Skip Navigation LinksHome > October 2013 - Volume 113 - Issue 10 > CE Test 2.4 Hours: Decreasing Patient Agitation Using Indiv...
AJN, American Journal of Nursing:
doi: 10.1097/01.NAJ.0000435348.68781.3e
Feature Articles

CE Test 2.4 Hours: Decreasing Patient Agitation Using Individualized Therapeutic Activities

Contrada, Emily

Free Access
Continued Education
Back to Top | Article Outline

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 October 31, 2015.

Back to Top | Article Outline

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. Call1-800-787-8985 for details.

Back to Top | Article Outline

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.

Back to Top | Article Outline

CE TEST INSTRUCTIONS

Figure. No caption a...
Image Tools
Back to Top | Article Outline
GENERAL PURPOSE:

To present the details of a quality improvement project intended to offer individualized therapeutic activities to patients receiving continuous observation and to measure their effect on levels of agitation.

Back to Top | Article Outline
LEARNING OBJECTIVES:

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

* recognize that agitation in hospitalized patients is not always alleviated with traditional methods.

* appreciate that the use of individualized therapeutic activities can be effective in relieving agitation in hospitalized patients.

1. Patients with cognitive or psychiatric disorders are at increased risk for falls and for self-harm through which of the following?

a. sensory misperceptions

b. treatment disruption

c. frequent isolation

d. family conflict

2. The primary responsibility of a sitter is to keep the patient

a. communicative.

b. distracted.

c. engaged.

d. safe.

3. The Specialized Adult-Focused Environment unit program described in this article involves

a. creating a four-bed patient area with 24-hour nursing presence.

b. recruiting patients’ families and friends to engage them in various activities.

c. grouping high-risk patients in close proximity with frequent to constant observation.

d. identifying patients who are able to participate in activities without supervision.

4. The Delirium Room model involves

a. creating a four-bed patient area with 24-hour nursing presence.

b. recruiting patients’ families and friends to engage them in various activities.

c. grouping high-risk patients in close proximity with frequent to constant observation.

d. identifying patients who are able to participate in activities without supervision.

5. The authors’ hospital has used an average of how many full-time employees as sitters annually?

a. 20

b. 30

c. 40

d. 50

6. The hospital's Specially Trained and Responsive team consists of 100

a. nurses and nursing assistants seeking per diem work.

b. nursing students working as nursing assistants.

c. nonnursing hospital staff members.

d. community volunteers.

7. The goal of this quality improvement project was to

a. decrease the use of continuous observers hospital-wide.

b. train more nonnursing observers and volunteers in interventional techniques.

c. compare the usefulness of a variety of interventional techniques and materials.

d. maximize the effect of an observer's presence on the patient's safety and well-being.

8. In a systematic review, Nilsson and colleagues found that music interventions lowered surgical patients’ anxiety and pain in what percentage of the reviewed studies?

a. less than 10%

b. about 40%

c. more than 50%

d. about 80%

9. In people with dementia, music interventions have been shown to decrease

a. depression.

b. confusion.

c. withdrawal.

d. forgetfulness.

10. Ward-Smith and colleagues found that multisensory stimulation environments decreased which of the following in patients with Alzheimer's disease?

a. fatigue

b. anorexia

c. incontinence

d. exit seeking

11. The majority of patients in the authors’ project were deemed at risk for harm as a result of agitation and

a. impulsivity.

b. frustration.

c. wandering.

d. suicidal intent.

12. For what percentage of patients did Agitated Behavior Scale (ABS) scores decrease during the individualized therapeutic activity?

a. 51%

b. 64%

c. 73%

d. 82%

13. What percentage of the patients maintained a lower ABS score one hour after the activity?

a. 51%

b. 64%

c. 73%

d. 82%

14. For most patients in the project, the intervention increased which of the following behaviors?

a. processing information

b. recognizing others

c. thinking abstractly

d. interacting with others

15. The act of completing the Personal Approach Form helped patients to

a. mask memory deficits.

b. demonstrate creativity.

c. recall positive experiences.

d. slow cognitive decline.

16. Many of the observers reported a sense of accomplishment in being better able to

a. calm their patients.

b. spend time efficiently.

c. increase patients’ motivation.

d. evaluate patients’ abilities.

© 2013 Lippincott Williams & Wilkins. All rights reserved.

Login