Departments: CE Tests
- Read the article on page 111.
- Take the test, recording your answers in the test answers section (Section B) of the CE enrollment form. Each question has only one correct answer.
- Complete registration information (Section A) and course evaluation (Section C).
- Mail completed test with registration fee to: Lippincott Professional Development, CE Group, 74 Brick Blvd., Bldg., 4 Suite 206, Brick, NJ 08723.
- Within 4-6 weeks after your CE enrollment form is received, you will be notified of your test results.
- If you pass, you will receive a certificate of earned contact hours and answer key. If you fail, you have the option of taking the test again at no additional cost.
- A passing score for this test is 14 correct answers.
- Need CE STAT? Visit www.nursingcenter.com for immediate results, other CE activities, and your personalized CE planner tool.
- No Internet access? Call 800-787-8985 for other rush service options.
- Questions? Contact Lippincott Professional Development: 800-787-8985
Registration Deadline: March 5, 2021
Lippincott Professional Development (LPD) will award 1.0 contact hours for this continuing nursing education activity.
LPD is accredited as a provider of continuing nursing education 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 1.0 contact hours. LWW is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida #50-1223.
Disclosure: The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
This article has been approved by the Orthopaedic Nurses Certification Board for Category A credit toward recertification as an ONC.
Payment and Discounts:
- The registration fee for this test is $5.00 for NAON members and $10.00 for nonmembers.
- If you take two or more tests in any nursing journal published by LWW and send in your CE enrollment forms together, you may deduct $0.95 from the price of each test.
- We offer special discounts. Send in 6 tests together and the least expensive one is free; send in 12 tests and the 2 least expensive ones are free, etc. We also offer institutional bulk discounts for multiple tests. Call 800- 787-8985 for more information.
CE TEST QUESTIONS
GENERAL PURPOSE: To provide information on the opioid crisis and options for pain management.
LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:
- Summarize issues related to prescribing opioids.
- Select priorities for combating the opioid crisis.
- Recognize problems related to the use of opioids and options for effective pain management.
- What led to a four-fold expansion in opioid prescriptions between 1999 and 2010?
- an expiration of patents on the leading opioid products
- a heightened awareness of pain assessment and treatment
- an increase in the numbers and types of chronic pain conditions diagnosed
- Which organization issued guidelines for prescription practices in treating chronic pain in March, 2016?
- the Centers for Disease Control and Prevention (CDC)
- the National Institutes of Health
- the U.S. Department of Health and Human Services (HHS)
- According to the CDC (2017), about what percentage patients who were given prescriptions for chronic pain misused opioids?
- 12 – 20%
- 21 – 29%
- 30 – 38%
- An estimated 80% of users of which drug transitioned to that drug after misusing prescription opioids?
- HHS (2018b) has identified all of the following as priorities to address the opioid crisis,except
- improving definitive care of conditions that cause pain.
- promoting use of overdose reversing drugs.
- improving access to opioid use disorder treatment and recovery.
- What do the authors report will increase understanding surrounding the extent of the opioid epidemic?
- outreach to the general public
- public health surveillance
- prescription drug monitoring programs (PDMPs)
- As noted in the article, what can support efforts to decrease the mortality related to the opioid epidemic?
- increasing the promotion and use of opioid reversal agents
- providing education to the public about the risks of opioid use
- establishing “drug consumption rooms” where persons can use drugs under supervision
- In addition to addiction, Wang et al. (2015) noted that potential side effects of opioids include
- In the 2014 study by Jo et al., unmanaged post-operative pain was associated with
- longer hospital stays.
- increased infection rates.
- a higher rate of falls.
- Research by Simmonds et al. (2015) revealed that, compared to patients taking a low-dose opioid, patients prescribed high-dose opioids for chronic pain were nearly three times as likely to be diagnosed with
- peptic ulcer disease.
- irritable bowel disease.
- To reduce the need for post-operative opioids, Teng et al. (2014) reported that intra-operative surgical site injections may be administered that contain a combination of drugs, including
- As noted in the article, post-operative multimodal pain management consists of partnering opioid medications with alternative drug therapies such as
- COX-II inhibitors.
- Non-pharmacological pain management methods noted in the article that may be used post-operatively include
- therapeutic touch.
- proper nutrition.
- The authors report that all of the following are important stakeholders for an effective pain steering committeeexcept
- palliative medicine.
- respiratory therapy.
- According to Ghafoor et al. (2013), functions of the pain steering committee include
- monitoring the frequency of opioid prescriptions.
- devising policies and procedures for dose monitoring.
- surveying patients regarding their pain management needs.
- One of the purposes of the prescription drug monitoring programs (PDMPs) noted in the article is to
- regulate the number of opioid prescriptions a prescriber can write.
- document a patient's indication(s) for receiving an opioid prescription.
- allow prescribers to verify a patient's prescription history.
- Which statement is true regarding PDMPs?
- The content and use of PDMPs is regulated and standardized by the HHS.
- In some states PDMPs have been associated with a decrease in overdose deaths.
- PDMPs are in use in all 50 states in the United States.
- Recommendations for safe trash disposal of uncrushed opioids includes
- combining them with an inedible substance in a sealable plastic bag.
- leaving them in the original prescription container.
- scattering them amongst other pieces of trash.
- Another method for managing leftover opioids, recommended by the U.S. Food & Drug Administration, is
- crushing and scattering them in the garden.
- storing them in a medicine cabinet.
- flushing them down the toilet.