HOW TO OBTAIN CONTINUING EDUCATION UNITS BY READING THIS ISSUE
Instructions: Registered nurses may receive two contact hours by reading the article noted below and successfully answering the questions in the following post-test. To obtain continuing education unit credit:
1. Read the article "Dementia Care: Creating a Therapeutic Milieu" on pages 30-39, carefully noting the tables and other illustrative materials that are provided to enhance your knowledge and understanding of the content.
2. Read each question and record your answer on 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 Foundation. Quizzes are accepted up to 1 2 months from date of issue.
Continuing Education Units: The University of Maryland School of Nursing is accredited as a provider of continuing education in nursing by the American Nurses Credential) ng Center's Commission on Accreditation. 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 be awarded only at the completion of a program.
CONTAa HOUR UNITS RECEIVED FOR SUCCESSFUL COMPLETION OF THE POST-TEST MAY BE USED FOR CERTIFICATION OR RECERTIFICATION CREDIT.
Objectives: After reading the article "Dementia Care: Creating a Therapeutic Milieu" in this issue, the participant will be able to:
1 . Identify the five elements that constructively affect the therapeutic environment.
2. Identify outcome criteria indicating the effectiveness of a therapeutic environment.
3. Specify how the therapeutic environment is modified for the individual with dementia.
4. Recognize methods to measure effectiveness of the therapeutic environment.
5. identify methods to promote autonomy and independence within the limitations of the individual and his/her disease.
Directions: Circle the letter of ti^e best answer on the registration form provided.
1 . Which of the following answers needs to be balanced with "safety" needs in order to operate a safe environment?
2. The goal of safety is met when which the following outcome criteria are met?
A. Clients do not demonstrate agitation.
B. Social functioning does not deteriorate.
C. Clients perceive social support.
D. Injuries and elopements are avoided.
3. Which of the following approaches is recommended to promote "safety" for clients with dementia?
A. Limit access.
B. Provide orienting cues.
C. Maintain communication.
D. Maintain meaningful activities.
4. How can "structure" be provided in the therapeutic environment in dementia care?
A. Provide contracts.
B. Token economies.
C. Predictable schedule of routines.
D. Hierarchal privilege systems.
5. Therapeutic environmental modifications that provide "structure" and "support" include which of the following?
A. Large dining rooms for communal experiences.
B. Variety of activity options within a given space.
C. Presence of orienting cues.
D. Avoidance of partitions.
6. Gunderson defined "support" as:
A. efforts to enhance client self-esteem.
B. prevention of agitated behavior.
C. preventing confusion by limiting choices.
D. promotion of client participation in activities.
7. The process of reminiscence:
A. prevents recognition of current selves.
B. promotes capitalizing on long-term memory skills.
C. prevents socialization.
D. lowers self-esteem as clients recognize failures.
8. Activity programs that promote "involvement" in a therapeutic environment:
A. require development of new skills.
B. avoid physical activity,
C. promote large group functions.
D. promote active participation.
9. "Validation" is a therapeutic process that is focused on:
A. affirming the patients' individuality.
B. identifying group needs.
C. avoidance or deterioration.
D. eliminating problem behavior.
10. Unwanted behavior, such as pacing, is best handled by:
A. physical limitation that prevents the behavior.
B. bartering to encourage patients to avoid the behavior.
C. medication to suppress the behavior.
D. approaches to reframe and accommodate the behavior.