FREE Certified Diabetes Educator Question and Answers

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Which of the following approaches is the least advised as a reliable strategy to conduct a first patient DSMES assessment?

Correct! Wrong!

Explanation:
The least efficient and least advised option to conduct the initial assessment is to speak with the referral provider's nurse and use the information to fill out the assessment form. The majority of the information assessment should come from the patient or from direct observation of the patient, however acquiring information from referring clinicians may be helpful. The following options are all appropriate ways to conduct initial DSMES assessments: face-to-face meetings (with family members), electronic form completion prior to visitation, and group assessment with persons filling out personal information on their own.

Which of the following exam results most strongly suggests that the lower extremities' circulation is poor?

Correct! Wrong!

Explanation:
The pedal pulse should be reduced or nonexistent to indicate impaired circulation. The results of all other options are typical ones for a lower extremity or evaluation. Remember that pulse palpation frequently yields false positives and false negatives, therefore practice the technique to avoid inaccurate results.

How often should a diabetic educator evaluate a patient's level of tobacco use and preparedness to stop?

Correct! Wrong!

Explanation:
Every visit should include an evaluation of the patient's preparedness to quit smoking and using e-cigarettes.

The patient doesn't glance at the label when asked why he takes a certain oral diabetes medicine. Instead, he removes a pill from the bottle after opening it. Which potential barrier ought to be looked into further by the diabetes educator?

Correct! Wrong!

Explanation:
Relying on a medication's color, claiming, "I forgot my glasses," or drawing pictures on the bottles, among other things, are all indications of potential health literacy challenges. Patients who skip or cut back on doses or put off picking up their medications may be experiencing financial difficulties. Patients who display disorientation or forgetfulness are showing signs of cognitive barriers; patients who refuse to take their medication at all or take it in smaller doses than prescribed may be doing so out of fear of negative effects. Using open-ended, non-judgmental questioning, the educator should further examine if any barriers to adherence are suspected.

What is the initial stage of the education process for diabetic self-management?

Correct! Wrong!

Explanation:
The process of educating people about diabetes self-management begins with assessment. The DSMES process is composed of the following steps: goal-setting, implementation, evaluation, and monitoring. Although required, diagnosis and referral are not regarded as steps in the process of educating people about diabetes self-management.

Which patient record component is most crucial to take into account when determining the risk of hypoglycemia in relation to exercise?

Correct! Wrong!

Explanation:
When determining whether hypoglycemia is present in relation to exercise, the medication regimen is the most crucial aspect to take into account. The main risk factors are insulin and insulin secretagogues; if you don't take any of these drugs, your risk of hypoglycemia when exercising is minimal. Food intake may need to be modified for patients taking these drugs, and hypoglycemia should be prevented, predicted, identified, and treated with great care.

Which option from the list below best predicts health status?

Correct! Wrong!

Explanation:
The ability to read and write is the best indicator of one's health, outperforming other criteria like age, income level, and ethnicity. A patient's ability to comprehend crucial aspects of their health state, self-care, and treatment plan is determined by their level of literacy, allowing them to take proper care of themselves throughout the care continuum.

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