Diabetes Education Certification Behavioral & Psychosocial Support 3

Question 1

A 16-year-old with type 1 diabetes begins omitting insulin to lose weight. This behavior is BEST categorized as:

Accepted Answer

Diabulimia

Answer

Diabulimia refers to the deliberate restriction of insulin for the purpose of weight loss, a disordered eating behavior unique to people with type 1 diabetes.

Question 2

In the Transtheoretical Model, a patient who says 'I know I should check my blood sugar, but I'm not ready yet' is MOST likely in which stage?

Accepted Answer

Contemplation

Answer

Acknowledging a need for change while not yet committing to action is the hallmark of the Contemplation stage.

Question 3

Which validated tool is specifically designed to measure diabetes-related emotional distress rather than general depression?

Accepted Answer

Diabetes Distress Scale (DDS)

Answer

The Diabetes Distress Scale (DDS) measures distress in four domains specific to living with diabetes: emotional burden, regimen distress, interpersonal distress, and physician distress.

Question 4

A patient from a collectivist culture declines to take insulin at the dinner table because it draws attention. The MOST culturally responsive action for the educator is to:

Accepted Answer

Explore prefilled pen options the patient can use discreetly before the meal

Answer

Offering practical, patient-centered solutions that respect cultural values—such as pre-dosing discreetly—promotes adherence without dismissing the patient's social context.

Question 5

Perceived self-efficacy in diabetes management is BEST strengthened through which type of experience, according to Bandura?

Accepted Answer

Mastery experiences (successful task completion)

Answer

Bandura identified mastery experiences—actually succeeding at a behavior—as the most powerful source of self-efficacy beliefs.

Diabetes Practice Test

Diabetes Practice Test

Diabetes Education Certification Behavioral & Psychosocial Support 3