CDE Psychosocial Aspects of Diabetes 2

Question 1

Motivational interviewing (MI) is best described as:

Accepted Answer

A collaborative, person-centered counseling style that elicits and strengthens a person's own motivation for change

Answer

A confrontational approach to challenge unhealthy behaviors

Answer

A technique for providing comprehensive diabetes education efficiently

Answer

A behavior modification approach using rewards and punishments

Question 2

In the Health Belief Model, which concept refers to a patient's belief that they are personally at risk for developing diabetes complications?

Accepted Answer

Perceived susceptibility

Answer

Perceived benefits

Answer

Perceived barriers

Answer

Self-efficacy

Question 3

The empowerment approach to diabetes education is based on the belief that:

Accepted Answer

People with diabetes are responsible for and capable of making their own self-management decisions

Answer

The educator should set specific behavior goals on behalf of the patient

Answer

Prescriptive instruction is most effective for improving clinical outcomes

Answer

Clinical outcomes should be prioritized over patient experiences

Question 4

Which coping strategy is most associated with better long-term diabetes self-management outcomes?

Accepted Answer

Problem-focused and active coping strategies

Answer

Avoidant coping (ignoring diabetes-related demands)

Answer

Emotion-focused coping exclusively

Answer

Denial of the diabetes diagnosis

Question 5

When using the SMART framework to set diabetes self-management goals, SMART stands for:

Accepted Answer

Specific, Measurable, Achievable, Relevant, Time-bound

Answer

Simple, Medical, Achievable, Realistic, Timely

Answer

Structured, Motivating, Acceptable, Rewarding, Tracked

Answer

Short, Meaningful, Action-oriented, Reviewed, Tested

Question 6

Stress affects glycemic control primarily because:

Accepted Answer

Counter-regulatory hormones such as cortisol and epinephrine increase hepatic glucose production and impair insulin action

Answer

Patients inevitably eat more during periods of stress, directly raising blood glucose

Answer

Psychological stress causes permanent reduction in pancreatic insulin secretion

Answer

Psychological stress has no direct physiological effect on blood glucose levels

Question 7

Which of the following best describes "diabetes burnout"?

Accepted Answer

A state of emotional exhaustion in which a person disengages from and stops effectively managing their diabetes

Answer

Hypoglycemia-induced fatigue during exercise

Answer

A medical complication resulting from long-term insulin therapy

Answer

Physical fatigue caused by chronically poorly controlled blood glucose