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The Journal for Nurse Practitioners Continuing Education Credit Application
The Journal for Nurse Practitioners Continuing Education Credit Application Title: Matching Insulin to Patient with Insulin Analogs Contact Hours: 1.0 CE Code TJNP 0207 Please Print Clearly. Activity Valid until February 2008 Name: ________________________ Address for mailing certificate: ___________________________________ Phone number: ___________________________________Email: _______________________________________ To receive CE credits, read the article, answer each question, and mail this whole page, along with your processing fee check for $10 made out to Elsevier, PO Box 540, Ellicott City, MD 21041-0540 OR go to The Journal for Nurse Practitioners online at www.npjournal.org, where CE is provided without charge.
Circle the best answer for each question. Required minimum passing score is 70%. 1. Because of the rapid acting insulin analog, premixed insulin analogs should be injected: A. B. C. D.
A. B. C. D.
Close to meal time 30 minutes before a meal Within 1 hour of a meal After a meal
2. When prescribing premixed insulin analogs, the nurse practitioner should consider all of the following except: A. B. C. D.
4. Insulin replacement therapy is typically delayed because:
Ease of delivery of the insulin prescribed Psychosocial issues Family history of insulin use Physiologic insulin replacement needs
3. Mixing rapid acting insulin analogs with basal insulin analogs (mixing two types of insulin) is preferred over using premixed insulin analogs when: A. There is a greater potential for mixing errors B. Patients are not willing to take more than two injections per day C. Formulary does not pay for premixed insulin analogs in pen-type devices D. Meal times vary widely so the mixed analogs do not match the patient’s schedule
Patients fear insulin Providers are too busy to initiate insulin therapy Patients do not keep follow-up appointments Providers are not sensitive to psychosocial issues surrounding insulin therapy
5. To evaluate the dose of premixed insulin analogs prescribed twice per day, patients should monitor blood glucose levels: A. B. C. D.
Fasting only Before and 2 hours after breakfast and dinner Bedtime only Before and 2 hours after meals and bedtime
6. Knowing that pancreatic -cell failure occurs progressively in type 2 diabetes helps the NP: A. Prescribe insulin therapy to obese patients only B. Present insulin therapy to newly diagnosed patients as one of many treatment options C. Use insulin therapy as a threat to motivate patients toward self-care D. Initiate insulin therapy during treatment of diabetic ketoacidosis
EVALUATION OF CE ACTIVITY
1. 2. 3. 4. 5. 6. 7. 8. 9.
Listed below are the educational activity objectives. Please rate the extent to which you are now able to meet each of the objectives (with 1 as the lowest ranking; 5 as the highest ranking): Low High List two advantages of premixed insulin analogs. 1 2 3 4 5 Identify type 2 diabetes as a progressive disease with beta cell deterioration. 1 2 3 4 5 Explain why premixed insulin formulations are difficult for patients whose meal times 1 2 3 4 5 vary widely. 1 2 3 4 5 The objectives clearly relate to the purpose/goals of the activity. 1 2 3 4 5 The teaching method was appropriate and effective for the content presented. 1 2 3 4 5 The information presented was accurate, current, and at an appropriate level. 1 2 3 4 5 This activity met my personal professional expectations. 1 2 3 4 5 This content was relevant to my practice as a nurse practitioner. 1 2 3 4 5 Overall, I would rate this activity
Minutes required to read the article and complete the questions __________________________
COMMENTS: This 1.0 contact hour educational activity is provided by Nurse Practitioner Alternatives, Inc. NPAI is an approved provider of continuing nursing education by the Maryland Nurses Association, an accredited approver by the American Nurses Credential Center’s Commission on Accreditation. This credit is calculated on a 60 minute hour. For questions regarding the content of this activity, contact [email protected]
Circle the best answer for each question. Required minimum passing score is 70%. 1. Because of the rapid acting insulin analog, premixed insulin analogs should be injected: A. B. C. D.
A. B. C. D.
Close to meal time 30 minutes before a meal Within 1 hour of a meal After a meal
2. When prescribing premixed insulin analogs, the nurse practitioner should consider all of the following except: A. B. C. D.
4. Insulin replacement therapy is typically delayed because:
Ease of delivery of the insulin prescribed Psychosocial issues Family history of insulin use Physiologic insulin replacement needs
3. Mixing rapid acting insulin analogs with basal insulin analogs (mixing two types of insulin) is preferred over using premixed insulin analogs when: A. There is a greater potential for mixing errors B. Patients are not willing to take more than two injections per day C. Formulary does not pay for premixed insulin analogs in pen-type devices D. Meal times vary widely so the mixed analogs do not match the patient’s schedule
Patients fear insulin Providers are too busy to initiate insulin therapy Patients do not keep follow-up appointments Providers are not sensitive to psychosocial issues surrounding insulin therapy
5. To evaluate the dose of premixed insulin analogs prescribed twice per day, patients should monitor blood glucose levels: A. B. C. D.
Fasting only Before and 2 hours after breakfast and dinner Bedtime only Before and 2 hours after meals and bedtime
6. Knowing that pancreatic -cell failure occurs progressively in type 2 diabetes helps the NP: A. Prescribe insulin therapy to obese patients only B. Present insulin therapy to newly diagnosed patients as one of many treatment options C. Use insulin therapy as a threat to motivate patients toward self-care D. Initiate insulin therapy during treatment of diabetic ketoacidosis
EVALUATION OF CE ACTIVITY
1. 2. 3. 4. 5. 6. 7. 8. 9.
Listed below are the educational activity objectives. Please rate the extent to which you are now able to meet each of the objectives (with 1 as the lowest ranking; 5 as the highest ranking): Low High List two advantages of premixed insulin analogs. 1 2 3 4 5 Identify type 2 diabetes as a progressive disease with beta cell deterioration. 1 2 3 4 5 Explain why premixed insulin formulations are difficult for patients whose meal times 1 2 3 4 5 vary widely. 1 2 3 4 5 The objectives clearly relate to the purpose/goals of the activity. 1 2 3 4 5 The teaching method was appropriate and effective for the content presented. 1 2 3 4 5 The information presented was accurate, current, and at an appropriate level. 1 2 3 4 5 This activity met my personal professional expectations. 1 2 3 4 5 This content was relevant to my practice as a nurse practitioner. 1 2 3 4 5 Overall, I would rate this activity
Minutes required to read the article and complete the questions __________________________
COMMENTS: This 1.0 contact hour educational activity is provided by Nurse Practitioner Alternatives, Inc. NPAI is an approved provider of continuing nursing education by the Maryland Nurses Association, an accredited approver by the American Nurses Credential Center’s Commission on Accreditation. This credit is calculated on a 60 minute hour. For questions regarding the content of this activity, contact [email protected]