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NCPD Test

A Scoping Review of the Incidence, Predictors, and Outcomes of Delirium Among Critically Ill Stroke Patients

Journal of Neuroscience Nursing: June 2022 - Volume 54 - Issue 3 - p E3
doi: 10.1097/JNN.0000000000000655

TEST INSTRUCTIONS

  • Read the article. The test for this nursing continuing professional development (NCPD) activity is to be taken online at www.nursingcenter.com/CE/JNN. 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 March 7, 2025

PROVIDER ACCREDITATION

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 $21.95.

AANN members can take the test for free by logging into the secure Members Only area of http://www.aann.org

TEST QUESTIONS

LEARNING OUTCOME: Seventy-five percent of participants will demonstrate knowledge of predictors and outcomes of delirium among critically ill stroke patients 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. Identify several predictors for delirium among critically ill stroke patients.

2. Compare outcomes for stroke patients who experienced delirium during their initial hospitalization with outcomes for stroke patients who did not experience delirium.

  1. In this scoping review, a common predictive factor for delirium reported in 3 or more studies was
    1. older age.
    2. sepsis.
    3. dehydration.
  2. The authors noted several stroke-related characteristics as predictors of delirium, including
    1. right-sided stroke.
    2. higher intracerebral hemorrhage (ICH) volume.
    3. occlusion of the posterior cerebral artery.
  3. According to research by Yu et al. (2013), for each 1-point increase in the Intensive Care Delirium Screening Checklist (ICDSC) score, what was the total increase in the intensive care unit (ICU) length of stay?
    1. 4%
    2. 10%
    3. 14%
  4. When controlling for age, van Rijsbergen et al. (2011) reported that delirium during hospitalization was a risk factor for
    1. 6-month mortality.
    2. disability in activities of daily living.
    3. developing dementia.
  5. For patients with stroke who experienced delirium during initial hospitalization in the 2011 van Rijsbergen et al. study, what was one of the domains in which their scores were poorer at 2-year follow-up than the scores of patients with stroke who did not experience delirium?
    1. visual construction
    2. numeric reasoning
    3. fine motor coordination
  6. In a population of patients with ICH in the 2017 study by Rosenthal et al., patients had significantly worse cognitive function on health-related quality of life scores at 28 days and 1 year if they had experienced delirium with
    1. difficulty reading.
    2. agitation.
    3. apathy or depression.
  7. Compared with no decrease in Mini-Mental State Examination scores at hospital discharge for patients without delirium in the 2018 Wang et al. study, the Mini-Mental State Examination scores at discharge for those with delirium were a total of how much lower?
    1. 4 points
    2. 6 points
    3. 10 points
  8. Predictors of delirium after stroke as revealed in the 2016 study by Limpawattana et al., included
    1. passive physical therapy.
    2. frequent bedside monitor alarms.
    3. multiple bed changes.
  9. In the 2018 Pasinska et al. study, what was one of the predictors of hypoactive delirium?
    1. hypoglycemia
    2. female sex
    3. smoker
  10. The authors note that this literature on critically ill stroke patients shares some predictors in common with the general ICU literature but omits several key predictors of delirium, particularly
    1. mechanical ventilation.
    2. preexisting dementia.
    3. use of physical restraints.
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