Chronic Disease Management Flashcards

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

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.

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?

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.

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

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.

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

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.

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

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.

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

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.