PNC Treatment Planning & Management 2 ā Questions and Answers
Question 1: A parish nurse is developing a care plan for a congregant with newly diagnosed Type 2 diabetes. Which action should be prioritized first?
- Schedule a follow-up appointment in 3 months
- Conduct a comprehensive health and spiritual assessment (Correct answer)
- Distribute pamphlets about diabetic diets
- Refer immediately to an endocrinologist
Correct answer: Conduct a comprehensive health and spiritual assessment
A comprehensive assessment of physical, emotional, and spiritual needs is the foundation of any individualized care plan in parish nursing.
Question 2: When setting goals with a congregant in a treatment plan, the parish nurse should ensure goals are:
- Set by the nurse based on clinical expertise
- Broad to allow flexibility in outcomes
- Specific, measurable, and mutually agreed upon (Correct answer)
- Identical to goals used for similar diagnoses
Correct answer: Specific, measurable, and mutually agreed upon
Effective treatment goals must be SMARTāspecific, measurable, achievable, relevant, and time-boundāand developed collaboratively with the client.
Question 3: A parish nurse identifies that an elderly congregant is non-adherent to prescribed medications. The best initial intervention is to:
- Notify the congregation's pastor
- Alert the prescribing physician immediately
- Explore barriers to adherence through open-ended conversation (Correct answer)
- Simplify the medication regimen without consulting the physician
Correct answer: Explore barriers to adherence through open-ended conversation
Understanding the root causes of non-adherenceāsuch as cost, side effects, or beliefsāguides individualized and effective interventions.
Question 4: Which model is most consistent with the parish nursing approach to treatment planning?
- Biomedical model focused on disease cure
- Paternalistic model where the nurse decides care
- Holistic model integrating body, mind, and spirit (Correct answer)
- Behavioral model focused solely on lifestyle change
Correct answer: Holistic model integrating body, mind, and spirit
Parish nursing is grounded in a holistic health philosophy that addresses the physical, emotional, social, and spiritual dimensions of care.
Question 5: A parish nurse is managing care for a congregant recovering from a stroke. To promote independence, which approach is most appropriate?
- Complete all tasks for the congregant to prevent injury
- Encourage reliance on family members for all daily activities
- Collaborate with the congregant on self-care goals within their abilities (Correct answer)
- Defer all rehabilitation decisions to the physical therapist
Correct answer: Collaborate with the congregant on self-care goals within their abilities
Empowering clients to participate in self-care within their capacity supports dignity, independence, and faster recovery.
Question 6: A congregant with chronic pain reports that prayer and spiritual practices reduce their discomfort. How should the parish nurse incorporate this into the treatment plan?
- Discourage spiritual practices as unrelated to clinical care
- Document it but exclude it from the formal care plan
- Integrate spiritual practices as a complementary component of pain management (Correct answer)
- Suggest the congregant replace medications with spiritual practices
Correct answer: Integrate spiritual practices as a complementary component of pain management
Parish nursing recognizes spirituality as a legitimate and complementary component of health management and should be included in individualized care plans.
Question 7: During treatment plan evaluation, a parish nurse finds that a congregant's blood pressure has not improved after 6 weeks of lifestyle modification. The nurse should:
- Continue the same plan for another 6 weeks
- Reassess the plan and consult with the primary care provider (Correct answer)
- Immediately stop all current interventions
- Increase exercise requirements without further assessment
Correct answer: Reassess the plan and consult with the primary care provider
When outcomes are not met, the nurse must reassess, identify barriers, revise the plan, and consult appropriate healthcare providers.
PNC Treatment Planning & Management 2
A parish nurse is developing a care plan for a congregant with newly diagnosed Type 2 diabetes.
Which action should be prioritized first?