Identifying Urinary Incontinence in the Home Setting: Part 1—Assessment, Diagnosis, and Strategies to Treat Incontinence
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- Registration deadline is May 31, 2015.
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CE TEST QUESTIONS
GENERAL PURPOSE: To identify and describe treatment techniques for urinary incontinence (UI).
LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to:
- Summarize the prevalence and impact of urinary incontinence.
- Outline the etiology and types of urinary incontinence.
- Plan the appropriate interventions for patients who have urinary incontinence.
- The prevalence of UI among women is
- UI is
- an expected consequence of aging.
- a significant contributory factor to falls.
- an expected consequence of institutionalization.
- a significant contributory factor to renal failure.
- Compared with $3.8 billion for institutionalized women, the costs of UI for community-dwelling women, according to Wilson and colleagues, were
- $5.1 billion.
- $6.3 billion.
- $7.5 billion.
- $8.6 billion.
- What percentage of the costs for UI is for medical services that Medicare pays?
- Nearly one third
- About half
- Nearly two thirds
- About three quarters
- Most of the costs related to incontinence are for
- medical testing.
- protective garments.
- laundering clothing.
- UI is defined as
- the total loss of urine at least once per day.
- a consistent inability to control the flow of urine.
- the total loss of urine at least twice per week.
- any involuntary loss of urine.
- The involuntary leakage of urine with effort or exertion or with sneezing and coughing defines which type of UI?
- The involuntary leakage of urine accompanied by or immediately preceded by a sudden compelling desire to pass urine defines which type of UI?
- A common cause of stress UI is
- hyperreflexive bladder.
- increased intra-abdominal pressure.
- reduced bladder capacity.
- pelvic floor muscle weakness.
- A common cause of urge UI is
- chronic coughing.
- detrusor instability.
- pelvic organ prolapse.
- chronic constipation.
- Functional incontinence is the loss of urine due to
- decreased mobility.
- sphincter weakness.
- urethral laxity.
- reduced bladder capacity.
- Obesity is a major risk factor for UI because it causes
- reduced vascularity to the pelvic floor muscles.
- chronically increased intra-abdominal pressure.
- progressively worsening sphincter muscle weakness.
- persistent coughing and respiratory infections.
- Which of the following is an appropriate initial approach to treating UI?
- Diet and fluid management
- Pharmacologic therapy
- Surgical interventions
- Protective clothing
- According to Hashim and Abrams, an inexpensive, noninvasive way to help control the symptoms of overactive bladder is to decrease fluid intake by
- The goal for normal voiding patterns is to achieve
- three to four daytime voids and only one nighttime void.
- three to four daytime voids and one or two nighttime voids.
- five to seven daytime voids and no nighttime voids.
- five to seven daytime voids and no more than one to two nighttime voids.
- Treatment of functional incontinence that has no genitourinary pathology should focus on
- improving mobility.
- reducing hydration.
- strengthening pelvic muscles.
- eliminating bladder irritants.
- Risk factors for UI include all the following except
- increased estrogen.
- tobacco use.
- Which of these items is a potential bladder irritant?
- Vitamin E
- Artificial sweeteners