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 $1 2 made out to University of Maryland, School of Nursing. Photocopies of the quiz are not acceptable; use only the original quiz.
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 lie 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. According to Yakabowich, elderly residents with renal impairment who require a laxative should not receive excessive quantities of:
A. Bulk-forming laxatives.
B. Saline laxatives.
C. Stimulant laxatives.
2. Whkh category of laxatives requires that the resident drink plenty of fluids?
3. The management of constipation should include all of the following except:
A. Dietary fiber such as broccoli, beans, and raisins.
B. Drug therapy such as calcium carbonate.
C. Increased fluid intake.
D. Regular exercise.
4. Diabetic residents who require a laxative may be given which of the following:
A. Cascara sagrada.
C. Mineral oil.
D. Psyllium containing bulk laxatives.
5. According to Short et al, studies have found that the pain experienced by patients postoperatively is generally:
6. In "Medicating the Postoperative Elderly," H was found that amount of pain medication received by the patients was approximately what percent of the maximum amount prescribed?
7. Which of the following factors in "Medicating the Postoperative Elderly" did the nurses nurses identify most frequently as those used in their narcotic administration decisions?
A. Age and pain severity.
B. Confusion and blood pressure.
C. Effects of previous dose and weight.
D. Type of surgery and vital signs.
8. From "Medicating the Postoperative Elderly," which of these factors appeared to be most important to the nurses when making their medication administration decisions?
B. Amount of time since last dose.
C. Respiratory rate.
9. Thomasma et al report that the majority of studies on the effects of relocation among the elderly have focused on:
A. Coping behaviors.
B. Morbidity rates.
C. Mortality rates.
D. Psychological stress.
10. According to the relocation and anxiety article, the modified environmental docility hypothesis indicates that which of the following individuals would be most vulnerable to environmental change? Individuals with:
A. Low levels of competence.
B. Moderate levels of competence.
C. High levels of competence.
D. Level of competence was not a factor in determining vulnerability.
11. Whkh of the following actions seem to be effective in reducing some of the negative consequences of involuntary relocation?
A. Holding group sessions to provide as much information as possible about the move and the new setting.
B. Involving family or friends in planning for and helping with the move.
C. Involving the residents in decision making about the move.
D. All of the above.
12. Compared with elderly persons moving to more dependent living arrangements, those moving to more independent living arrangements experienced a significant drop in anxiety:
A. Before the move.
B. During the move.
C. Right after the move.
D. Long after the move.
13. According to Carruth and Boss, elderly interviewees identified ways to pursue meaningful activities. These included all of the following except:
A. Full-time work.
B. Interaction with family and friends.
C. Participation and active thinking.
D. Volunteer work.
14. Ways that meaningful activities were altered when medication side effects were experienced by the elderly included all of the following except:
A. Active substitution.
B. Modified participation.
C. Temporary discontinuance.
D. Permanent cessation.
15. From the interviewees described by Carruth and Boss, it was found that:
A. Medication decreased positive coping with chronic illness by increasing sick role behaviors.
B. Side effects of medication hindered positive coping.
C. Use of medication facilitated positive coping with chronic illness by improving or correcting physical deviation.
D. Medication did not affect coping.
16. Nursing actions appropriate to facilitate knowledge gain related to medication include all of the following except:
A. Explore the individual's feelings regarding drug behavior.
B. Include the individual in the plan for the drug regimen.
C. Plan the individual's schedule for improved compliance.
D. Teach the action of the medication they are taking.
17. According to Carboni, both the experience of home and the experience of homelessness can be defined in terms of the relationship between:
A. The environment and the family.
B. The individual and the nursing home staff.
C The environment and the institution.
D. The individual and the environment.
18. Behaviors typically identified as indicating acceptance or adjustment to the nursing home setting might be indicators of:
A. The elder's attempt to cope with the unendurable pain of homelessness.
B. The elder's happiness at being sheltered and cared for.
C. The elder's attempt to please family members and nursing home staff.
D. The elder's successful adaptation to a new situation.
19. Pretending explains how residents of nursing homes manage or cope with the overwhelming emotional pain of homelessness. The several implementing processes of this core variable identified during the course of the research include:
A. Hiding, withdrawal, distancing, and reverie.
B. Living in the past, keeping the secret, distancing, and surrendering.
C. Living in the past, aloneness, boredom, and passiveness.
D. Keeping the secret, day-dreaming, reminiscence, and withdrawal.
20. When considering the data that emerged as a result of this research, the gerontological nurse might assume which of the following conclusions?
A. It is not possible to consider elderly individuals who are in fact sheltered and cared for, as homeless.
B. Homelessness is the result of the nature of the total institution and cannot be affected by nursing.
C. Gerontological nurses may be able to affect the homeless state of the institutionalized individual through manipulation of the environment, support of alternatives to institutionalization, and identification of individuals at high risk of becoming homeless.
D. Adjustment or acceptance of the homeless state is possible and, in fact, is desirable. Therefore, gerontological nurses should encourage institutionalized elderly to accept their fate.
21. According to Krach, rural residents most frequently find emotional and physical support through:
A. Community networks.
B. Helping professionals.
C. Kin relationships.
22. Financial concerns (worries) have affected intergenerational relationships by:
A. Creating constant crises.
B. Lowering levels of affection for aged parents.
C. Lowering levels of filial responsibility.
D. Raising levels of affection for aged parents.
23. Adult farmers with higher incomes were shown to have:
A. Higher filial responsibility scores.
B. Lower filial responsibility scores.
C. Filial responsibility scores similar to low-income farmers.
D. Filial responsibility scores equal to affect'ionai scores.
24. The finding that suggests that women have lower levels of affection and filial responsibility than men might be best explained by which of the following statements:
A. Men display a need to commit themselves in areas other than those that are based on sex roles.
B. Men turn toward family for affiliation and nurturance during middle age.
C. Women begin to branch out and add new roles to that of wife, mother, and daughter.
D. Women's trajectory is inward towards interests within the family.