SHERPATH Collaborative Care Of
Hypertension Questions And Correct
Answers Latest Version
ANS✔✔ Patients must make dietary changes and take medications that help
control the blood pressure.
ANS✔✔ Treatment for patients with hypertension is focused on achieving
and maintaining a goal blood pressure, and on reducing cardiovascular risk
and target organ disease. Lifestyle modifications are indicated for all patients
with prehypertension and hypertension. These modification measures
include:
weight reduction
sodium reduction
regular physical activity
moderation of alcohol consumption
management of psychosocial risk factors
avoidance of tobacco use
In hypertensive patients younger than 60 years of age, the goal BP should be
140/90 mm Hg, the same threshold used in patients 18 years or older with
either chronic kidney disease (CKD) or diabetes.
Dietary Management of Patients with Hypertension ANS✔✔ Patients who eat
high fat, high sodium foods, and foods high in sugar, are at an increased risk
for hypertension and for developing complications of the condition. Dietary
management of hypertension includes sodium restriction (less than 2300
mg/day) and implementation of the DASH eating plan. DASH is rich in
, vegetables, fruit, and nonfat dairy products. This diet also contains less red
meat, as well as fewer foods and beverages containing added sugars.
Men should also limit their intake of alcohol to no more than two drinks per
day, and women and lighter-weight men to no more than one drink per day.
Risk Reduction Strategies for the Patient with Hypertension ANS✔✔ Increase
Physical Activity
Implement Strength Training
Manage Stress and Other Psychosocial Risk Factors
Decrease Nicotine Use
Increase physical activity ANS✔✔ Adults should perform moderate-intensity
aerobic physical activity for at least 30 minutes most days or vigorous-
intensity aerobic activity for at least 20 minutes 3 days a week.
Implement strength training ANS✔✔ Muscle-strengthening activities should
be performed at least twice a week. Flexibility and balance exercises are
recommended at least twice a week for older adults, especially for those at
risk for falls.
Manage stress and other psychosocial risk factors ANS✔✔ Psychosocial risk
factors, such as stress, anxiety, and other psychiatric conditions, can
contribute to the risk of developing cardiovascular disease (CVD) and to a
poorer prognosis and clinical course in patients with CVD. Referral to
counseling may be necessary to help the patient manage stress and other
psychological conditions.
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