,NUR 626 MODULE 4 Primary Care Across the Lifespan Practicum I
2026/2027 Questions And Answers SNHU
Q1. What best distinguishes longitudinal chronic disease
management from treatment of an isolated acute complaint?
A) Chronic management requires diagnostic testing at every encounter
B) Chronic management repeatedly evaluates disease control, treatment
effectiveness, complications, adherence, and changing patient goals
C) Acute complaints require more patient education than chronic conditions
D) Chronic conditions should remain on the same treatment once therapy
begins
Correct Answer: B) Chronic management repeatedly evaluates disease
control, treatment effectiveness, complications, adherence, and changing
patient goals
Rationale: Chronic disease management is iterative. Effective primary care
reassesses disease status, therapeutic response, adverse effects, adherence,
risk factors, complications, and the patient's circumstances over time rather
than treating each encounter as an isolated event.
Q2. A patient's blood pressure remains above the desired range
despite a prescribed treatment plan. Which step should occur
before assuming the regimen has failed pharmacologically?
A) Add another medication immediately
B) Refer every patient with uncontrolled blood pressure
C) Discontinue all current medications
D) Confirm measurements, medication use, adherence, lifestyle factors, and
possible contributing substances or conditions
Correct Answer: D) Confirm measurements, medication use, adherence,
lifestyle factors, and possible contributing substances or conditions
Rationale: Apparent treatment failure may reflect inaccurate
measurements, missed doses, medication interactions, dietary factors,
secondary contributors, or an ineffective regimen. Confirming these
elements prevents unnecessary escalation and helps identify the correct
reason for inadequate control.
, Q3. Which outcome is most useful when evaluating whether a
chronic disease management plan is effective?
A) A clinically meaningful change in predefined patient-centered and disease-
specific measures
B) The number of medications prescribed
C) The length of the progress note
D) Whether laboratory testing occurred at every visit
Correct Answer: A) A clinically meaningful change in predefined patient-
centered and disease-specific measures
Rationale: Treatment effectiveness should be judged against measurable
goals such as symptoms, function, physiologic targets, complication risk,
quality of life, or other condition-specific outcomes. More interventions do
not necessarily indicate better care.
Q4. An established chronic condition suddenly worsens after months
of stability. Which approach best supports safe reassessment?
A) Assume the natural history of the disease explains the change
B) Double every medication
C) Evaluate adherence, progression, new illness, medications, complications,
and alternative diagnoses
D) Delay reassessment until the next routine appointment
Correct Answer: C) Evaluate adherence, progression, new illness,
medications, complications, and alternative diagnoses
Rationale: Unexpected deterioration requires reconsideration of both the
condition and its management. New disease, medication effects,
complications, inconsistent treatment, or progression may all alter the
previously stable clinical picture.
Q5. Why should treatment goals for chronic disease be
individualized?
A) Published evidence cannot be applied in primary care
B) Expected benefits and burdens differ according to comorbidities,
functional status, preferences, risks, prognosis, and treatment feasibility
2026/2027 Questions And Answers SNHU
Q1. What best distinguishes longitudinal chronic disease
management from treatment of an isolated acute complaint?
A) Chronic management requires diagnostic testing at every encounter
B) Chronic management repeatedly evaluates disease control, treatment
effectiveness, complications, adherence, and changing patient goals
C) Acute complaints require more patient education than chronic conditions
D) Chronic conditions should remain on the same treatment once therapy
begins
Correct Answer: B) Chronic management repeatedly evaluates disease
control, treatment effectiveness, complications, adherence, and changing
patient goals
Rationale: Chronic disease management is iterative. Effective primary care
reassesses disease status, therapeutic response, adverse effects, adherence,
risk factors, complications, and the patient's circumstances over time rather
than treating each encounter as an isolated event.
Q2. A patient's blood pressure remains above the desired range
despite a prescribed treatment plan. Which step should occur
before assuming the regimen has failed pharmacologically?
A) Add another medication immediately
B) Refer every patient with uncontrolled blood pressure
C) Discontinue all current medications
D) Confirm measurements, medication use, adherence, lifestyle factors, and
possible contributing substances or conditions
Correct Answer: D) Confirm measurements, medication use, adherence,
lifestyle factors, and possible contributing substances or conditions
Rationale: Apparent treatment failure may reflect inaccurate
measurements, missed doses, medication interactions, dietary factors,
secondary contributors, or an ineffective regimen. Confirming these
elements prevents unnecessary escalation and helps identify the correct
reason for inadequate control.
, Q3. Which outcome is most useful when evaluating whether a
chronic disease management plan is effective?
A) A clinically meaningful change in predefined patient-centered and disease-
specific measures
B) The number of medications prescribed
C) The length of the progress note
D) Whether laboratory testing occurred at every visit
Correct Answer: A) A clinically meaningful change in predefined patient-
centered and disease-specific measures
Rationale: Treatment effectiveness should be judged against measurable
goals such as symptoms, function, physiologic targets, complication risk,
quality of life, or other condition-specific outcomes. More interventions do
not necessarily indicate better care.
Q4. An established chronic condition suddenly worsens after months
of stability. Which approach best supports safe reassessment?
A) Assume the natural history of the disease explains the change
B) Double every medication
C) Evaluate adherence, progression, new illness, medications, complications,
and alternative diagnoses
D) Delay reassessment until the next routine appointment
Correct Answer: C) Evaluate adherence, progression, new illness,
medications, complications, and alternative diagnoses
Rationale: Unexpected deterioration requires reconsideration of both the
condition and its management. New disease, medication effects,
complications, inconsistent treatment, or progression may all alter the
previously stable clinical picture.
Q5. Why should treatment goals for chronic disease be
individualized?
A) Published evidence cannot be applied in primary care
B) Expected benefits and burdens differ according to comorbidities,
functional status, preferences, risks, prognosis, and treatment feasibility
