CDCES Behavior Change and Patient Education

Question 1

A patient with type 2 diabetes says: I know I should exercise, but I just cannot seem to get started.
According to the Transtheoretical Model (TTM), which stage of change does this patient most likely represent?

Accepted Answer

Contemplation

Answer

Precontemplation

Answer

Preparation

Answer

Action

Question 2

Which communication technique is most aligned with the principles of motivational interviewing (MI) when a patient expresses ambivalence about starting insulin therapy?

Accepted Answer

Reflect the patient's ambivalence and explore the discrepancy between their current behavior and their stated values

Answer

Warn the patient about the serious complications of refusing insulin

Answer

Tell the patient that insulin is the best option and provide information until they agree

Answer

Agree that insulin is optional and defer the conversation to the next visit

Question 3

A CDCES is assessing a patient's diabetes distress. Which validated tool is most appropriate for screening diabetes distress specifically?

Accepted Answer

PAID (Problem Areas In Diabetes scale)

Answer

PHQ-9 (Patient Health Questionnaire-9)

Answer

GAD-7 (Generalized Anxiety Disorder-7)

Answer

DAST-10 (Drug Abuse Screening Test)

Question 4

During a DSMES session, a CDCES uses the teach-back method. Which patient statement confirms successful teach-back?

Accepted Answer

So I should check my blood sugar before meals and 2 hours after, and call you if it is over 180 twice in a row

Answer

Yes, I understand (patient nods head)

Answer

Can you write that down for me?

Answer

I will try my best to remember

Question 5

Which framework emphasizes addressing the social determinants of health (SDOH) as integral to diabetes education and support?

Accepted Answer

All of the above, integrated into person-centered DSMES practice

Answer

The ADCES7 Self-Care Behaviors framework

Answer

The Chronic Care Model (CCM)

Answer

The Biopsychosocial model

Question 6

A CDCES uses the 5 A's framework during a behavior change counseling session. Which sequence correctly describes the 5 A's?

Accepted Answer

Ask, Assess, Advise, Assist, Arrange

Answer

Assess, Acknowledge, Advise, Assist, Arrange

Answer

Ask, Advise, Agree, Assess, Assist

Answer

Assess, Advise, Agree, Assist, Arrange