surgery.
d. designing units in acute care hospitals specifically for the geriatric population.
8. All of the following are functions of the Prospective Payment Assessment Commission except:
a. advising the Secretary of HHS on Medicare hospital payments.
b. assessing the impact of prospective payments on health care.
c. developing national measurements of quality nursing care.
d. suggesting changes in DRG classifications.
9. According to Haddad's article, which of the following would make consent invalid?
a* The elder disagrees with the health professionals suggestions for treatment.
b. Information minimizes the risks of the treatment of choice.
c, Ensuring that the elder comprehends the information given.
d. Decision making regarding treatment is done voluntarily by the patient.
10. Someone who understands they are giving consent but is unable to appreciate the outcomes of their actions is considered:
c. partially competent,
d. willful and stubborn,
1 1 . The focus of determining an elder's competency should be:
a. the decision-making process of the individual.
b. the final choice made by fhe patient.
c. the option of the immediate family.
d. removed from considering individuals.
1 2. General criteria for determining if a person is competent includes all of the following except:
a, adequate understanding to appreciate information.
b. appreciate Ihat the information applies to them.
C. treatment choices and desired outcomes are incongruent.
d. understands risks and benefits of treatment options.
1 3. In the article by Utley et al, services provided by the nurse practitioner
a. centered on evaluation of the research project.
b. did not meet the needs of the seniors.
c. supplanted services provided by physicians.
d. were viewed as unique, different and/ or desirable.
14. The primary focus of the nursing center was to:
a. be a laboratory for research on seniors.
b. educate university nursing students.
c. provide wellness services to seniors.
d. screen the population for communicable disease, ,-.
15. Shaping the direction of programs and services provided by the nursing center is the primary responsibility of:
a. an advisory committee of seniors.
b. the grant tunding agency.
e. !he nursing renter director.
d. university faculty and students.
16. The maximum number of clients that can be seen per month in the nursing center is:
17. Burkle defines hypothermia as:
a. ambient temperature of Ì7.5" or lower.
b. atmospheric temperature less than 6O0F.
c. basal metabolic rate measured by thyroid function.
d. core body temperature 36.O0C or less.
18. All of the following influence perioperative body heat loss except:
a. cleansing of the operative site.
b. size of the operating room.
c. surgery involving large body area.
d. type of anesthesia administered.
19. All of the following are potential consequences of inadvertent hypothermia in the elderly except:
a. improved postoperative respiratory effort.
b. increased peripheral venous thrombosis.
c. masked postoperative hypovolemia.
d. potentiation of muscle relaxants.
20. Nursing measures to prevent hypothermia in the elderly include:
a. quick administration of infusion fluids.
b. using cool mist humidifiers with oxygen.
c. frequent sponging to reduce fevers.
d. using a radiant heating lamp.
21. In the article by Portnoy, the purpose of student clinical experiences in the longterm care facility was to
a. develop a funded teaching nursing home project.
b. interest students in careers in longterm care.
c. provide placements for faculty clinical practice.
d. reduce conflict between the university and community.
22. Clinical learning experiences for students focused on:
a. agency projects, community assessment and resident assignments.
b. basic nursing skills, health system analysis and nursing home administration.
c. models of collaboration, conflict management and interdisciplinary practice.
d. quality assurance, nursing diagnosis and individualized learning.
23. The success of the clinical experience for students and residents was due to:
a. availability of outside funding for the project.
b. collaboration among faculty, staff and students.
c. high discharge rate for nursing home residents.
d. using only students in the foundations of nursing course.
24. Objectives for using a nursing home to teach community and mental health nursing include all of the following except:
a. develop group interaction skiHs.
b. develop leadership and organizational skills.
c. develop local standards for nursing home évaluation.
d. identify personal learning needs.