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118 Orthopaedic Nursing • March/April 2016 •
Volume 35 • Number 2 © 2016 by National Association of
Orthopaedic Nurses
CE TEST QUESTIONSGENERAL PURPOSE: To present the results of
a study done to helpmprove satisfaction with pain management in
older adults undergoing totaloint replacement.
LEARNING OBJECTIVES: After reading this article and taking
this test,you should be able to:
1. Identify prior research findings on pain assessment and
patient satisfactionfrom the review of the literature.
2. Explain the outcomes of this project and implications for
practice.
1. The increase in the number of total joint replacement
procedures can be attributed to an extended life
expectancy and
a. increasing rates of obesity.b. improvements in socio-economic
status.
c. increasing rates of insurance reimbursement.
2. Costs to Medicare for these arthroplasties have been
projected to reach how much annually by 2030?
a. $50 billion
b. $75 billion
c. $100 billion
3. Compared with other surgical procedures, pain levels
following total joint replacement surgery are consistently
reported as
a. lower.
b. about the same.
c. higher.
4. What substantial portion of the calculated weight of the
bonus fund of the Medicare Hospital Value-Based Purchasing
program is determined by patient’s perceptions of quality of
care while in the hospital?
a. 10%
b. 20%
c. 30%
5. One of the two specific questions in the HCAHPS survey
that addresses pain management and patient satisfaction is
a. “How often did the hospital staff do everything they could to
help you with
your pain?”
b. “Did the hospital staff use a pain assessment tool to
evaluate the severity
of your pain?”c. Before your discharge, did the hospital staff
teach you how to manage your
pain at home?”
6. Prior studies suggest that patient satisfaction with
pain
management is influenced by a number of factors, including
a. discomfort.
b. expectations.
c. immobility.
7. Compared with younger patients’ beliefs about
becoming
addicted or impaired due to opiate use, older adults tend to
a. be more concerned.
b. have the same level of concern.
c. be less concerned.
8. According to Dunwoody and colleagues and others,
ineffective pain management can affect the organizationbecause
of
a. increased costs.
b. poor clinical outcomes.
c. higher patient acuity.
9. Innis and colleagues reported that the most common
barrier to successful pain management is
a. the failure to assess.
b. adverse effects of analgesics.
c. patients’ fear of addiction.
10. Hanna and colleagues reported that, more than pain
intensity, patient satisfaction depends on
a. the patient’s willingness to allow intensive pain
management.
b. the patients’ beliefs and expectations about postoperative
care.c. how the patient perceives that caregivers respond to their
pain.
11. The APS-POQ-R measures six aspects of quality,
including
a. the use of non-pharmacological strategies.
b. cultural beliefs about pain treatment.
c. whether pain is acute or chronic.
12. The APS-POQ-R has a total of 22 questions and sub-
questions, with the greatest number of them relating to
a. participation in treatment decisions.
b. education/information received about pain management.
c. effects of pain on emotions, activity levels, and sleep.
13. Results of the authors’ study showed that the most
frequent
non-pharmacologic methods patients used included
a. warm compresses.b. deep breathing.
c. guided imagery.
nstructions:• Read the article on page 108.• 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
courseevaluation (Section C).
• Mail completed test with registration fee to: Lippincott
Williams & Wilkins, CE Group, 74 Brick Blvd.,Bldg., 4 Suite
206, Brick, NJ 08723.
• Within 4-6 weeks after your CE enrollment form isreceived, you
will be notified of your test results.
• If you pass, you will receive a certificate of earnedcontact
hours and answer key. If you fail, you have theoption of taking the
test again at no additional cost.
• A passing score for this test is 13 correct answers.• Need CE
STAT? Visit www.nursingcenter.com for imme-
diate results, other CE activities, and your personalizedCE
planner tool.
• No Internet access? Call 800-787-8985 for other rushservice
options.
• Questions? Contact Lippincott Williams &
Wilkins:800-787-8985
Registration Deadline: April 30, 2018
Provider Accreditation:Lippincott Williams & Wilkins (LWW),
publisher of OrthopaedicNursing , will award 2.5 contact hours
for this continuingnursing education activity.
LWW is accredited as a provider of continuing nursing educa-tion
by the American Nurses Credentialing Center’sCommission on
Accreditation.
This activity is also provider approved by the California
Boardof Registered Nursing, Provider Number CEP 11749 for2.5
contact hours. LWW is also an approved provider ofcontinuing
nursing education by the District of Columbia,Georgia, and Florida
#50-1223.
Your certificate is valid in all states.
The ANCC’s accreditation status of Lippincott Williams
&Wilkins Department of Continuing Education refers only to
its
continuing nursing educational activities and does not
implyCommission on Accreditation approval or endorsement of
anycommercial product.
Disclosure: The authors and planners have disclosed
nopotential conflicts of interest, financial or otherwise.
This article has been approved by the OrthopaedicNurses
Certification Board for Category A credit
toward recertification as an ONC.Payment and Discounts: •
The registration fee for this test is $12.50 for NAON
members and $25.00 for nonmembers.• If you take two or more
tests in any nursing journal
published by LWW and send in your CE enrollment formstogether,
you may deduct $0.95 from the price of each test.
• We offer special discounts for as few as six tests
andinstitutional bulk discounts for multiple tests. Call
800-787-8985 for more information.
DOI: 10.1097/NOR.0000000000000236
CE TestEnhancing Nurses’ Pain Assessment to Improve Patient
Satisfaction
8/17/2019 Enhancing Nurses Pain Assessment to Improve.11
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© 2016 by National Association of Orthopaedic Nurses Orthopaedic
Nursing • March/April 2016 • Volume 35 • Number 2
119
14. Types of non-pharmacologic methods that
demonstrated
the greatest increase between pre- and post-implementation
included
a. reading.
b. socializing.
c. walking.
15. Comparing pre-implementation pain management
HCAHPS scores to post-implementation scores showed a
relative change of
a. 5%.b. 10%.
c. 15%.
16. Questions related to which of the following indicated
the
highest percentage of change from pre- to posttest among
staff nurses?
a. accuracy of self-reports of pain
b. use of mobility questions to assess pain
c. patient satisfaction
17. Which statement about the practice implications of
this
study is accurate?
a. Participants preferred in-person education rather than the
online learning
module.
b. There was a clearly identified need for education that
focused specifically
on evidence-based strategies.
c. The depth of knowledge about nursing’s impact on patient
satisfaction
scores was both clear and specific to their patient
population.
18. Limitations identified by the authors included
a. limited generalizability of the findings.b. data analysis
methods.
c. use of self-selection for participants.
Need CE STAT? Visit www.NursingCenter.com for immediate results,
other CE activities, and your personalized CE planner tool!
Course EvaluationC Two Easy Ways to Pay:D A B
1. Did this CE activity’s learning objectives relate to its
❑ Yes ❑ Nogeneral purpose?
2. Was the journal home study format an effective way ❑
Yes ❑ Noto present the material?
3. Was the content relevant to your nursing practice? ❑
Yes ❑ No
4. How long in minutes did it take you to readthe article,____,
study the material,____, andtake the test,____?
5. Suggestion for future
topics_____________________________________
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Contact Hours: 2.5
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A
CE Enrollment FormOrthopaedic Nursing, March/April 2016
Enhancing Nurses’ Pain Assessment to Improve Patient
Satisfaction
ON0316C
Test Answers: Darken one for your answer to each
question.B
A B C
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