A nurse is implementing Wagner's Chronic Care Model (CCM). Which ...

[ARLKQ]

A nurse is implementing Wagner's Chronic Care Model (CCM). Which of the following actions would most likely be taken by the nurse?
 
  a. Educate a community group about hyper-tension control
  b. Create a budget for chronic disease man-agement
  c. Administer immunizations to community members
  d. Conduct depression screenings in the community

Question 2

Current research on hormone replacement therapy (HRT) has found that it:
 
  a. does not prevent heart disease.
  b. should be used to prevent osteoporosis.
  c. is useful with complementary therapies.
  d. causes breast cancer.

[ngr69]

Answer to Question 1

ANS: A
Use of electronic health records, provider reminders for key evidence-based care components, interprofessional teams communicating regularly, and community health classes to educate people with chronic diseases are various ways the CCM is being implemented. Creating a budget is not a way to use CCM. Administration of immunizations and conducting depression screenings do not address the management of the most common and costly chronic diseases: heart disease, diabe-tes, stroke, cancer, and arthritis.

Answer to Question 2

ANS: A
HRT does not prevent heart disease. To prevent heart disease, women should avoid smoking, reduce fat and cholesterol intake, limit salt and alcohol, maintain a healthy weight, and be physi-cally active. HRT should be used to prevent osteoporosis only among women who are unable to take nonestrogen medications. HRT is not useful with complementary therapies and does not cause breast cancer.