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 6 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 December 6, 2024.

PROVIDER ACCREDITATION

Lippincott Professional Development will award 1.5 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 1.5 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, 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 $17.95 for nonmembers.

JWOCN0122A

Learning Outcome: 75% of participants will demonstrate clinical reasoning regarding the importance of proper shoe selection for optimal foot health by achieving a minimum score of 70% on the outcomes-based posttest.

Learning Objectives: After completing this continuing professional development activity, the participant will be able to apply knowledge gained to a case scenario to:

1. Distinguish how foot morphology changes throughout adulthood.

2. Apply principles of proper shoe selection for best foot protection and stability.

3. Identify an issue related to insurance coverage for therapeutic footwear.

4. List problems with ill-fitting shoes.

1. Foot shape changes throughout adulthood until about the age of

a. 65 years.

b. 75 years.

c. 85 years.

2. Which part of the foot changes shape most notably over time, especially in women?

a. the hindfoot

b. the midfoot

c. the forefoot

3. A drawback of the Brannock Device for foot measurement is that this device does not

a. give a comprehensive measurement of the foot.

b. use a national or international standard for shoe sizing.

c. measure from the heel to the ball of the foot.

4. Therapeutic footwear may be covered by health insurance for a diabetic person if that person has a comprehensive plan for diabetes and has at least one specified condition, including

a. deep vein thrombosis.

b. a glycosylated hemoglobin (HBA1c) > 7%.

c. poor circulation.

Case-based assessment: Placing yourself in the role of the care provider, use the scenario below to apply the knowledge and skills you learned in the attached article.

Questions #5 through #8 are based on this case scenario:

JL is an 80-year-old woman with a history of diabetes mellitus and bilateral foot pain for approximately 6 months. She has been seen by her podiatrist in the past for the treatment of plantar fasciitis and bunions.

5. JL walks toward you when she arrives for her appointment. What observation might indicate that she is wearing poorly fitting shoes?

a. longer stride length

b. faster walking

c. irregular gait

6. When you help JL remove her socks and shoes for a foot assessment, you notice that she is wearing no-slip socks. It is important to educate JL about the disadvantages of wearing these socks under shoes, including the fact that this practice

a. causes the shoes to be far too small.

b. wears out the knit fabric of the socks.

c. breaks down the no-slip pads so that they are ineffective as slippers.

7. JL asks you what type of shoes would best protect her feet and help prevent falls. You recommend that she find a shoe that has a

a. rigid shank/midsole.

b. slip-on design without fasteners.

c. soft heel counter.

8. JL needs advice on how to determine the proper size shoe to buy. You trace JL's foot (in a normal sock) and recommend that she holds this tracing to the bottom of her selected shoe and then buy a shoe that is about how much longer and wider than her foot?

a. 1 cm

b. 1.5 cm

c. 2 cm