Psychosocial Aspects of Diabetes Flashcards

Motivational interviewing (MI) is best described as:

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

Motivational interviewing is a collaborative, person-centered counseling style that draws out the patient's own reasons and motivations for change rather than imposing external directives.

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

Answer: Perceived susceptibility

Perceived susceptibility reflects an individual's subjective belief about their personal risk of experiencing a negative health outcome such as a diabetes complication.

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

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

The empowerment approach recognizes that people with diabetes make daily self-management choices and focuses on building their autonomy, knowledge, and confidence to guide their own care.

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

Answer: Problem-focused and active coping strategies

Problem-focused and active coping strategies — such as seeking information, planning, and directly addressing management challenges — are consistently linked to better glycemic and psychosocial outcomes.

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

Answer: Specific, Measurable, Achievable, Relevant, Time-bound

SMART goals are Specific, Measurable, Achievable, Relevant, and Time-bound, providing a structured framework for translating intentions into actionable behavior change plans.

Stress affects glycemic control primarily because:

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

The stress response releases cortisol and epinephrine, which stimulate hepatic gluconeogenesis and glycogenolysis while reducing peripheral insulin sensitivity, thereby raising blood glucose.

Which of the following best describes "diabetes burnout"?

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

Diabetes burnout is a psychological state of emotional exhaustion and disengagement from self-management, occurring when the constant demands of diabetes care become overwhelming.