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

The chronic care model centers on productive interactions between an informed, activated patient and a prepared, proactive practice team to achieve improved health outcomes.

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

Sudden worsening dyspnea and orthopnea in a heart failure patient are classic signs of acute decompensation, requiring immediate medical evaluation to prevent hospitalization or death.

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 K directly affects warfarin's anticoagulant activity; inconsistent vitamin K intake causes INR fluctuations that increase risk of clotting or bleeding.

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

The teach-back method—asking patients to explain instructions back in their own words—verifies comprehension and is a best practice for health education and chronic disease self-management support.

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

During a rheumatoid arthritis flare, resting inflamed joints reduces stress and inflammation while gentle range-of-motion exercises preserve function without worsening the flare.

(PNC) Parish Nurse Certification Practice Test

(PNC) Parish Nurse Certification Practice Test

PNC Chronic Disease Management 2