FREE Certified Diabetes Educator Trivia Question and Answers

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Using a non-refillable insulin pen and a 5 mm pen needle, a diabetes educator evaluates a patient's ability to self-administer insulin. The patient acts in the ways listed below: After wiping the pen's end with alcohol, attaching the needle, dialing the dosage, inserting the needle into the skin while completely pressing the button, withdrawing after 10 seconds, removing and discarding the needle, and putting the pen cap back on. What about the patient's performance of the skill was incorrect?

Correct! Wrong!

Explanation:
Before dialing the dose for every injection, the patient should prime the needle. This will release any trapped air in the pen and "prime" the insulin-filled pen tip. As long as the skin is clean, there is no need to clean it with alcohol. Additionally, unless the patient is a youngster or extremely thin, squeezing the skin is not essential. Even so, pinching is typically unnecessary due to the pen needle's shorter length. The patient should wait about 10 seconds after injecting insulin to be sure all of the insulin has been administered. Because it differs from administration with a syringe, many patients overlook or were never taught this step.

Which type of education would a patient who has declared himself a visual learner likely favor the most?

Correct! Wrong!

Explanation:
The likelihood of a visual learner preferring or profiting from seeing is highest. watching or reading to incorporate visual aids and demonstrations as well as reading materials' reinforcement.

Which of the following related medical nutrition therapy and diabetes is untrue, as per ADA Standards?

Correct! Wrong!

Explanation:
It is untrue that only patients with diabetes who are underweight, overweight, or obese should use medical nutrition. MNT is actually advised for all diabetics, regardless of dietary state. In many situations, such as when a patient has celiac disease in a child, is hospitalized, is pregnant, has co-morbidities that are impacted by diet, or has prediabetes, a registered dietitian should also be closely involved in the patient's diabetes care plan to help with individualized meal planning.

An elderly man with type 2 diabetes reports that he exercises for 40 minutes a day, six days a week: he runs on Monday, Wednesday, and Friday and lifts weights on Tuesday, Thursday, and Saturday. Which kind of physical activity advice is being addressed should be taken into account as part of the diabetes educator's assessment.

Correct! Wrong!

Explanation:
Stretching and flexibility exercises should be included in a fitness program since they can improve joint stability and range of motion in older persons. But strength and aerobic activities should not be replaced with flexibility exercises. Although this has not been established, it has been questioned if flexibility training can reduce injury. The other form of exercise consists of resistance training for the core and muscles, which improves glycemic control and enhances mobility, as well as aerobic exercise for cardiovascular health. The patient's current plan takes both into consideration. Exercises for tone are not recognized as legitimate exercise therapies.

It's critical to identify any potential obstacles to patients who are not following the instructions in their care plan when it comes to self-monitoring blood glucose. Which of the following was not a barrier that patients in recent research mentioned?

Correct! Wrong!

Explanation:
In a recent poll, patients did not list misplacing simple objects like glucose meters as a barrier ( Tendrich 2013). Cost, discomfort, improper education, and a lack of ongoing assistance are all common hurdles, as are others like physical restrictions (dexterity/visual impairment), cognitive deficiencies, time constraints and inconveniences, and emotional factors like stress or anxiety.

Which of the scenarios below would a diabetic educator believe to be the most suitable illustration of personal BGM record keeping?

Correct! Wrong!

Explanation:
Regardless of the state of her book, the patient who records everything in a spiral notebook is the ideal example of how to keep solid BGM records. She will be able to fully understand how her blood sugar changes in response to meals, activity, medication dosages, etc. thanks to the data she has logged. She will be better able to spot patterns by keeping track of dates and times, and so will the educator or provider. The patient is lacking the crucial elements (diet, activity, and medication) that may help to explain and ultimately improve the readings because the other answer options are each missing an essential element by failing to keep a written record. If a patient forgets to bring her meter to her appointment, the healthcare team will not have the chance to download it, test it for accuracy, verify that her recordings are complete and accurate, and view useful summary report data. They will also not have the chance to evaluate the patient's BGM technique. The patient and the instructor will not be able to connect the readings with what was happening at the time, including food and medication, if a patient record does not specify the days on which the reading was obtained (since he did not record those items with his readings).

A diabetic educator for a clinic evaluates patients and gives them advice on various self-care techniques. Which instructional approach offers the best chance to evaluate and instruct students on insulin self-administration?

Correct! Wrong!

Explanation:
A skill like administering insulin can be demonstrated so that the patient can learn by watching, hearing, and then acting. The patient's competency level can be seen during the return demonstration, and any errors can then be corrected. It takes a little more time and works best in one-on-one or small-group settings, but this teaching method is the most efficient for teaching and evaluating clinical skills. A written test may be used to evaluate knowledge, but it does not allow the teacher to evaluate the patient's method or provide them with the best chance to teach. A printed handout or instructional video can provide guidance to some extent, but neither one offers a way to gauge the patient's capacity to self-administer insulin. The demonstration is best supported by these tools. The assessment may include vocal confirmation of understanding, but it is insufficient to gauge a patient's degree of competency with a self-care skill like administering insulin.

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