NAECB Self-Management Plans 4

Question 1

Which factor is most important when individualizing an asthma action plan for an elderly patient?

Accepted Answer

Accounting for comorbidities, polypharmacy, and cognitive or dexterity limitations

Answer

Elderly patients may have comorbidities, multiple medications, and physical limitations that must be considered when tailoring an action plan.

Question 2

A patient with mild persistent asthma is stepping down therapy. How should this change be reflected in the action plan?

Accepted Answer

The action plan should be revised to reflect the new controller medication and doses

Answer

Any change in asthma therapy, including step-down, requires updating the action plan to accurately reflect current medications and instructions.

Question 3

A patient asks whether they can use their action plan to manage asthma triggered by mold exposure at work. The asthma educator should respond that:

Accepted Answer

The action plan applies to all asthma triggers and should also address exposure reduction strategies

Answer

Action plans are applicable regardless of the trigger; trigger avoidance strategies should also be incorporated alongside zone-based management.

Question 4

Peak flow monitoring is recommended as part of asthma self-management primarily for patients who:

Accepted Answer

Have moderate-to-severe asthma or are poor perceivers of airflow obstruction

Answer

Peak flow monitoring is most beneficial for patients with moderate-to-severe asthma or those who do not reliably perceive changes in their lung function.

Question 5

A patient's asthma action plan lists ipratropium bromide as an additional rescue medication. This is MOST appropriate for which scenario?

Accepted Answer

Severe exacerbations when added benefit is needed alongside a SABA

Answer

Ipratropium bromide may be added to SABA in severe exacerbations for additional bronchodilation, typically in RED zone emergency protocols.

NAECB Exam Practice Test

NAECB Exam Practice Test

NAECB Self-Management Plans 4