Ambulatory Care Test Ambulatory Care Health Promotion and Education 5

Question 1

A patient with newly diagnosed hypertension asks about the role of sodium restriction. What is the recommended daily sodium intake limit for hypertensive adults?

Accepted Answer

Less than 2,300 mg/day, ideally 1,500 mg/day for greatest BP reduction

Answer

Current guidelines recommend less than 2,300 mg/day of sodium, with further reduction to 1,500 mg/day associated with the greatest blood pressure reduction in hypertensive individuals.

Question 2

Which approach is MOST effective when providing health education to a patient with low health literacy?

Accepted Answer

Use plain language, limit to 2-3 key messages, and confirm understanding with teach-back

Answer

Plain language, limiting key messages, and using teach-back are evidence-based strategies proven most effective for patients with low health literacy.

Question 3

A 55-year-old male patient has a blood pressure of 136/86 mmHg on two separate visits. Based on current ACC/AHA guidelines (2017), how should this be classified?

Accepted Answer

Stage 1 hypertension

Answer

The 2017 ACC/AHA guidelines classify BP 130-139/80-89 mmHg as Stage 1 hypertension, warranting lifestyle modification and consideration of pharmacotherapy based on ASCVD risk.

Question 4

When counseling a patient on smoking cessation, which pharmacotherapy is considered FIRST-LINE and is available over the counter?

Accepted Answer

Nicotine replacement therapy (NRT)

Answer

Nicotine replacement therapy (patches, gum, lozenges) is FDA-approved, available OTC, and considered first-line therapy for smoking cessation.

Question 5

A patient asks whether the herpes zoster (shingles) vaccine is appropriate for them. They are 58 years old and immunocompetent. What is the correct recommendation?

Accepted Answer

Receive Shingrix (RZV) as a 2-dose series; it is recommended for adults 50 and older

Answer

Shingrix is recommended for all immunocompetent adults 50 years and older as a 2-dose series given 2-6 months apart, regardless of prior shingles episode.

Ambulatory Care Test Practice Test

Ambulatory Care Test Practice Test

Ambulatory Care Test Ambulatory Care Health Promotion and Education 5