Journal of Gerontological Nursing

Earn 2 Contact Hours

Abstract

HOW TO OBTAIN CONTACT HOURS BY READING THIS ISSUE

Instructions: 2.0 contact hours will be awarded by SLACK Incorporated upon successful completion of the posttest and evaluation. To obtain continuing education credit:

1. Read the article "Facilitating Resident Information Seeking Regarding Meals in a Special Care Unit" on pages 12-16, 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, address, and date of birth in the spaces provided on the registration form.

4. Forward the completed form with your check or money order for $15 made payable to JGN-CE. All payments must be made in U.S. dollars and checks must be drawn on U.S. banks. Quizzes are accepted up to 24 months from date of issue.

Contact Hours: SLACK Incorporated is an approved provider of continuing education by the New Jersey State Nurses Association, Provider Number P1 88-4/03-4/06. Provider approval is valid through April 30, 2006. NJSNA is accredited by the ANCC Commission on Accreditation of the American Nurses Association.

Answers to the posttest will be graded, and you will be advised that you have passed or failed within 30 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.

A contact hour is 50 minutes of instruction. Contact hour verification can be awarded only at the completion of a program.

Objectives: After studying the article "Facilitating Resident Information Seeking Regarding Meals in a Special Care Unit" in this issue, the participant will:

1. Identify the negative outcomes of repetitive question asking by individuals with dementia.

2. Describe environmental intervention strategies used to decrease problems faced by individuals with dementia and their caregivers.

3. Discuss positive outcomes associated with environmental modifications for individuals with dementia.

4. Describe an environmental intervention used to decrease resident demands and questions about food in a special care unit for residents with dementia.

5. Discuss the findings of the environmental intervention study to decrease resident demands and questions about food in a SCU.

Directions: Circle the letter of the best answer on the registration form provided.

1. Repetitive information seeking from individuals with dementia:

A. Is a common memory problem.

B. Often causes stress for nursing staff and other caregivers.

C. Often causes stress for the person with dementia.

D. All of the above.

2. For individuals with dementia, environmental modifications can:

A. Prompt desired behavior.

B. Increase functional independence.

C. Compensate for memory deficits.

D. All of the above.

3. The article describes a number of studies that have used environmental intervention strategies to decrease problems faced by individuals with dementia and their caregivers. Which of the following intervention strategies was used by Carruth (1997)?

A. Signs and a portrait-type photo of residents with dementia on a special care unit (SCU) to facilitate room finding.

B. Memory books to elicit conversation.

C. Singing and a spaced retrieval procedure to increase the ability to name a familiar person in a picture.

D. Instruction cards to ensure taking of medications.

4. The study conducted by the authors was prompted by SCU nursing staff concerns about:

A. The number of times residents asked about meal times.

B. increase in agitated behaviors before meal times.

C. Increase in voice volume and displayed distress by residents related to fear of not knowing when they would eat again.

D. All of the above.

5. Which one of the following…

HOW TO OBTAIN CONTACT HOURS BY READING THIS ISSUE

Instructions: 2.0 contact hours will be awarded by SLACK Incorporated upon successful completion of the posttest and evaluation. To obtain continuing education credit:

1. Read the article "Facilitating Resident Information Seeking Regarding Meals in a Special Care Unit" on pages 12-16, 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, address, and date of birth in the spaces provided on the registration form.

4. Forward the completed form with your check or money order for $15 made payable to JGN-CE. All payments must be made in U.S. dollars and checks must be drawn on U.S. banks. Quizzes are accepted up to 24 months from date of issue.

Contact Hours: SLACK Incorporated is an approved provider of continuing education by the New Jersey State Nurses Association, Provider Number P1 88-4/03-4/06. Provider approval is valid through April 30, 2006. NJSNA is accredited by the ANCC Commission on Accreditation of the American Nurses Association.

Answers to the posttest will be graded, and you will be advised that you have passed or failed within 30 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.

A contact hour is 50 minutes of instruction. Contact hour verification can be awarded only at the completion of a program.

Objectives: After studying the article "Facilitating Resident Information Seeking Regarding Meals in a Special Care Unit" in this issue, the participant will:

1. Identify the negative outcomes of repetitive question asking by individuals with dementia.

2. Describe environmental intervention strategies used to decrease problems faced by individuals with dementia and their caregivers.

3. Discuss positive outcomes associated with environmental modifications for individuals with dementia.

4. Describe an environmental intervention used to decrease resident demands and questions about food in a special care unit for residents with dementia.

5. Discuss the findings of the environmental intervention study to decrease resident demands and questions about food in a SCU.

Directions: Circle the letter of the best answer on the registration form provided.

1. Repetitive information seeking from individuals with dementia:

A. Is a common memory problem.

B. Often causes stress for nursing staff and other caregivers.

C. Often causes stress for the person with dementia.

D. All of the above.

2. For individuals with dementia, environmental modifications can:

A. Prompt desired behavior.

B. Increase functional independence.

C. Compensate for memory deficits.

D. All of the above.

3. The article describes a number of studies that have used environmental intervention strategies to decrease problems faced by individuals with dementia and their caregivers. Which of the following intervention strategies was used by Carruth (1997)?

A. Signs and a portrait-type photo of residents with dementia on a special care unit (SCU) to facilitate room finding.

B. Memory books to elicit conversation.

C. Singing and a spaced retrieval procedure to increase the ability to name a familiar person in a picture.

D. Instruction cards to ensure taking of medications.

4. The study conducted by the authors was prompted by SCU nursing staff concerns about:

A. The number of times residents asked about meal times.

B. increase in agitated behaviors before meal times.

C. Increase in voice volume and displayed distress by residents related to fear of not knowing when they would eat again.

D. All of the above.

5. Which one of the following statements about data collection in this study is FALSE?

A. Observation sessions were conducted before all meal times.

B. Observers transcribed every food or meal-related statement made by any resident.

C. Nursing staff were given 3 hours of training related to the research study.

D. Inter-observer agreement for reliability was 100%.

6. For the environmental intervention in this study, a large clock was hung in the dining room and a large print sign indicating times for breakfast, lunch and dinner was hung:

A. In the dining room under the clock.

B. Outside the entrance to the dining room.

C. In each resident's room.

D. At the nurse's station.

7. During the pre-intervention baseline observation intervals, resident demands and questions about food were highest before:

A. Breakfast.

B. Lunch.

C. Dinner.

D. Bedtime.

8. The highest percentage of resident demands and questions was observed:

A. Before breakfast during the pre-intervention baseline interval.

B. Before breakfast after the sign and clock were removed in the reversal condition.

C- Before dinner during the pre-intervention baseline interval.

D. Before dinner after the sign and clock were removed in the reversal condition.

9. The results of this study revealed statistically significant differences for the intervention before:

A. Breakfast, lunch, and dinner.

B. Breakfast and lunch only.

C. Breakfast and dinner only.

D. Breakfast only.

10. Three months after the completion of data collection:

A. The clock and sign remained mounted on the wall in the dining room.

B. Nurse aids had done maintenance necessary to keep the clock running and sign mounted on the wall.

C. Nurse aids reported that they believed the clock and sign helped reduce residents' pre-mealtime confusion and agitation.

D. All of the above.

10.3928/0098-9134-20041001-12

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