Instructions:
* Read the article on page 1139.
* The test for this CE activity can be taken online at http://www.NursingCenter.com/CE/JAANP. Find the test under the article title.
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Registration Deadline: October 1, 2023
Disclosure Statement: The authors and planners have disclosed that they have no financial relationships related to this article.
Provider Accreditation:
This activity is approved for 1.0 contact hour of continuing education by the American Association of Nurse Practitioners. Activity ID 22095775. This activity was planned in accordance with AANP CE Standards and Policies.
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, West Virginia, New Mexico, SouthCarolina, and Florida, CEBroker #50-1223. Your certificate is valid in all states.
Payment:
* The registration fee for this test is $12.95. AANP members are eligible for a 50% discount. Visit the member-benefit section on AANP website (https://aanp.org/membership/memberbenefits) to obtain the discount code. Use the code when asked for payment during checkout.
DOI: 10.1097/0000000000000786
Learning Outcome: Seventy-five percent of participants will demonstrate knowledge of a study evaluating patient utilization of a nurse practitioner-led atrial fibrillation clinic (NPAFC) and its impact on outcomes by achieving a minimum score of 70% on the outcomes-based posttest.
Learning Objectives: After completing this continuing professional development activity, the participant will apply knowledge gained to:
1. Identify the characteristics of the patients whose data the authors analyzed for their study of patient utilization of an atrial fibrillation clinic and its impact on patient care and outcomes.
2. Analyze the results of the study.
3. Recognize the background evidence the authors considered when planning their study.
1. The largest number of the patients enrolled in the NPAFC had which of the following types of atrial fibrillation (AF)?
a. persistent AF
b. permanent AF
c. paroxysmal AF
2. The most common comorbidity among the participating patients was
a. obesity.
b. hypertension.
c. diabetes mellitus.
3. Of the AF interventions the participants had prior to their NPAFC admission, the most common was
a. AF ablation.
b. direct current cardioversion.
c. transesophageal echocardiography.
4. During the patients' care at the NPAFC, the most common AF management approach the staff used was
a. lifestyle modification.
b. referrals for bariatric surgery.
c. at least one medication change.
5. In the 720 days before NPAFC admission, 30.2% of the patients were hospitalized at least once, but in the 720 days after they began being managed in the clinic, what percentage of the patients were hospitalized at least once?
a. 6.6%
b. 12.5%
c. 18.3%
6. Overall, what proportion of the patients avoided at least one emergency department visit following admission to the AF clinic?
a. almost 10%
b. more than 20%
c. about 33%
7. Among the AF interventions initiated at the NPAFC, which of the following was the most common?
a. antiarrhythmic drugs
b. pulmonary vein isolation
c. direct current cardioversion
8. According to Linz et al. (2021) and others, compared with ablation success rates in patients with early AF, ablation success rates in patients with more advanced AF tend to be
a. lower.
b. higher.
c. similar.
9. Abadie et al. (2020) and others reported that nurse-led clinics have been associated with
a. longer wait times for assessment.
b. more prescriptions for drug therapy.
c. better adherence to AF treatment guidelines.
10. A study by Pathak et al. (2014) indicated that a risk-factor management program for overweight patients undergoing AF ablation resulted in
a. alcohol abstinence.
b. a lower risk of stroke.
c. arrhythmia-free survival.
JAANP1022
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