PNC Chronic Disease Management 2

Question 1

The chronic care model emphasizes which approach as central to effective chronic disease management?

Accepted Answer

Informed, activated patient and prepared, proactive care team

Answer

Physician-directed care with minimal patient input

Answer

Hospital-based specialty care coordination

Answer

Pharmacist-led medication management programs

Question 2

A parish nurse notices a congregant with chronic heart failure has developed sudden onset of worsening shortness of breath and orthopnea. This finding most likely indicates:

Accepted Answer

Acute decompensation requiring immediate medical attention

Answer

Stable chronic disease course

Answer

Normal exacerbation requiring monitoring only

Answer

Side effect of dietary sodium restriction

Question 3

When counseling a patient on anticoagulation therapy with warfarin, which dietary component must be kept consistent because it affects INR levels?

Accepted Answer

Vitamin K intake

Answer

Vitamin C intake

Answer

Calcium intake

Answer

Iron intake

Question 4

The 'teach-back' method is most appropriately used by a parish nurse when:

Accepted Answer

Confirming that a patient understands health education provided

Answer

Reviewing a patient's chart for accuracy

Answer

Teaching other nursing staff about procedures

Answer

Assessing a patient's vital signs

Question 5

Which action should a parish nurse teach a congregant with rheumatoid arthritis to take during a disease flare?

Accepted Answer

Rest affected joints while continuing gentle range-of-motion exercises

Answer

Increase weight-bearing exercises to maintain strength

Answer

Apply heat to affected joints and resume full activity

Answer

Discontinue all prescribed medications until symptoms resolve

Question 6

Annual diabetes screening using fasting glucose or HbA1c is recommended for which population group?

Accepted Answer

Adults aged 35-70 who are overweight or obese

Answer

All adults over age 30 regardless of risk factors

Answer

Only adults with a family history of Type 1 diabetes

Answer

Adults over 65 with normal weight only

Question 7

The '5 A's' behavioral counseling framework (Ask, Advise, Assess, Assist, Arrange) is most commonly applied in chronic disease management for which purpose?

Accepted Answer

Supporting smoking cessation and health behavior change

Answer

Conducting a comprehensive physical assessment

Answer

Arranging specialist referrals for complex cases

Answer

Assessing medication side effects in elderly patients