cne quiz Earn 2.1 Contact Hours HOW TO OBTAIN CONTACT HOURS BY READING THIS ISSUE Instructions: 2.1 contact hours will be awarded for this activity. A contact hour is 60 minutes of instruction. This is a Learner-Paced Program. Vindico Medical Education does not require submission of quiz answers. A contact hour certificate will be awarded 4 to 6 weeks upon receipt of your completed Registration Form, including the Evaluation portion. To obtain contact hours: 1. Read the article “Use of Pain-Behavioral Assessment Tools in the Nursing Home: Expert Consensus Recommendations for Practice” on pages 18-29, carefully noting the tables and other illustrative materials that are provided to enhance your knowledge and understanding of the content. 2. Read each question and record your answers. After completing all questions, compare your answers to those provided at the end of the quiz. 3. Type or print your full name, address, and date of birth in the spaces provided on the registration form. 4. Indicate the total time spent on the activity (reading article and completing quiz). Forms and quizzes cannot be processed if this section is incomplete. All participants are required by the accreditation agency to attest to the time spent completing the activity. 5. Forward the completed form with your check or money order for $15 made payable to JGN-CNE. All payments must be made in U.S. dollars and checks must be drawn on U.S. banks. Quizzes are accepted up to 24 months from date of issue. This activity is co-provided by Vindico Medical Education and the Journal of Gerontological Nursing. Vindico Medical Education is an approved provider of continuing nursing education by New Jersey State Nurses Association, an accredited approver, by the American Nurses Credentialing Center’s Commission on Accreditation. P#188-6/09-12. Objectives: After studying the article, “Use of Pain-Behavioral Assessment Tools in the Nursing Home: Expert Consensus Recommendations for Practice” in this issue, the participant will: 1. Describe the methodology used to identify and select the recommended behavioral-pain assessment tools. 2. Identify the two pain-behavioral assessment tools recommended for use in nursing homes. 3. Describe the strengths of the pain-behavioral assessment tools recommended for use in nursing homes. 4. Describe recommendations for administration of painbehavioral assessment tools in nursing homes. 5. Discuss recommendations for staff education to improve pain assessment in the nursing home. 30 1. The pain-behavioral assessment tools were rated on their: A.Conceptualization and psychometric evidence. B. Clinical utility. C.Fit with the regulatory environment. D.All of the above. 2. How many tools were considered in the review process? A.10. B. 14. C.17. D.22. 3. Which of the following tools was rated the highest by the members of the Collaborative and the expert consultants? A.NOPPAIN (Nursing Assistant-Administered Instrument to Assess Pain in Demented Individuals). B. PACSLAC (Pain Assessment Checklist for Seniors with Limited Ability to Communicate). C.PAINAD (Pain Assessment in Advanced Dementia Scale). D.PADE (Pain Assessment for the Dementing Elderly). 4. On the basis of the Collaborative’s review and discussion, which two tools were recommended for routine use in nursing homes? A.PAINAD and PACSLAC. B. NOPPAIN and PACSLAC. C.PADE and PAINAD. D.NOPPAIN and PAINAD. 5. Which of the following is described by the Collaborative as the tool that incorporates “a more comprehensive list of behaviors and thus may be useful as an ongoing screen on a monthly or quarterly basis to identify person-specific behaviors related to pain?” A.NOPPAIN. B. PACSLAC. C.PAINAD. D.PADE. 6. Which of the following is recommended by the Collaborative because it is a short, focused tool that can be completed on a more frequent basis and is useful for daily use and to monitor responses to interventions? A.NOPPAIN. B. PACSLAC. C.PAINAD. D.PADE. Copyright © SLACK Incorporated cne CNE REGISTRATION quiz JGN March 2010 CNE Quiz Earn 2.1 Contact Hours Mail To: Journal of Gerontological Nursing PO Box 36, Thorofare, NJ 08086 Please register me for the Learner-Paced 7. Which of the following tools was recommended because it corresponds well with the proposed Minimum Data Set (MDS) 3.0 pain criteria and the Collaborative, and consultants believed it would be especially useful for completion of the MDS assessment, using feedback from certified nursing assistants (CNAs) who are familiar with the resident’s usual behaviors? A.NOPPAIN. B. PACSLAC. C.PAINAD. D.PADE. Address _ ________________________________________________ City _______________________ State_ _________ Zip____________ Date of Birth: _____________________________________________ (used for tracking contact hours only) Education Level (Circle highest): Diploma, ADN, BSN, MSN, PhD Other (Please specify) ____________________________________ A.Search for potential causes of pain. B. Observe pain behaviors. C.Obtain surrogate reports from caregivers and family members for pain and behavior changes. D.All of the above. 9. Recommendations for administration of behavioral tools for pain assessment in the nursing home setting include: A.Attempt to elicit a verbal report from the patient, but interpret with caution if the person is inconsistent. B. Assess pain during movement. C.Be aware of patient-specific behaviors and atypical presentations of pain. D.All of the above. 10. Which of the following were recommendations for staff education? A.Inclusion of all nursing staff, especially CNAs. B. Provision of basic pain observation and reporting training for nonclinical staff (e.g., housekeeping, dietary personnel) and families. C.Incorporation of pain assessment into orientation activities. D.All of the above. CNE Answers March 2010 3. C 4. A Name _ __________________________________________________ Phone: _ ___________________ Fax: _ ________________________ 8. Which of the following are steps outlined by the American Society for Pain Management Nursing to assess pain in nonverbal patients? 1. D 2. B program for 2.1 contact hours. 5. B 6. C 7. B 8. D 9. D 10. D Work Setting: _____________________________________________ Position: _________________________________________________ Payment Options $15.00 payment must accompany this form. All payment must be made in U.S. dollars and all checks must be drawn on U.S. banks, payable to: JGN-CNE. Mastercard, Visa, and American Express Credit Cards are accepted for payment. CNE Registration must be received no later than March 31, 2012. Copyright ©2010 by SLACK Incorporated. All rights reserved. If paying by credit card, you may fax your form to (856) 853-5991. For credit card payment, please check one: Mastercard Visa American Express Account number: _________________________Expires _ _________ 3-4 digit security code: ________________ I authorize my credit card to be charged $15 for this activity. Signature ________________________________________________ Name on card _ ___________________________________________ EVALUATION (Must be completed for contact hour certificate to be awarded.) YES NO 1. The content of the article(s) was accurately described by p p the learning objectives: l Describe the methodology used to identify and select the recommended behavioral-pain assessment tools. l Identify the two pain-behavioral assessment tools recommended for use in nursing homes. l Describe the strengths of the pain-behavioral assessment tools recommended for use in nursing homes. l Describe recommendations for administration of pain-behavioral assessment tools in nursing homes. l Discuss recommendations for staff education to improve pain assessment in the nursing home. 2. The content met my educational needs. p p 3. The program content was relevant to my nursing practice. p p 4. How much time was required to read the article and take the quiz? 125 150 175 200 225 5. Please list topics that you would like (m i n u t e s) to see future activities address: __________________________________________________ _________________________________________________________ Vol. 36, No. 3, 2010 JGN0310 31