Psychosocial Aspects of Diabetes Flashcards

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

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

For mild-to-moderate diabetes distress, collaborative problem-solving, DSMES, and peer support are the recommended first-line approaches before considering pharmacological treatment.

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

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

Social support from family, peers, and support groups improves adherence to self-management behaviors, buffers diabetes distress, and is associated with better glycemic outcomes.

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

Answer: Precontemplation, Contemplation, Preparation, Action, Maintenance

The Transtheoretical Model describes five stages of behavior change: precontemplation, contemplation, preparation, action, and maintenance, used to tailor counseling to a patient's readiness.

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:

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

Culturally sensitive care involves recognizing collectivist values and, with the patient's consent, including key family decision-makers in education and care planning discussions.

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

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

CBT targets unhelpful thought patterns and dysfunctional behaviors, helping patients develop more adaptive coping strategies and improve engagement with diabetes self-management.

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

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

Patient-centered communication involves open-ended questions, active listening, and tailoring information to the individual patient's values, goals, and circumstances rather than delivering a one-size-fits-all message.

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

Answer: Assess, Advise, Agree, Assist, Arrange

The 5 A's — Assess, Advise, Agree, Assist, and Arrange — provide a structured framework for conducting brief but effective behavioral counseling interventions in clinical practice.