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Healthy Food Choices, Physical Activity, and Screening Reduce the Risk of Colorectal Cancer

doi: 10.1097/SGA.0000000000000661
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  • Read the article. The test for this nursing continuing professional development (NCPD) activity is to be taken online at Tests can no longer be mailed or faxed.
  • You'll need to create an account (it's free!) and log in to access My Planner before taking online tests. Your planner will keep track of all your Lippincott Professional Development online NCPD activities for you.
  • There's only one correct answer for each question. A passing score for this test is 7 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.
  • For questions, contact Lippincott Professional Development: 1-800-787-8985.
  • Registration deadline is December 6, 2024.


Lippincott Professional Development will award 2.0 contact hours for this nursing continuing professional development activity.

Lippincott Professional Development is accredited as a provider of nursing continuing professional development 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 Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida, CE Broker #50-1223. Your certificate is valid in all states.

Payment: The registration fee for this test is $14.00 for SGNA members and $20.00 for nonmembers.


LEARNING OUTCOME: Seventy-five percent of participants will demonstrate competency in clinical reasoning regarding the effects of lifestyle choices on colorectal cancer (CRC) risk by achieving a minimum score of 70% on the outcomes-based posttest.

LEARNING OBJECTIVES: After completing this continuing professional development activity, the participant will be able to apply knowledge gained to:

  1. Explain issues related to CRC screening and prevention.
  2. Identify the effects of lifestyle choices on CRC risk.
  • 1. What does the American Society for Gastrointestinal Endoscopy describe as the disease no one has to die from that is “preventable, treatable, and beatable”?
    1. esophageal cancer
    2. gastric cancer
    3. colorectal cancer
  • 2. To maintain a physically active lifestyle for cancer prevention, the American Cancer Society recommends that children and adolescents get daily exercise at moderate or vigorous intensity for at least
    1. 30 minutes.
    2. 45 minutes.
    3. 1 hour.
  • 3. According to the American Cancer Society, what is a safe level of alcohol consumption?
    1. 1 drink per day
    2. 2 drinks per day
    3. There is no safe level of alcohol consumption.
  • 4. As noted in the article, in addition to CRC, tobacco use is associated with cancer of the
    1. pancreas.
    2. breast.
    3. brain.
  • 5. Which of the following is included in the 5 As of Smoking Cessation Method?
    1. accept that smoking is a risk factor for many cancers
    2. assist with establishing a quit date
    3. acquire the knowledge and skills necessary to quit smoking
  • Case-based assessment: Placing yourself in the role of the primary care practitioner, use the scenario below to apply the knowledge and skills you learned in the attached article.
  • Questions #6 through #10 are based on this case scenario: TJ is a 48-year-old African-American man who presents for his annual physical exam. He has no family history of CRC and is of average risk for the disease. You are discussing issues related to a healthy lifestyle for cancer risk reduction.
  • 6. TJ tells you that he does not take any prescription medications, but he does take calcium, vitamin E, and β-carotene supplements. Which of these is the only supplement that may reduce rather than increase his risk of CRC?
    1. calcium
    2. vitamin E
    3. β-carotene
  • 7. TJ knows that the recommended age to begin screening for CRC is 45 years of age, but he does not want to have a colonoscopy. He tells you that his insurance will cover the cost of a multitarget stool DNA test. How often would TJ need to have this test performed, according to the manufacturer's recommendation?
    1. every 2 years
    2. every 3 years
    3. every 5 years
  • 8. When TJ asks about other options for CRC screening, what can you suggest that has been reported to provide a similar risk reduction for both CRC and death from CRC compared to colonoscopy?
    1. a highly sensitive stool test every year
    2. a flexible sigmoidoscopy every 5 years
    3. a computed tomography colonography every 5 years
  • 9. In addition to screening for CRC, TJ asks if there is something he can do to prevent the disease. One of the things you can suggest about a healthy eating plan is to
    1. limit consumption of red meat.
    2. avoid seeds and nuts.
    3. maintain his body mass index between 20.5 and 32.1 kg/m2.
  • 10. The American Cancer Society recommends a minimum of 150 to 300 minutes of moderate-intensity aerobic activity or 75 to 150 minutes of vigorous activity weekly. TJ tells you that he runs for 45 minutes a day, 3 days per week. Does this meet the minimum recommendation?
    1. no
    2. yes
    3. yes, but only if the days are not consecutive


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