NCAS Chronic Disease Management

Question 1

Which of the following is the MOST effective community-level strategy to reduce Type 2 diabetes incidence in high-risk populations?

Accepted Answer

CDC-recognized Diabetes Prevention Program (DPP) offering structured lifestyle intervention

Answer

Universal insulin distribution

Answer

Eliminating all carbohydrates from school menus

Answer

Annual diabetes screening without follow-up

Question 2

A community health nurse is creating a chronic disease self-management program. Which approach, developed at Stanford University, is most evidence-based for community settings?

Accepted Answer

Chronic Disease Self-Management Program (CDSMP)

Answer

Medical Outcomes Study Short Form

Answer

Agency for Healthcare Research PCMH model

Answer

Population pyramid analysis

Question 3

For a patient with hypertension, the Joint National Committee (JNC) target blood pressure for most adults under 60 is:

Accepted Answer

Less than 140/90 mmHg

Answer

Less than 160/100 mmHg

Answer

Less than 120/80 mmHg at all ages

Answer

Less than 150/90 mmHg

Question 4

Which of the following chronic disease risk factors is classified as MODIFIABLE?

Accepted Answer

Cigarette smoking

Answer

Age

Answer

Family history of heart disease

Answer

Race/ethnicity

Question 5

A community health nurse is counseling a patient with COPD on self-management. Which action should be PRIORITIZED first?

Accepted Answer

Smoking cessation counseling and resources

Answer

Prescribing inhaled bronchodilators

Answer

Enrolling in pulmonary rehabilitation only

Answer

Monitoring oxygen saturation daily

Question 6

Which of the following is a key principle of the Chronic Care Model (CCM) developed by Wagner et al.?

Accepted Answer

Proactive delivery of planned care through informed, activated patients and prepared practice teams

Answer

Reactive care based on episodic emergency visits only

Answer

Physician-only management without community support

Answer

Limiting patient education to reduce over-utilization