* To take the test online, go to our secure Web site at www.nursingcenter.com/ce/ajn.
* To use the form provided in this issue, record your answers in the test answer section of the CE enrollment form below. Each question has only one correct answer. You may make copies of the form.
* Complete the registration information and course evaluation. Mail the completed enrollment form and registration fee to: Lippincott Williams and Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. You will receive your certificate in four to six weeks. For faster service, include a fax number and we will fax your certificate within two business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.
* Registration deadline is November 30, 2014.
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LWW, publisher of AJN, will award the number of contact hours indicated for each continuing nursing education activity. LWW is accredited as a provider of continuing nursing education by the Commission on Accreditation of the American Nurses Credentialing Center (ANCC).
These activities are also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for the number of contact hours indicated. LWW is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. Your certificate is valid in all states.
The ANCC's accreditation status of the LWW Department of Continuing Education refers to its continuing nursing educational activities only and does not imply Commission on Accreditation approval or endorsement of any commercial product.
CE TEST QUESTIONS
To provide registered professional nurses with information on depression in older adults.
After reading this article and taking this test, you will be able to
* describe the risks and potential consequences of depression in older adults.
* compare several types of depressive disorders and screening tools for depression.
* discuss various modalities for treating depression in older adults.
1. In 2007, among non-Hispanic white men ages 85 and older, what percentage of deaths were attributed to suicide?
2. A 1994 study by Bruce and colleagues found that older depressed adults with no physical comorbidities had an increased risk of developing
a. type 2 diabetes.
c. a functional disability.
3. As noted in the article, one of the first medical conditions to be associated with depression was
a. body dysmorphic disorder.
b. cardiovascular disease.
c. renal insufficiency.
d. rheumatoid arthritis.
4. In a recent study of adults with diabetes, Verma and colleagues found that 31% had symptoms of
c. multiple sclerosis.
d. Crohn's disease.
5. According to a 2003 meta-analysis by Cole and Dendukuri, which non-modifiable factor significantly increased the risk of depression?
b. sleep disturbance
c. prior depression
6. Jones and colleagues found evidence of an association between depression and
b. visual impairment.
c. cerebral palsy.
7. According to the Diagnostic and Statistical Manual of Mental Disorders , 4th edition, text revision, major depression may include any of the following except
b. psychomotor agitation.
d. pressured speech.
8. Dysthymia may be described as
a. a chronic condition.
b. more severe than major depression.
c. a frequent depressed mood lasting at least 1 year.
d. a condition involving suicidal ideation.
9. A depression screening tool that takes about 5 to 7 minutes to complete and can be used by patients with mild-to-moderate dementia is the
a. Beck Depression Inventory.
b. Whooley Depression Screen.
c. Patient Health Questionnaire-9.
d. Geriatric Depression Scale Short Form.
10. The Patient Health Questionnaire-2 asks patients whether they
a. have difficulty concentrating.
b. feel guilty or as if they are being punished.
c. take little interest or pleasure in doing things.
d. feel self-dislike.
11. The briefest validated depression screening tool is the
a. Whooley Depression Screen.
b. Hamilton Rating Scale for Depression.
c. Patient Health Questionnaire-9.
d. Beck Depression Inventory.
12. An example of a “nonspecific” psychosocial intervention noted in the article is
a. group counseling.
b. physical activity.
13. Cognitive behavioral therapy for older adults is especially effective when it emphasizes
a. engaging in social interactions.
b. learning coping skills.
c. promoting productive work activities.
d. appropriate nutrition and exercise.
14. Interpersonal therapy seeks to address all of the following except
a. physical disability.
b. unresolved grief.
c. role transitions.
d. interpersonal deficits.
15. According to Lehne, the most important cause of adverse drug reactions in the elderly is drug accumulation resulting from
a. decreased lean muscle mass.
b. slowed gastric absorption.
c. decreased total body water.
d. decreased renal excretion.
16. Which class of drugs is usually the first-line choice for treating depression in older adults?
a. selective serotonin reuptake inhibitors
b. tricyclic antidepressants
c. monoamine oxidase inhibitors
d. atypical antidepressants
17. The most common reason patients discontinue taking antidepressants is
c. nausea and vomiting.
d. sexual dysfunction.
18. Which statement is true regarding repetitive transcranial magnetic stimulation?
a. It uses electricity to stimulate the prefrontal cortex.
b. Patients require general anesthesia for the procedure.
c. The procedure causes a tonic-clonic seizure.
d. It uses magnetic fields to stimulate the prefrontal cortex.
© 2012 Lippincott Williams & Wilkins, Inc.