Lifestyle Management & Patient Education Flashcards
7 cards from real BC ADM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Lifestyle Management & Patient Education flashcards as text
Which patient education approach has the STRONGEST evidence for improving diabetes self-management outcomes?
Answer: Group-based self-management education with peer support
Group-based DSME with peer support combines expert instruction with social support, producing sustained improvements in self-management behaviors and A1C.
A patient with T2DM asks about meal timing. Based on current evidence, which statement about breakfast and glycemic control is MOST accurate?
Answer: Eating a large breakfast is associated with better glycemic control and lower total daily glucose exposure
Front-loading calories with a larger breakfast and smaller dinner is associated with improved postprandial glycemia and lower 24-hour glucose profiles.
When educating a patient on sick-day management, which instruction regarding insulin use is MOST appropriate for a patient with T1DM?
Answer: Continue basal insulin and adjust bolus insulin based on blood glucose and ketone levels
Basal insulin must be continued during illness; bolus doses should be adjusted based on frequent glucose monitoring and ketone testing.
A patient asks about the role of dietary fiber in diabetes management. The MOST evidence-supported response is:
Answer: Soluble fiber slows gastric emptying and glucose absorption, improving postprandial glycemia
Soluble fiber forms a viscous gel in the gut that slows glucose absorption, blunting postprandial glucose spikes.
Which assessment tool is MOST appropriate for screening diabetes-related distress in clinical practice?
Answer: PAID (Problem Areas in Diabetes scale)
The PAID scale is specifically validated to assess emotional distress related to diabetes management, distinguishing it from general depression or anxiety tools.
A patient with T2DM is interested in intermittent fasting. Which consideration is MOST important for the diabetes care specialist to address FIRST?
Answer: The impact on medication timing and risk of hypoglycemia, especially with sulfonylureas or insulin
Fasting periods significantly alter medication timing requirements, and sulfonylureas and insulin carry high hypoglycemia risk during extended fasting.
Which principle of adult learning (andragogy) is MOST relevant when designing diabetes education for older adults?
Answer: Adults are self-directed learners who are motivated by immediate relevance to their lives
Andragogy recognizes that adults are self-directed and learn best when education is immediately relevant to their real-life problems and goals.