AMBULATORY CARE NURSE CERTIFICATION
EXAM 4 2026 COMPLETE ANSWERS
CHRONIC CARE AND PREVENTIVE HEALTH
PRACTICE RESOURCE
◉ For patients with chronic pain, educational interventions should
include:
a. Masking nonverbal indications of pain to reduce the anxiety of
their family and other caregivers.
b. Learning to tolerate mild to moderate pain without interventions
to avoid addiction to pain medications.
c. Recognizing distraction and relaxation techniques are rarely
helpful in reducing pain significantly.
d. Understanding the length of action of various medications and
which can be taken together or alternately.
Answer: D. Understanding the length of action of various
medications and which can be taken together or alternately.
◉ Patients with chronic illnesses need to develop the ability to deal
with all the disease and its treatment entail. Core skills for chronic
disease self-management include:
a. Understanding the evidence-based guidelines.
b. Becoming familiar with community and Internet resources.
,c. Problem solving, decision making, and taking actions.
d. Focusing on the health issues that contribute to emergency
department visits or hospitalizations.
Answer: C. Problem-solving, decision making and taking actions.
◉ The Patient Protection and Affordable Care Act of 2010 (PPACA)
encourages health care providers to focus on efforts such as
implementing evidence-based educational programs and encourage
patient self-efficacy. What is the best definition of patient self-
efficacy?
a. The patient plays a central role in preventing and managing his or
her illness.
b. Health plans cover preventive services and wellness care, making
them more affordable to patients.
c. Nurses and other providers of health care are responsible for
reinforcing patients' and families' responsibility for health care.
d. The patient's perception of his or her own ability to attain health
care goals.
Answer: d. The patients perception of his or her own ability to attain
health care goals.
◉ The Centers for Disease Control recently set a goal to reduce the
number of unintended pregnancies in the United States by 30% in
the next few years. Nurses providing counseling should consider for
the following:
, a. Unintended pregnancies are most common in women in their 20's.
b. All contraceptive methods also protect against sexually
transmitted diseases.
c. Cultural and ethnic beliefs may affect family planning options.
d. With sufficient education about the contraceptive method chosen,
follow-up may not be necessary.
Answer: c. Cultural and ethnic beliefs may affect family planning
options.
◉ In counseling about childhood or adolescent drinking, which of
the following should be considered?
a. The physical and psychological effects of alcohol use.
b. Consumption of alcohol during pregnancy can lead to severe
physical and mental problems for the infant.
c. Risky drinking has been defined as more than four drinks per
occasion for males and more than three drinks per occasion for
females.
d. Speaking frequently with a child about drinking is likely to
alienate him or her and may have a negative rather than positive
effect on behavior.
Answer: a. The physical and psychological effects of alcohol use.
◉ Childhood obesity has become a national health problem in the
United States. Topics important to include in counseling for the
parents of school-aged children include:
EXAM 4 2026 COMPLETE ANSWERS
CHRONIC CARE AND PREVENTIVE HEALTH
PRACTICE RESOURCE
◉ For patients with chronic pain, educational interventions should
include:
a. Masking nonverbal indications of pain to reduce the anxiety of
their family and other caregivers.
b. Learning to tolerate mild to moderate pain without interventions
to avoid addiction to pain medications.
c. Recognizing distraction and relaxation techniques are rarely
helpful in reducing pain significantly.
d. Understanding the length of action of various medications and
which can be taken together or alternately.
Answer: D. Understanding the length of action of various
medications and which can be taken together or alternately.
◉ Patients with chronic illnesses need to develop the ability to deal
with all the disease and its treatment entail. Core skills for chronic
disease self-management include:
a. Understanding the evidence-based guidelines.
b. Becoming familiar with community and Internet resources.
,c. Problem solving, decision making, and taking actions.
d. Focusing on the health issues that contribute to emergency
department visits or hospitalizations.
Answer: C. Problem-solving, decision making and taking actions.
◉ The Patient Protection and Affordable Care Act of 2010 (PPACA)
encourages health care providers to focus on efforts such as
implementing evidence-based educational programs and encourage
patient self-efficacy. What is the best definition of patient self-
efficacy?
a. The patient plays a central role in preventing and managing his or
her illness.
b. Health plans cover preventive services and wellness care, making
them more affordable to patients.
c. Nurses and other providers of health care are responsible for
reinforcing patients' and families' responsibility for health care.
d. The patient's perception of his or her own ability to attain health
care goals.
Answer: d. The patients perception of his or her own ability to attain
health care goals.
◉ The Centers for Disease Control recently set a goal to reduce the
number of unintended pregnancies in the United States by 30% in
the next few years. Nurses providing counseling should consider for
the following:
, a. Unintended pregnancies are most common in women in their 20's.
b. All contraceptive methods also protect against sexually
transmitted diseases.
c. Cultural and ethnic beliefs may affect family planning options.
d. With sufficient education about the contraceptive method chosen,
follow-up may not be necessary.
Answer: c. Cultural and ethnic beliefs may affect family planning
options.
◉ In counseling about childhood or adolescent drinking, which of
the following should be considered?
a. The physical and psychological effects of alcohol use.
b. Consumption of alcohol during pregnancy can lead to severe
physical and mental problems for the infant.
c. Risky drinking has been defined as more than four drinks per
occasion for males and more than three drinks per occasion for
females.
d. Speaking frequently with a child about drinking is likely to
alienate him or her and may have a negative rather than positive
effect on behavior.
Answer: a. The physical and psychological effects of alcohol use.
◉ Childhood obesity has become a national health problem in the
United States. Topics important to include in counseling for the
parents of school-aged children include:
