CE Test

Enhancing Nurses Pain Assessment to Improve Patient Satisfaction

Instructions:
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 course
evaluation (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 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 13 correct answers.
Need CE STAT? Visit www.nursingcenter.com for immediate results, other CE activities, and your personalized
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continuing nursing educational activities and does not imply

Commission on Accreditation approval or endorsement of any
commercial product.

Registration Deadline: April 30, 2018

Provider Accreditation:
Lippincott Williams & Wilkins (LWW), publisher of Orthopaedic
Nursing, will award 2.5 contact hours for this continuing
nursing education activity.
LWW is accredited as a provider of continuing nursing education by the American Nurses Credentialing Centers
Commission on Accreditation.
This activity is also provider approved by the California Board
of Registered Nursing, Provider Number CEP 11749 for
2.5 contact hours. LWW is also an approved provider of
continuing nursing education by the District of Columbia,
Georgia, and Florida #50-1223.
Your certificate is valid in all states.
The ANCCs accreditation status of Lippincott Williams &
Wilkins Department of Continuing Education refers only to its

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 $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 forms
together, you may deduct $0.95 from the price of each test.
We offer special discounts for as few as six tests and
institutional bulk discounts for multiple tests. Call 800787-8985 for more information.
DOI: 10.1097/NOR.0000000000000236

CE TEST QUESTIONS
GENERAL PURPOSE: To present the results of a study done to help

improve satisfaction with pain management in older adults undergoing total

joint 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 satisfaction
from 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.

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 patients 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?

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March/April 2016 Volume 35

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 organization
because of
a. increased costs.
b. poor clinical outcomes.
c. higher patient acuity.

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

118

6. Prior studies suggest that patient satisfaction with pain

management is influenced by a number of factors, including
a. discomfort.
b. expectations.
c. immobility.

Number 2

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 patients 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 subquestions, 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.

2016 by National Association of Orthopaedic Nurses

17/03/16 1:49 PM

14. Types of non-pharmacologic methods that demonstrated

the greatest increase between pre- and post-implementation
included
a. reading.
b. socializing.
c. walking.

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 nursings impact on patient satisfaction
scores was both clear and specific to their patient population.

15. Comparing pre-implementation pain management

HCAHPS scores to post-implementation scores showed a
relative change of
a. 5%.
b. 10%.
c. 15%.

18. Limitations identified by the authors included

a. limited generalizability of the findings.
b. data analysis methods.
c. use of self-selection for participants.

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

ON0316C

CE Enrollment Form
Orthopaedic Nursing, March/April 2016
Enhancing Nurses Pain Assessment to Improve Patient Satisfaction

LPN RN CNS NP CRNA CNM other______________

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Test Answers: Darken one for your answer to each question.

A

A
5.

1.

9.

13.

17.

2.

6.

10.

14.

18.

11.

15.

12.

16.

3.

7.

4.

8.

Course Evaluation

A
Yes

B
No

2. Was the journal home study format an effective way

to present the material?

Yes

No

3. Was the content relevant to your nursing practice?

Yes

No

1. Did this CE activitys learning objectives relate to its

general purpose?

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4. How long in minutes did it take you to read

the article,____, study the material,____, and
take the test,____?

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5. Suggestion for future topics_____________________________________

Need CE STAT? Visit www.NursingCenter.com for immediate results, other CE activities, and your personalized CE planner tool!

2016 by National Association of Orthopaedic Nurses

ONJ956.indd 119

Orthopaedic Nursing

March/April 2016

Volume 35

Number 2

119

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