FREE Certified Diabetes Educator MCQ Question and Answers
Which of the following evaluation questions does not fall under the category of "knowledge"?
Explanation:
Although it is crucial to gauge the extent of family support, it is not regarded as a component of patient knowledge. Assessing literacy/numeracy, prior DMES, and self-care skill competency are all crucial steps in determining the patient's knowledge and capacity for knowledge acquisition.
What is the major reason for maintaining personal records of eating habits?
Explanation:
Food records give both the patient maintaining the record and the educator/provider who discusses it with the patient the information they need to evaluate the current nutritional plan and the patient's adherence to it. The patient may be inspired by a personal study of the record, but that is not the major objective. Insurance companies don't need a personal meal diary because the RD notes are adequate proof. The creation of this habit or making the person more aware of what they are eating, while undoubtedly having additional benefits, are not the primary goals of maintaining a food log, despite the importance of record keeping in diabetes.
A diabetes educator's DSMES program includes the following guidelines: inviting family members to participate, asking patients about any food preferences or limits, and being mindful of one's speaking tempo and tone of voice. What particular type of consideration are these policies addressing?
Explanation:
There are various strategies to address a population's cultural traits or hurdles, including inquiring about dietary preferences and limits, encouraging family members to participate, and regulating speech rate and tone. Remember that what might be objectionable to one culture may be sensitive to another's culture. This emphasizes how crucial it is to understand the patient group. Although preparedness for change, low literacy/numeracy, and inadequate assistance are significant factors, the measures outlined in the scenario do not address them.
Which theory of learning and health behavioral change holds that people learn from their own experiences as well as from watching how others behave and experience things?
Explanation:
According to the Social Cognitive Theory, people learn from both their own experiences and through watching other people's behaviors and experiences. SCT discusses techniques for promoting behavioral change as well as psychosocial elements that affect health behavior. According to the Health Belief Model, a person's decision to change their health behavior is influenced by a number of variables, such as their level of vulnerability, their perception of the severity of the problem, their belief in the effectiveness of the change, the cost of the change, the presence of action cues, and their level of self-efficacy. Three key dimensions are applied by the Theory of Planned Conduct: knowledge/skill level of the individual, attitudes toward the planned behavior, and how the behavior is regarded by society. According to the Transtheoretical Model (TTM), a patient is only likely to undergo a transformation if they have reached a point where they are prepared to do so. Pre-contemplation, contemplation, planning, action, maintenance, and termination are the stages of the TTM.
Which of the following is not required to be recorded on the initial DSMES assessment's pharmaceutical regimen section?
Explanation:
On the medication regimen section of the initial DSMES assessment, all of the mentioned medications and supplements should be listed. All prescribed, over-the-counter, vitamin and complementary and alternative therapies should be included in a patient's medication regimen.
A patient's blood glucose monitoring technique is being evaluated by a diabetes educator by having her do a test. Which of the following behaviors represents poor technique?
Explanation:
Blood flow may be obstructed by milking the lanced finger at the tip. Furthermore, it can distort the results by putting more interstitial fluid in the sample. When milking a finger, a patient should start at the base and work their way up to the tip, or milk the finger before lancing. All other options are respectable alternatives. Alcohol is not needed and could possibly bias the sample, thus soap and water are suggested. As long as a sufficient drop is generated, the patient's preferred puncture depth may be used. There will be less pain the shallower the depth setting. Patients should be encouraged to utilize the results-tracking method that works best for them.
According to ADA Standards for 2023, which of the following is not a social determinant of health that increases a person's risk of developing diabetes?
Explanation:
The ADA's 2023 Standard places a strong emphasis on taking social determinants of health into account when developing treatment regimens for diabetic patients. Food insecurity, homelessness and housing instability, migrant and seasonal farmworkers, language hurdles, health literacy, and social capital/community support were all areas of concern. Being restricted to appointments with the provider may be a hindrance to care, but it is not regarded as a social determinant of health. The ADA advises the diabetes educator to test for these components and then include the results into the patient's treatment plan in an effort to identify and address these determinants of health.
