Registration Form for Continuing Education Credit

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Excerpt

JOURNAL OF ADDICTIONS 23(2) NURSING CE CREDIT
Article: Adolescents and Inhalant Abuse: How Huffing Affects the Myelin Sheath (23-2)
CE Instructions
1. Read the article.
2. Locate the answer sheet and posttest questions following the article.
3. Complete the posttest questions and program evaluation by circling the selected responses on the answer sheet.
4. Fill out the registration form.
5. Send registration form, answer sheet, and a check for $15.00 to:
Continuing Nursing Education
IntNSA
PO Box 14846
Lenexa, KS 66285-4846
6. Send before June 30, 2014
Within three weeks after receipt of your posttest and registration, you will be notified of your results. A passing score is 70%. If you pass, your CE certificate will be forwarded to you. If you do not pass, you will be notified and may repeat the test once at no cost.
Note: This continuing nursing education activity was approved by the PA State Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.
Approved status refers only to CE activities and does not imply ANCC COA and PA Nurses endorsement of any commercial product.
Registration Information:
Name: _____
Address: _____
City/State/Zip: _____
Social Security Number: _____
State(s) of Licensure: _____
Telephone Number: _____
Article: Adolescents and Inhalant Abuse: How Huffing Affects the Myelin Sheath (23-2)
Posttest for Continuing Education Credit
Answer Sheet for Continuing Education Credit & Evaluation Form
Article: Adolescents and Inhalant Abuse: How Huffing Affects the Myelin Sheath (23-2)
Continuing Education Credit: 1.0 contact hour
Purpose: To examine the nature of the impact and damage of inhaled chemicals on structures in the brain and other parts of the nervous system.
At the completion of the article and the posttest, the reader should be able to;
Posttest Answer sheet: (Please circle selected response.)
Select a for true and b for false in true-false questions.
Program Evaluation
How long did this program and posttest take to complete? ___hours.
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