* Read the article on page 255.
* Take the test, recording your answers in the test answers section (Section B) of the CE enrollment form. Each question has only one correct answer.
* Complete registration information (Section A) and course evaluation (Section C).
* Mail completed test with registration fee to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723.
* Within 4-6 weeks after your CE enrollment form is received, you will be notified of your test results.
* If you pass, you will receive a certificate of earned contact hours and answer key. If you fail, you have the option of taking the test again at no additional cost.
* A passing score for this test is 12 correct answers.
* Need CE STAT? Visit www.nursingcenter.com for immediate results, other CE activities and your personalized CE planner tool.
* No Internet access? Call 1-800-787-8985, for other rush service options.
* Questions? Contact Lippincott Williams & Wilkins: 1-800-787-8985.
Registration Deadline: October 31, 2012
The authors have disclosed that they have no significant relationship with or financial interest in any commercial companies that pertain to this educational activity.
Lippincott Williams & Wilkins, publisher of Journal of Neuroscience Nursing, will award 2.0 contact hours for this continuing nursing education activity.
Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours. Lippincott Williams & Wilkins 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 Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing education activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.
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CE TEST QUESTIONS
GENERAL PURPOSE STATEMENT: To provide the professional registered nurse with an overview of research related to cognitive changes and remediation in older adults.
LEARNING OBJECTIVES: After reading the preceding article and taking the following test you should be able to:
1. Describe research findings related to retraining for improvement of both domain-specific and global cognitive functioning in older adults.
2. Discuss how lifestyle changes and medications can be used to improve cognitive functioning.
1. Neuroplasticity refers to a process by which
a. the brain becomes more pliable and porous with aging and dementia.
b. changes in the brain occur with sudden dehydration or fluid overload.
c. the neurons in the brain harden with aging.
d. morphological changes occur in the brain in response to novel sensory stimuli.
2. Kobayashi, Ohashi, and Ando (2002) demonstrated increased cognitive performance in rats related to
a. an enriched environment.
b. the size of the brain.
c. the weight of the brain.
d. the age of the rat.
3. Two types of global cognitive training protocols are theatre training and
a. speed of processing training.
b. Posit computer training.
c. reasoning training.
d. memory training.
4. Remediation training in speed of processing is designed to accelerate
a. memory retention.
b. converting thoughts to speech.
c. voluntary motor functioning.
d. processing visual information.
5. Responding by touch screen to visual information on a computer screen has resulted in robust improvement in
a. memory skills.
b. reasoning skills.
c. speed of processing.
d. all areas of cognitive functioning.
6. Reasoning remediation training in older adults also improved performance in
c. speed of processing.
d. executive functioning.
7. Which cognitive domain seems to be the most difficult to improve?
c. speed of processing
d. executive functioning
8. The Posit Science remediation training
a. uses auditory and visual tasks administered via home computers without trained staff.
b. uses a computerized program with a trained aid.
c. consists of learning mnemonics with word lists and details from texts and narratives.
d. is measured by problem solving and logical pattern recognition abilities.
9. Which Posit Science remediation training task consists of participants reconstructing a sequence of short words?
a. Sound Replay
b. Tell Us Apart
c. High or Low
d. Listen and Do
10. Results of the Posit remediation training study showed
a. no difference between experimental training and DVD-based educational lectures.
b. global cognitive training benefits with progressively difficult visual and auditory tasks.
c. no benefits beyond improvement in auditory cognitive tasks.
d. greater improvement using the DVD-based lectures.
11. Which statement about theater retraining is not true?
a. It is an example of global retraining.
b. It represents a highly complex skill.
c. Older adults have difficulty adhering to this treatment.
d. It does not rely on technology at all.
12. Which statement about the effects of physical activity on cognitive functioning is true?
a. It is beneficial only in combination with other types of retraining.
b. It can benefit cognitive functioning on its own.
c. It does not benefit cognitive functioning.
d. It is equally effective as mental stimulation.
13. All of the following sleep issues are associated with poor cognitive functioning except
a. sleeping 6 to 7 hours at night.
b. sleep disordered breathing.
c. over the counter sleep aids.
d. alcohol use.
14. Which evidence-based nutritional intervention might be recommended to improve cognitive function?
a. weight loss
b. eliminate alcohol use
c. increase intake of blueberries
d. Vitamin A supplementation
15. Which is an N-methyl-D-aspartate (NMDA) inhibitor thought to retard neurodegenerative processes?
a. memantine (Namenda)
b. pravastatin sodium (Pravachol)
c. selegiline (Eldepryl)
d. ibuprofen (e.g. Motrin, Advil)
16. Selegiline (Eldepryl) promotes cognitive function by
a. blocking abnormal glutamate signaling.
b. conserving dopamine.
c. reducing neuronal loss.
d. synthesizing prostaglandins.