NCAS Chronic Disease Management 1 — Questions and Answers
Question 1: Which of the following is the MOST effective community-level strategy to reduce Type 2 diabetes incidence in high-risk populations?
- CDC-recognized Diabetes Prevention Program (DPP) offering structured lifestyle intervention (Correct answer)
- Universal insulin distribution
- Eliminating all carbohydrates from school menus
- Annual diabetes screening without follow-up
Correct answer: CDC-recognized Diabetes Prevention Program (DPP) offering structured lifestyle intervention
The CDC-recognized DPP, which promotes modest weight loss through diet and physical activity, reduces Type 2 diabetes risk by 58% in high-risk adults.
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?
- Chronic Disease Self-Management Program (CDSMP) (Correct answer)
- Medical Outcomes Study Short Form
- Agency for Healthcare Research PCMH model
- Population pyramid analysis
Correct answer: Chronic Disease Self-Management Program (CDSMP)
The Stanford CDSMP is an evidence-based peer-led workshop proven to improve self-efficacy, health behaviors, and outcomes for people with chronic conditions.
Question 3: For a patient with hypertension, the Joint National Committee (JNC) target blood pressure for most adults under 60 is:
- Less than 140/90 mmHg (Correct answer)
- Less than 160/100 mmHg
- Less than 120/80 mmHg at all ages
- Less than 150/90 mmHg
Correct answer: Less than 140/90 mmHg
For most adults, the JNC and ACC/AHA guidelines recommend a blood pressure target of less than 140/90 mmHg to reduce cardiovascular risk.
Question 4: Which of the following chronic disease risk factors is classified as MODIFIABLE?
- Cigarette smoking (Correct answer)
- Age
- Family history of heart disease
- Race/ethnicity
Correct answer: Cigarette smoking
Cigarette smoking is a modifiable risk factor for numerous chronic diseases, unlike age, family history, and race/ethnicity which cannot be changed.
Question 5: A community health nurse is counseling a patient with COPD on self-management. Which action should be PRIORITIZED first?
- Smoking cessation counseling and resources (Correct answer)
- Prescribing inhaled bronchodilators
- Enrolling in pulmonary rehabilitation only
- Monitoring oxygen saturation daily
Correct answer: Smoking cessation counseling and resources
Smoking cessation is the single most effective intervention to slow COPD progression; it must be the top priority in any COPD management plan.
Question 6: Which of the following is a key principle of the Chronic Care Model (CCM) developed by Wagner et al.?
- Proactive delivery of planned care through informed, activated patients and prepared practice teams (Correct answer)
- Reactive care based on episodic emergency visits only
- Physician-only management without community support
- Limiting patient education to reduce over-utilization
Correct answer: Proactive delivery of planned care through informed, activated patients and prepared practice teams
The Chronic Care Model emphasizes proactive, planned interactions between prepared health care teams and informed, activated patients to improve chronic disease outcomes.
NCAS Chronic Disease Management 1
Which of the following is the MOST effective community-level strategy to reduce Type 2 diabetes incidence in high-risk populations?