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1 CE Test Hour: Original Research: The Experience of Transitioning to a Caregiving Role for a Family Member with Alzheimer's Disease or Related Dementia

Contrada, Emily

AJN, American Journal of Nursing: September 2017 - Volume 117 - Issue 9 - pp 33,45
doi: 10.1097/01.NAJ.0000524518.67976.2f
Feature Articles
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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 Professional Development, 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 September 30, 2019.

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DISCOUNTS AND CUSTOMER SERVICE

* Send in together two or more tests from any nursing journal published by Lippincott Professional Development (LPD), 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

LPD will award the number of contact hours indicated for each continuing nursing education activity. LPD is accredited as a provider of continuing nursing education by the Commission on Accreditation of the American Nurses Credentialing Center.

These activities are also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for the number of contact hours indicated. LPD is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida #50-1223.

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The Experience of Transitioning to a Caregiving Role for a Family Member with Alzheimer's Disease or Related Dementia

GENERAL PURPOSE:

To present the results of a study done to explore the lived experiences of people who transition to the role of caregiver for a family member with Alzheimer's disease or a related dementia.

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LEARNING OBJECTIVES/OUTCOMES:

After completing this continuing nursing education activity, you should be able to

* recognize characteristics of patients with Alzheimer's disease or a related dementia and those of their caregivers.

* identify the findings of this study and its implications for practice.

1. Alzheimer's disease currently affects about how many million Americans?

a. 4.3

b. 5.5

c. 6.7

2. About how many Americans currently provide unpaid care for a person with Alzheimer's disease or another dementia?

a. nearly 9 million

b. about 12 million

c. more than 15 million

3. As dementia progresses, almost all patients develop behavioral and psychological symptoms, such as

a. aggression.

b. euphoria.

c. mania.

4. An early symptom of dementia is

a. withdrawal.

b. wandering.

c. apathy.

5. In the author's study, one of the most salient characteristics that participants reported experiencing during the early stage of transitioning to caregiving was

a. fear.

b. guilt.

c. resignation.

6. For 2 of the study participants, which of the following had preceded their loved one's dementia diagnosis?

a. a motor vehicle crash

b. a medical event

c. a misdiagnosis

7. Regarding shifting into the role of caregiver, it became apparent to the author during the participants’ interviews that

a. there was a distinct point at which participants had assumed that role.

b. the participants had sought alternatives to assuming that role.

c. the caregiver role had evolved over a period of time.

8. Several participants discussed how their roles had changed from one of partner to

a. outcast.

b. parent.

c. counselor.

9. Of the following resources, which was mentioned by 8 participants as their lifeline for information?

a. The 36-Hour Day

b. Supporting Family Caregivers

c. The Forgetting: A Portrait of Alzheimer's

10. Several participants stated that finding ways to simplify pastimes the care recipients had once enjoyed helped to

a. distract recipients from depressive thoughts.

b. give recipients a sense of purpose.

c. provide periods of respite for caregivers.

11. A common belief among participants was that having someone to talk to about their situation was

a. time consuming.

b. intrusive.

c. therapeutic.

12. During the interviews, all of the participants reported using which of the following coping strategies?

a. humor

b. travel

c. exercise

13. The author noted that several emotions prevailed among the participants, including

a. acceptance.

b. ambivalence.

c. denial.

14. Aneshensel and colleagues have referred to the period in which caregivers adapt to their loved ones’ difficulties by making small adjustments to everyday routines as the

a. role acquisition stage.

b. role enactment stage.

c. role disengagement stage.

15. All of the study participants expressed feeling that the caregiving role was

a. tedious.

b. manageable.

c. unwanted.

16. To describe the grief that caregivers experience when their loved one is still physically present but otherwise absent, Boss coined which of the following terms?

a. ongoing grief

b. ambiguous loss

c. unanticipated sorrow

17. An unexpected finding that emerged from the author's study was the absence of any mention of

a. nurses.

b. self-care.

c. the future.

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