Education Patient Evaluation 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 Education Patient Evaluation flashcards as text
According to the AADE7 Self-Care Behaviors framework, which behavior domain is MOST directly assessed when a patient describes adjusting insulin based on pre-meal glucose readings?
Answer: Problem solving
Adjusting insulin based on glucose readings represents applying monitoring data to solve a clinical problem, which falls under the Problem Solving domain of AADE7.
A patient evaluation reveals the patient has not been filling their diabetes prescriptions for three months due to transportation barriers. The MOST appropriate referral is to:
Answer: Both A and B
Addressing transportation barriers may require both social work/community health support and practical solutions like mail-order pharmacy, making both referrals appropriate.
Which finding during patient evaluation MOST strongly suggests insulin injection technique as a contributing factor to erratic glucose control?
Answer: Presence of lipohypertrophy at injection sites with inconsistent glucose readings
Lipohypertrophy causes unpredictable insulin absorption, and its presence combined with erratic readings directly implicates injection technique as a contributing cause.
When evaluating a patient's dietary patterns, the diabetes educator notes the patient eats very low carbohydrate but reports frequent hypoglycemia. The MOST likely educational need is:
Answer: Insulin or medication dose adjustment guidance and hypoglycemia prevention strategies aligned with a low-carb diet
A very low-carbohydrate diet requires medication adjustments to prevent hypoglycemia; the educator should teach prevention strategies within the patient's chosen dietary pattern.
During a group diabetes education class, the educator notices one patient appears disengaged and confused. The BEST immediate action is to:
Answer: Pause to individually check in with the patient after the group activity to assess understanding privately
Checking in privately respects the patient's dignity while allowing immediate individual assessment without disrupting other learners.
A patient evaluated at a 3-month follow-up has met their blood pressure and lipid goals but shows no improvement in A1C. According to a systematic evaluation approach, the educator should PRIORITIZE assessing:
Answer: All of the above in a systematic evaluation
A comprehensive evaluation of uncontrolled glycemia requires assessing behavioral, pharmacological, and psychosocial factors simultaneously.
Which of the following patient statements BEST indicates successful internalization of self-management rather than just knowledge acquisition?
Answer: 'When my blood sugar runs high for two days, I review what I ate, check my stress level, and call the office if I can't figure it out.'
This statement demonstrates autonomous problem-solving behavior driven by the patient's own judgment, indicating true self-management internalization.