TEST INSTRUCTIONS
* Read the article. The test for this nursing continuing professional development (NCPD) activity is to be taken online at http://www.NursingCenter.com/CE/JWOCN. Tests can no longer be mailed or faxed.
* You'll need to create an account (it's free!) and log in to access My Planner before taking online tests. Your planner will keep track of all your Lippincott Professional Development online NCPD activities for you.
* There's only one correct answer for each question. A passing score for this test is 7 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.
* For questions, contact Lippincott Professional Development: 1-800-787-8985.
* Registration deadline is September 5, 2025.
PROVIDER ACCREDITATION
Lippincott Professional Development will award 2.0 contact hours for this nursing continuing professional development activity.
Lippincott Professional Development is accredited as a provider of nursing continuing professional development 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 2.0 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, West Virginia, New Mexico, South Carolina, and Florida, CE Broker #50-1223. Your certificate is valid in all states.
Payment: The registration fee for this test is FREE for members and $21.95 for nonmembers.
JWOCN1122B
Learning Outcome: Seventy-five percent of participants will demonstrate knowledge of a quality improvement initiative aimed at increasing adherence to follow-up appointments by patients with diabetes mellitus for prevention of diabetic foot ulcers 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. Recognize the background information the authors considered when reporting on a quality improvement project for promoting adherence to follow-up appointments and preventing diabetic foot ulcers among patients with diabetes mellitus.
2. Identify the essential elements of the quality improvement project for patients at risk for diabetic foot ulcers.
3. Select the results of the evaluation of the quality improvement project that might lend insight to clinicians caring for patients at risk for diabetic foot ulcers.
1. Makiling and Smart (2020) found that which of the following was identified most frequently as an educational need among patients with diabetes?
a. how to examine feet daily
b. how to cut toenails correctly
c. how to choose proper footwear
2. Takehara et al. (2019) found that, among 126 patients with diabetes who received care at an outpatient diabetic foot clinic, just about half had
a. pincer nails.
b. onychomycosis.
c. ingrown toenails.
3. Resulting from the use of the Plan-Do-Study-Act (PDSA) quality improvement framework, which of the following changes did the authors state were made to the quality improvement intervention in an outpatient wound care clinic?
a. Education time was increased from 5 minutes to 10 minutes.
b. Education was provided before or after, not during, wound care treatment.
c. Patients who returned on subsequent educational days received no additional education.
4. As part of a PDSA cycle change, the educational flyers were reprinted on paper that was
a. larger.
b. more flexible.
c. of a brighter color.
5. Of the 33 participants who received verbal instruction and educational flyers, more than half (58%)
a. did not adhere to their follow-up appointments.
b. rescheduled their follow-up appointments.
c. adhered to their follow-up appointments.
6. The greatest difference between August 2020 and August 2021, post-intervention, was a drop in the no-show appointment rate, from 8.92% to
a. 2.82%.
b. 4.63%.
c. 6.25%.
7. Compared with August 2020, the rate of appointment rescheduling in August 2021 showed an increase of
a. almost 2%.
b. about 4%.
c. nearly 6%.
8. Compared with May to August 2020, the percentage of missed follow-up appointments in May to August 2021 declined from 9.21% to
a. 7.3%.
b. 6.9%.
c. 5.8%.
9. A study by Ahmad Sharoni et al. (2018) suggests that clinicians can help increase self-efficacy in foot self-care behavior of older adults with diabetes by
a. scheduling more follow-up appointments.
b. providing online informational sources.
c. demonstrating the desired behaviors.
10. According to Nongmaithem et al. (2016), which of the following is necessary to reduce the gap in knowledge and adherence to foot care and thus reduce the incidence of diabetic foot ulcers?
a. regular provider reinforcement
b. low-cost foot hygiene supplies
c. referral to specialty clinics