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1 CE Test Hour

Original Research

Primary Care Providers and Screening for Military Service and PTSD

Contrada, Emily

AJN The American Journal of Nursing: November 2017 - Volume 117 - Issue 11 - p 29,40
doi: 10.1097/01.NAJ.0000526721.19269.b6
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Primary Care Providers and Screening for Military Service and PTSD


To present the details of a study done to determine whether primary care providers in a rural Pennsylvania region routinely screen for military service and, in those who have served, service-related posttraumatic stress disorder.

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

  • outline the purpose and goals of the authors’ study.
  • identify study findings and any implications for practice.
  1. According to the Department of Veterans Affairs (VA), any person may be eligible for free health care benefits who
    1. has served on active duty.
    2. was honorably or dishonorably discharged.
    3. applies for enrollment.
  2. In Kilpatrick and colleagues’ survey of private sector primary care and community-based mental health providers, what percentage reported screening their patients for military service?
    1. 44%
    2. 54%
    3. 64%
  3. Veterans of which of the following conflicts have the highest rate of posttraumatic stress disorder (PTSD)?
    1. World War II
    2. Iraq War
    3. Vietnam War
  4. According to research by Sidney, compared with veterans who do not have PTSD, veterans with PTSD are more likely to develop
    1. heart disease.
    2. dementia.
    3. sleep apnea.
  5. According to the VA, in 2014 the rate of suicide per 100,000 veterans was
    1. 14.7.
    2. 23.8.
    3. 35.3.
  6. Nayar and colleagues found that the main barrier to receiving care at a Veterans Health Administration (VHA) facility is
    1. cost.
    2. wait time.
    3. distance.
  7. In the 2011 survey by Kilpatrick and colleagues, most primary care and community-based mental health providers reported
    1. being unfamiliar with the best practices for treating PTSD.
    2. treating traumatic brain injury but not PTSD.
    3. screening their patients for military service.
  8. In the authors’ study, which social media platform was used to disseminate information about the study and a link to the survey?
    1. Facebook
    2. Twitter
    3. YouTube
  9. Data for this study were analyzed using
    1. model building.
    2. triangulation.
    3. descriptive statistics.
  10. Most of the respondents to the survey were
    1. physicians.
    2. physician assistants.
    3. NPs.
  11. What percentage of the respondents were familiar with the American Academy of Nursing's “Have You Ever Served in the Military?” initiative?
    1. 4%
    2. 8%
    3. 12%
  12. Of the 6 respondents who had previous training in providing health care to patients who had served in the military, how many reported that they screened few or none of their patients for military service or PTSD?
    1. 2
    2. 3
    3. 4
  13. Limitations of this study noted by the authors include all of the following except
    1. reliance on a convenience sample.
    2. self-selection of participants.
    3. inability to determine a response rate.
  14. The most important way nurses and health care providers can increase the number of patients being screened for military service and PTSD is to
    1. obtain patients’ records from previous providers.
    2. educate private sector providers, especially those in primary care.
    3. ask office staff to ask patients whether they have served in the military.
  15. According to Gaglioti and colleagues, nearly three-quarters of primary care providers in the private sector found the VHA's communication to be
    1. poor or nonexistent.
    2. acceptable.
    3. above average.
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