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AJN, American Journal of Nursing:
doi: 10.1097/01.NAJ.0000431919.62794.81
Feature Articles

CE Test 3.1 Hours: Enhancing Veteran-centered care: A Guide for Nurses in Non-VA Settings

Contrada, Emily

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Continued Education
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TEST INSTRUCTIONS

* To take the test online, go to our secure Web site at http://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 July 31, 2015.

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DISCOUNTS AND CUSTOMER SERVICE

* Send in together two or more tests from any nursing journal published by Lippincott, Williams and Wilkins (LWW), and deduct $0.95 from the price of each test.

* We also offer CE accounts for hospitals and other health care facilities online at www.nursingcenter.com. Call 1-800-787-8985 for details.

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PROVIDER ACCREDITATION

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 #50-1223. 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.

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CE TEST QUESTIONS

GENERAL PURPOSE:

To provide information about veterans’ unique health care issues.

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LEARNING OBJECTIVES:

After reading this article and taking this test, you will be able to

* review the background information helpful in understanding the need for enhancing veteran-centered care across all settings.

* summarize the concept of veteran identity and the unique health care issues and needs of veterans.

* outline the treatment approaches to veterans’ unique health care issues and needs.

1. According to the U.S. Census Bureau, there are currently about how many living U.S. military veterans?

a. 9.2 million

b. 14.8 million

c. 22.5 million

d. 33.2 million

2. Honorably discharged veterans may qualify for health care through the U.S. Department of Veterans Affairs (VA), yet only about what percentage of all veterans makes use of this benefit?

a. 25%

b. 33%

c. 50%

d. 67%

3. One factor that might contribute to the relatively low usage of VA health care services is a sense that VA care is stigmatized as

a. fragmented care.

b. charity care.

c. difficult to access.

d. inferior to non-VA care.

4. How does the Veterans Health Administration (VHA) rank in size among U.S. health care systems?

a. first—the largest

b. second largest

c. third largest

d. fourth largest

5. In boot camp, new recruits learn the warrior ethos, which incorporates a constant readiness to

a. avoid injury.

b. inflict injury.

c. change assignments.

d. complete the mission.

6. According to Demers, civilians might not understand that the military's values of duty, honor, loyalty, and commitment promote a credo of

a. self-reliance.

b. self-validation.

c. self-sacrifice.

d. self-sufficiency.

7. Veteran identity is defined as the self-concept deriving from one's military experiences within which context?

a. political

b. sociohistorical

c. psychosocial

d. socioeconomic

8. Which of the following statements is accurate regarding mild traumatic brain injury (TBI) resulting from repeated blast exposure?

a. Symptoms have a shorter duration than with TBI from other causes.

b. The injury is considered equivalent to a contusion.

c. Symptoms include vomiting and slurred speech.

d. Comorbidities such as depression and pain are common.

9. According to the VHA's definition, polytrauma, which affects multiple body parts or organ systems, results from

a. single injuries sustained during two or more incidents.

b. multiple injuries sustained during multiple incidents.

c. one to two injuries sustained in the same incident.

d. two or more injuries sustained in the same incident.

10. Agent Orange exposure has been associated with the development of which of the following types of cancer?

a. prostate

b. pancreatic

c. bladder

d. thyroid

11. Mirror therapy has been successful in treating veterans who have

a. substance use disorder.

b. military sexual trauma.

c. phantom limb pain.

d. posttraumatic stress disorder.

12. Exposure therapy, a trauma-focused psychotherapy, has been used to treat veterans with

a. substance use disorder.

b. military sexual trauma.

c. phantom limb pain.

d. posttraumatic stress disorder.

13. Which of the following disorders has been associated with military sexual trauma in female veterans?

a. AIDS

b. hypothyroidism

c. peripheral neuropathy

d. ischemic heart disease

14. The VA recommends that clinicians use “the 5 As” as a guide in treating tobacco use. These include which of the following?

a. Ask about tobacco use at every visit.

b. Advise reducing tobacco use.

c. Assess the effects of tobacco on users.

d. Assist users with deciding to quit.

15. Veterans account for about what percentage of all completed suicides in the United States?

a. 10%

b. 15%

c. 20%

d. 25%

16. In 2009, the VA committed to accomplishing which of the following by 2015?

a. researching the long-term effects of military service

b. appointing suicide prevention coordinators

c. implementing evidence-based treatment programs

d. ending veteran homelessness

17. When nurses ask about military service and find that a patient has served, which of the following should they do next?

a. Take time to learn the patient's story.

b. Refer the patient to the VHA.

c. Designate a veteran liaison at their facility to provide care.

d. Seek education about veterans’ specific health care needs.

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