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. The alternative experience of the transition from wifehood to widowhood described by Aldersberg and Thorne is best described as:
A. Crisis in loneliness.
B. Lack of adjustment.
C. Poverty- inducing experience.
D. Welcome transition.
2. The process by which a new identity as a widow was formed by the women in the Aldersberg and Thome study was:
A. Adopting the popular view of widowhood.
B. An increased awareness of children's needs.
C. Reflection and reconsideration of beliefs.
D. Relinquishing control over major decisions.
3. Two constrasting attitudes associated with the transition into widowhood described in the article were:
A. Embitterment versus activism.
B. Hope versus despair.
C. Optimism versus pessimism.
D. Passivity versus activity.
4. The new interpretation some widows make of their roles as women has been described by Aldersberg and Thorne as:
A. Feminist consciousness.
B. Grieving process.
C. Political analysis.
5. In the article by Folden, homebound was defined as:
A. A normal inability to leave one's home without assistance.
B. Maintaining an independent living arrangement in a community.
C. The ability to live successfully as a nursing home resident.
D. The inability to function without home health services.
6. The theme underlying being homebound and receiving assistance was identified by Folden:
7. The loss of personal control expressed most frequently by homebound elderly was:
A. Control over daily schedules.
B. Decreasing network of friends.
C. Frequent crying episodes.
D. Minimal financial dependence.
8. The survival of homebound elderly in the community reflects:
A. Nursing's emphasis on teaching living skills.
B. The normal aging process in American society.
C. The wealth of community resources available.
D. Their resilience and creative abilities.
9. In the article by Dellasega, which of the following modifications of diabetes screening have been suggested for the elderly?
A. Degree of strictness in preparation for testing.
B. Fasting blood sugar is preferred for screening.
C. No modifications were suggested.
D. Use of age adjusted nomograms.
10. Elderly diabetic clients who have viral infections and cannot eat should be encouraged to:
A. Attempt to maintain their fluid and carbohydrate intake.
B. Eat high protein. foods every hour or so.
C. Hold their insulin until they recover.
D. Seek admission to an extended care facility.
11. Which of the following modifications to a standard teaching plan should be made for elderly diabetics?
A. Limit cues reminding clients of key points.
B. No modifications are generally necessary.
C. Pre- and post-test client's communication abilities.
D. Present small amounts of material at a slow pace.
12. Which of the following drugs does not interact negatively with oral hypoglycemic agents?
D. Thiazide diuretics.
13. In the study by Keane and Sells, the residents of which care level had the highest mean depression scores on both the Beck Depression Inventory and the Zung SelfRating Depression Scale?
14. Based on the results of the Keane and Sells study, which of the following statements regarding the use of the BDI and SDS in the elderly is correct?
A. Both scales are only useful with young adults.
B. Both scales are potentially useful screening tools.
C. The BDI is not useful with the elderly.
D. The SDS is psychometrically unacceptable.
15. Which of the following groups had the highest incidence of depression as measured by the BDI and SDS?
16. Consistent clustering of depression symptoms over several months as measured by the BDI and nursing assessment resulted in:
A. Earlier diagnosis and treatment of depression.
B. Identification of precipitating factors for depression.
C. Increased requirements for skilled nursing care.
D. Spuriously high identification of| depression in the elderly.
17. In die article by Parette et al, die adverse affects of alcohol in the elderly included all of the following except:
A. Decrease in cardiac output and coronary circulation.
B. Exacerbate the effects of diabetes.
C. Increase in exacerbating pre-existing neurological deficits.
D. Lower risk of intercurrent medical illnesses.
18. Which of the following statements regarding alcohol metabolism and tolerance in the elderly is true?
A. Alcohol metabolism and tolerance are unaffected by age.
B. There is an inverse relationship between alcohol metabolism and tolerance.
C. Tolerance to and metabolic breakdown of alcohol both decrease.
D. With age, there is an increase in alcohol metabolism and tolerance.
19. Which of the following is not an attitudinal barrier among health-care professionals that would affect the prognosis of geriatric patients with alcoholism?
A. A negative attitude toward the problem.
B. A perception that alcoholism is difficult to manage.
C. An inaccurate perception of geriatric alcohol usage based on nurses' own usage of alcohol.
D. Symptoms that may be subtle and difficult to recognize.
20. A problem attitude identified most frequently among nurses is:
A. Evaluating the geriatric patient's alcohol use in the context of accepted definitions of alcoholism.
B. The necessity of familiarity with available community resources and their accessibility.
C. The perception that alcoholism is primarily a moral problem.
D. The self-perception of being incompetent and unable to provide effective treatment.
21. Optimal stimulus objects for the subjects in Mayers and Griffin's study were designed for which of the following age levels?
A. Age level was not indicated.
B. Ages six to ten.
C. Infant to preschool.
D. Junior high school.
22. The most practical and interesting stimulus objects for the patients in this study were:
A. Fully dressed dolls.
B. Keys and books.
C. Live puppies and kittens.
D. Mechanical toys/objects.
23. Offering a demented patient a toy or stimulus object can be an effective tactic for all of the following except:
A. Decrease agitation and combativeness.
B. Increase interaction with the environment.
C. Increase purposeful and meaningful activity.
D. Increase social interactions with staff.
24. The stimulus object which elicited the most play time by Alzheimer's patients during the first session was:
A. Busy Box 2.
B. Fabric book.
D. Transformer 1.