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 2.5 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 2.5 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 $24.95 for nonmembers.
JWOCN0922B
Learning Outcome: Seventy-five percent of participants will demonstrate knowledge of an integrative literature review intended to determine what is known about patients' adjustment to stoma formation and to identify existing knowledge gaps 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 evidence-based correlates of adjustment to an ostomy.
2. Select the effects of ostomy self-care practices on patients' adjustment to an ostomy.
3. Choose the influences of healthcare staff on patients' adjustment to an ostomy.
4. Recognize the impact of patients' cultural practices on their adjustment to an ostomy.
1. Studies by Karadag et al. (2015) and Smith et al. (2009) both found that, compared with patients who had a temporary ostomy, those who had a permanent ostomy adjusted
a. better over time.
b. worse over time.
c. similarly over time.
2. Fingren et al. (2018) evaluated adjustment a year after stoma surgery in Sweden and found lower adjustment among those who had
a. a urostomy.
b. a colostomy.
c. an ileostomy.
3. Gautam and Poudel (2016) demonstrated that, compared with women, men in Nepal had
a. better acceptance.
b. more negative emotions.
c. higher social engagement scores.
4. Goldblatt (2018) reported that factors enhancing independence in ostomy care in Australia were
a. older age.
b. treatment in a private hospital.
c. preoperative stoma site marking.
5. According to Xian et al. (2018), low adjustment to an ostomy in China was associated with
a. higher levels of education.
b. lower levels of social support.
c. living in an urban community.
6. Nam et al. (2019) concluded that the most important factor contributing to adjustment of all the ostomy patients they evaluated in Korea was
a. access to medical support over time.
b. independence in ostomy self-care.
c. strong family support.
7. Altschuler et al. (2009) found that partners' assistance with ostomy pouch changes
a. enhanced empathy.
b. prolonged adjustment.
c. raised privacy concerns.
8. When Simmons et al. (2011) compared psychosocial adjustment among British and Japanese patients with an ostomy, they found that British participants adjusted faster and were more likely to
a. access essential support services for ostomy patients.
b. demonstrate self-efficacy in caring for their ostomy.
c. participate in social activities after stoma surgery.
9. A study by Ayik et al. (2019) in Taiwan found that participants living with a colostomy and colorectal cancer reported a significant association between psychosocial adjustment and
a. resilience.
b. spiritual well-being.
c. humor as a way to cope.
10. Compared with the control group of ostomy patients in a study conducted in China by Zhang et al. (2013), the study group had fewer stoma complications at 1 and 3 months post-surgery, and their self-rated adjustment was significantly higher at 3 months after they received which of the following interventions in addition to the standard follow-up care after discharge?
a. two phone calls from a nurse
b. regular use of a mobile phone app
c. attendance at an ostomy support group