Diabetes Education Certification Behavioral & Psychosocial Support 2

Question 1

A patient with type 2 diabetes consistently misses follow-up appointments and reports feeling 'fine without medication.' This behavior BEST reflects which psychosocial barrier?

Accepted Answer

Illness denial

Answer

Minimizing or dismissing illness severity is a classic manifestation of denial, a common coping mechanism that interferes with self-management.

Question 2

Which motivational interviewing technique involves reflecting the patient's own statements about change back to them to amplify discrepancy?

Accepted Answer

Double-sided reflection

Answer

A double-sided reflection acknowledges both the patient's resistance and their stated reasons for change, surfacing internal discrepancy without confrontation.

Question 3

When screening for depression in a person with diabetes using the PHQ-2, a score of 3 or higher indicates the need to:

Accepted Answer

Administer the PHQ-9 for further evaluation

Answer

A PHQ-2 score ≥3 is a positive screen that warrants full assessment with the PHQ-9 before determining the appropriate intervention.

Question 4

A diabetes educator notices a patient avoids all social eating events due to fear of making mistakes with food choices. This pattern is MOST consistent with:

Accepted Answer

Diabetes distress

Answer

Diabetes distress includes emotional burden around social situations and fear of judgment, which can lead to avoidance behaviors that impair quality of life.

Question 5

The Social Cognitive Theory concept most directly targeted when a diabetes educator uses group skill demonstrations is:

Accepted Answer

Observational learning (modeling)

Answer

Observational learning (modeling) occurs when patients acquire self-management skills by watching others perform them successfully in a group setting.

Diabetes Practice Test

Diabetes Practice Test

Diabetes Education Certification Behavioral & Psychosocial Support 2