CRE Patient Education & Management Strategies 3

Question 1

A patient on long-term oxygen therapy (LTOT) asks if they can adjust their flow rate when they feel more short of breath. The educator should respond that:

Accepted Answer

Flow rates should only be adjusted based on physician-prescribed parameters and activity levels

Answer

Oxygen flow rates must be adjusted only within physician-prescribed parameters since inappropriate increases can cause CO2 retention in some patients.

Question 2

During an asthma action plan review, a patient's peak flow drops to 55% of personal best with moderate symptoms. According to a standard action plan, the patient should:

Accepted Answer

Move to the yellow zone protocol and use rescue bronchodilator

Answer

A peak flow of 50-79% of personal best places the patient in the yellow zone, requiring rescue bronchodilator use and caution.

Question 3

Which statement BEST describes motivational interviewing (MI) in respiratory patient education?

Accepted Answer

The educator uses open-ended questions and reflective listening to elicit the patient's own motivation for change

Answer

Motivational interviewing uses open-ended questions, affirmations, reflective listening, and summaries to elicit intrinsic motivation for behavior change.

Question 4

A patient with asthma is prescribed a combination inhaled corticosteroid/long-acting beta-agonist (ICS/LABA). The educator should emphasize that this inhaler should NEVER be used as:

Accepted Answer

A rescue medication during acute symptoms

Answer

ICS/LABA combination inhalers are controller medications and must never be used for acute symptom relief due to the delayed onset of the LABA component.

Question 5

Which approach BEST supports self-management in a patient with chronic lung disease who has low self-efficacy?

Accepted Answer

Setting small, achievable goals and providing frequent positive reinforcement

Answer

Small achievable goals build confidence and self-efficacy through successive mastery experiences, which is fundamental to Bandura's self-efficacy theory.

(CRE) Certified Respiratory Educator Practice Test

(CRE) Certified Respiratory Educator Practice Test

CRE Patient Education & Management Strategies 3