NCAS Chronic Disease Management 3

Question 1

A community health nurse is using motivational interviewing to support a patient's diabetes self-management. Which response BEST reflects the motivational interviewing spirit?

Accepted Answer

'What changes, if any, are you thinking about making to your diet?'

Answer

'You must cut out all sugar immediately or your diabetes will worsen.'

Answer

'I'll give you a strict meal plan to follow.'

Answer

'Most people in your situation fail to change their diet.'

Question 2

Which US public health initiative set national targets for reducing chronic disease and is updated every 10 years?

Accepted Answer

Healthy People (currently Healthy People 2030)

Answer

National Health Interview Survey

Answer

Centers for Disease Control Priority Agenda

Answer

Joint Commission National Patient Safety Goals

Question 3

In community-based chronic disease programs, what does the acronym 'SMART' refer to when setting health goals?

Accepted Answer

Specific, Measurable, Achievable, Relevant, Time-bound

Answer

Simple, Monitored, Accurate, Reported, Timed

Answer

Structured, Medical, Assessed, Reviewed, Tracked

Answer

Shared, Managed, Agreed, Referenced, Tested

Question 4

A community nurse is planning a hypertension management program. Which dietary approach has the strongest evidence for lowering blood pressure?

Accepted Answer

DASH (Dietary Approaches to Stop Hypertension) diet

Answer

Atkins low-carbohydrate diet

Answer

Mediterranean diet only

Answer

Gluten-free diet

Question 5

Which of the following best describes the role of community health workers (CHWs) in chronic disease management?

Accepted Answer

Trusted community members who provide navigation, education, and support to bridge patients and health systems

Answer

Licensed nurses who prescribe medications

Answer

Hospital administrators managing care pathways

Answer

Insurance company case managers

Question 6

A patient with chronic kidney disease (CKD) Stage 3 asks the community nurse about dietary restrictions. Which restriction is MOST important?

Accepted Answer

Limiting phosphorus, potassium, and sodium intake to protect remaining kidney function

Answer

Increasing protein intake to build strength

Answer

Avoiding all vegetables due to potassium content

Answer

Restricting only fluid intake