- To take the test online, go to our secure Web site at http://www.nursingcenter.com/ce/ajn . View instructions for taking the test online there.
- If you prefer to submit your test by mail, 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 March 6, 2020.
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.
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.
Recognizing Delirium in Hospitalized Children: A Systematic Review of the Evidence on Risk Factors and Characteristics
To provide the details of a systematic review done to examine the evidence regarding the risk factors for and characteristics of acute delirium in hospitalized children.
After completing this educational activity, you should be able to
- outline the findings of the authors’ systematic review.
- list characteristics of acute delirium in hospitalized children.
- identify the practice implications of the findings.
- Common characteristics of delirium include
- slow onset.
- steady decline.
- altered perception.
- In a literature review by Daoud and colleagues, one study that used “clinical suspicion” as its index reported a prevalence of delirium among hospitalized children of
- In a retrospective study by Colville and colleagues conducted among children ages 7 to 17 years who had been hospitalized, what percentage recalled having hallucinatory experiences during their stay?
- more than 30%
- about 50%
- nearly 70%
- Colville and colleagues reported that almost all the children who had hallucinatory experiences reported them to be
- brief and transient.
- highly disturbing.
- quite interesting.
- In the same study, almost all the children who had hallucinatory experiences were in a
- regular pediatric unit.
- postanesthesia care unit.
- pediatric ICU (PICU).
- Research in traumatic brain injury indicates that the immature, developing brain has different responses from those of the adult brain to the release of which of the following substances?
- growth factors
- A common manifestation of hypoactive delirium is
- Studies excluded from the authors’ systematic review were those
- targeting children from birth through 21 years.
- that were qualitative.
- with no control group.
- The review findings indicated that, compared with boys, the incidence of delirium in girls is
- about the same.
- In a study of PICU patients, Traube and colleagues found that children with developmental delay were diagnosed with delirium how much more often than those without such delay?
- about twice as often
- almost 3 times as often
- more than 4 times as often
- In another study of PICU patients, Smeets and colleagues found that 84% of those with delirium were receiving
- corticosteroid infusions.
- sedative hypnotics.
- mechanical ventilation.
- Risk factors considered in the authors’ review included
- noniatrogenic causes.
- those secondary to the child's acute illness.
- medications that can precipitate delirium.
- Reporting on children with neuroblastoma, Traube and colleagues listed which of the following as a specific characteristic of postoperative delirium?
- lack of eye contact
- memory loss
- In one study by Grover and colleagues of children diagnosed with delirium, which of the following manifestations was most common?
- impaired attention
- impaired short-term memory
- In another study, Grover and colleagues compared children's and adults’ patterns of delirium. They reported that children had a higher frequency of
- lability of affect.
- pressured speech.
- poor judgment.
- A study by Leentjens and colleagues found that, compared to adults with delirium, children with delirium were less likely to have
- sleep–wake cycle disturbances.
- Children are at greater risk for developing acute delirium when they have a Pediatric Risk of Mortality II score at or above which percentile?
- According to the authors’ systematic review, one of the 5 most common characteristics of pediatric delirium is
- In this review, some characteristics of pediatric delirium can be categorized as circadian rhythm disturbances. These include
- gastrointestinal irritation.
- sleep–wake cycle disturbance.
- Limitations of this review included all but which of the following?
- It was observational in nature.
- It used descriptive statistics for data analysis.
- The included studies had low levels-of-evidence grades.