CDE Psychosocial Aspects of Diabetes 3

Question 1

For a patient with mild diabetes distress, which of the following is the recommended first-line intervention?

Accepted Answer

Collaborative problem-solving, diabetes self-management education, and peer support

Answer

Immediate referral to a psychiatrist

Answer

Prescribing an antidepressant medication

Answer

Intensifying insulin therapy to achieve better glycemic control

Question 2

How does adequate social support most directly benefit a person with diabetes?

Accepted Answer

It improves adherence to self-management behaviors and reduces diabetes distress

Answer

It eliminates the need for diabetes medication

Answer

It serves as a substitute for formal diabetes self-management education

Answer

Research shows it has no measurable effect on clinical outcomes

Question 3

The Transtheoretical Model (Stages of Change) categorizes readiness to change into which sequence of stages?

Accepted Answer

Precontemplation, Contemplation, Preparation, Action, Maintenance

Answer

Awareness, Interest, Desire, Action, Maintenance

Answer

Recognition, Acceptance, Planning, Action, Stability

Answer

Denial, Anger, Bargaining, Acceptance, Action

Question 4

A patient from a collectivist cultural background defers all health decisions to a family elder. The most culturally appropriate response by the CDE is to:

Accepted Answer

Involve the family elder in education and treatment planning with the patient's permission

Answer

Insist that the patient make independent decisions about their own care

Answer

Exclude family members from all education sessions to protect patient privacy

Answer

Document the patient as non-compliant for failing to make autonomous decisions

Question 5

Cognitive Behavioral Therapy (CBT) is used in diabetes care primarily to:

Accepted Answer

Address maladaptive thought patterns and behaviors that interfere with diabetes self-management

Answer

Teach carbohydrate counting and meal planning skills

Answer

Monitor and interpret blood glucose trends

Answer

Provide structured nutritional counseling sessions

Question 6

Which of the following best reflects a patient-centered communication approach during diabetes education?

Accepted Answer

Asking open-ended questions and listening actively to understand the patient's perspective and priorities

Answer

Providing a standardized curriculum uniformly to all patients regardless of individual needs

Answer

Using medical terminology precisely to ensure technically accurate information transfer

Answer

Directing the patient on exactly what behavioral changes to make for optimal diabetes control

Question 7

The '5 A's' framework for brief behavior change counseling in clinical settings stands for:

Accepted Answer

Assess, Advise, Agree, Assist, Arrange

Answer

Ask, Answer, Act, Analyze, Achieve

Answer

Acknowledge, Align, Advise, Assist, Assess

Answer

Attend, Affirm, Assist, Apply, Achieve