n CE Activity: Improving Cardiac Outcomes and Decreasing Health Care Costs
Thank you for your participation in Improving Cardiac Outcomes and Decreasing Health Care Costs, a new 0.5 contact hour CE activity offered by NYSNA. NYSNA members and non-members are invited to take part in this activity, and you do not need to be a resident of New York State.
INSTRUCTIONS: In order to receive contact hours for this educational activity, participants are to read the article presented in this issue of The Journal, complete and return the post-test, evaluation form, and earn 80% or better on the post-test. This activity is free to NYSNA members and $10 for non-members. Participants can pay by check (made out to NYSNA & please include CE code RPJT5K on your check) or credit card. The completed answer sheet and evaluation form may be mailed or faxed back to NYSNA; see the evaluation form for more information. The New York State Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. NYSNA wishes to disclose that no commercial support was received for this educational activity. All planners/authors involved with the development of this independent study have declared that they have no vested interest. GOAL: To shift health-care provider awareness towards a more holistic approach in improving cardiac outcomes and decreasing the cost of health care delivery. OBJECTIVES: By completion of the article, the reader should be able to: 1. Understand the role of plant-based diets in modifying coronary heart disease risk factors. 2. Apply knowledge to daily practice of counseling patients on coronary heart disease prevention and treatment. Please answer the questions below. Remember to complete the answer sheet by putting the letter of your corresponding answer next to the question number. Each question has only one correct answer. The 0.5 contact hours for this program will be offered until January 31, 2019. 1) In the U.S. coronary heart disease (CHD) is responsible for the deaths of how many individuals annually? a. 13,000 b. 25,000 c. 300,000 d. 600,000 2) Health-care expenditures related to CHD annually are approximately? a. $175,000 b. $14.8 billion c. $109 billion d. $167 billion 3) In a large prospective study participants from 24 socioeconomically 54
diverse sites demonstrated 88% adherence to the strict lifestyle/diet modification at 12 weeks. How many of these participants remained in the program at 1 year? a. 30% b. 45% c. 78% d. 92% 4) True or False: Individuals with hypertension are four times more likely to die from CVA and three times more likely to die from an MI. a. True b. False 5) In studying a group of 7th day Adventists, compared to individuals following a plant-based diet, those following a non-vegetarian diet (yet living a generally healthy lifestyle) were: a. ~3x more likely to be taking anti-HTN meds b. ~2x more likely to be overweight c. Less likely to suffer from a protein deficiency d. Generally healthier 6) True or False: Statin use has been shown in some studies to increase the risk of falls. a. True b. False 7) Plant-based diets have been shown to: a. Increase intima media thickness and decrease flow mediated dilatation b. Decrease mean arterial stenosis by 7% c. Decrease angina by 91% at 1 year and 72% at 5 years d. B and C only e. All of the above 8) When counseling a patient on the benefit of adopting a plant-based diet, the patient asks the nurse what nutrients will need to be supplemented once meat (including fish and chicken), eggs, and dairy are excluded from the diet. The nurse advises the patient: a. B12 is not found in sufficient amounts in plant-based foods unless they have been fortified b. Certain plant-based sources actually have greater bioavailability of calcium then milk c. Serum protein levels have not been found to be significantly different in those consuming plant-based diets and the American Dietetic Association agrees that protein needs can be met following a plantbased diet d. The idea of needing to consume “complementary” proteins to obtain all of the essential amino acids is no longer supported in the literature e. All of the above
Journal of the New York State Nurses Association, Volume 44, Number 2
