Behavioral & Psychosocial Support Flashcards
7 cards from real Diabetes practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Behavioral & Psychosocial Support flashcards as text
A patient with type 2 diabetes consistently misses follow-up appointments and reports feeling 'fine without medication.' This behavior BEST reflects which psychosocial barrier?
Answer: Illness denial
Minimizing or dismissing illness severity is a classic manifestation of denial, a common coping mechanism that interferes with self-management.
Which motivational interviewing technique involves reflecting the patient's own statements about change back to them to amplify discrepancy?
Answer: Double-sided reflection
A double-sided reflection acknowledges both the patient's resistance and their stated reasons for change, surfacing internal discrepancy without confrontation.
When screening for depression in a person with diabetes using the PHQ-2, a score of 3 or higher indicates the need to:
Answer: Administer the PHQ-9 for further evaluation
A PHQ-2 score ≥3 is a positive screen that warrants full assessment with the PHQ-9 before determining the appropriate intervention.
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:
Answer: Diabetes distress
Diabetes distress includes emotional burden around social situations and fear of judgment, which can lead to avoidance behaviors that impair quality of life.
The Social Cognitive Theory concept most directly targeted when a diabetes educator uses group skill demonstrations is:
Answer: Observational learning (modeling)
Observational learning (modeling) occurs when patients acquire self-management skills by watching others perform them successfully in a group setting.
Which of the following BEST describes 'diabetes burnout' as distinct from clinical depression?
Answer: Exhaustion and disengagement specifically from diabetes tasks without generalized hopelessness
Diabetes burnout is characterized by fatigue and disengagement from self-care tasks but does not include the pervasive hopelessness or neurovegetative symptoms of clinical depression.
A certified diabetes care and education specialist (CDCES) uses the '5 A's' framework in a brief counseling session. Which 'A' involves collaboratively setting a specific, achievable goal with the patient?
Answer: Agree
The 'Agree' step in the 5 A's framework involves jointly establishing a specific, patient-centered goal that reflects shared decision-making.