Ambulatory Care Chronic Disease Management Questions and Answers

Question 1

A 68-year-old patient with a new diagnosis of type 2 diabetes expresses anxiety about managing their condition.
According to the principles of chronic care management in an ambulatory setting, which of the following is the most effective initial intervention by the nurse?

Accepted Answer

Collaborating with the patient to set one small, achievable self-management goal for the next week.

Answer

Providing the patient with a detailed brochure about diabetes and a list of approved foods.

Answer

Arranging a follow-up appointment with the endocrinologist in three months.

Answer

Instructing the patient to check their blood sugar four times a day and keep a detailed log.

Question 2

An ambulatory care nurse is reviewing the plan of care for a patient with hypertension. According to the 2025 AHA/ACC guidelines, which of the following represents the universal blood pressure treatment goal for most adults?

Accepted Answer

Less than 130/80 mm Hg

Answer

Less than 140/90 mm Hg

Answer

Less than 120/80 mm Hg

Answer

Less than 150/90 mm Hg for patients over 60

Question 3

A patient with Chronic Obstructive Pulmonary Disease (COPD) calls the ambulatory clinic reporting increased shortness of breath, more coughing, and a change in sputum color. According to a typical COPD action plan, these symptoms would place the patient in which zone?

Accepted Answer

Yellow Zone

Answer

Green Zone

Answer

Red Zone

Answer

Blue Zone

Question 4

Which of the following best describes the role of an interdisciplinary team in the ambulatory management of a patient with multiple chronic conditions?

Accepted Answer

A collaborative group of healthcare professionals who work interdependently to establish shared treatment goals and plans.

Answer

A group of specialists who independently provide consultations to the primary care provider.

Answer

A system where the physician makes all care decisions and delegates tasks to other professionals.

Answer

A hierarchical structure led by a nurse care manager who coordinates all referrals and appointments.

Question 5

An ambulatory care nurse is performing a yearly review for a patient with well-controlled type 2 diabetes. As part of comprehensive chronic disease management, which of the following is essential to include in the annual plan of care?

Accepted Answer

Scheduling a dilated eye exam and obtaining a urine test for microalbumin.

Answer

Discontinuing home blood glucose monitoring as long as the A1c is stable.

Answer

Administering a pneumonia vaccine every five years.

Answer

Checking fasting blood glucose only on the day of the annual visit.

Question 6

The primary goal of self-management support in chronic disease care is to:

Accepted Answer

Empower the patient with skills and confidence to actively participate in managing their health.

Answer

Ensure the patient strictly adheres to the physician's prescribed treatment plan.

Answer

Transfer all responsibility for care from the provider to the patient.

Answer

Provide pre-printed educational materials about the specific disease.