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

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?

Accepted Answer

Chronic Disease Self-Management Program (CDSMP)

Answer

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:

Accepted Answer

Less than 140/90 mmHg

Answer

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?

Accepted Answer

Cigarette smoking

Answer

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?

Accepted Answer

Smoking cessation counseling and resources

Answer

Smoking cessation is the single most effective intervention to slow COPD progression; it must be the top priority in any COPD management plan.

NCAS - Nursing Community Assessment Service Practice Test

NCAS - Nursing Community Assessment Service Practice Test

NCAS Chronic Disease Management