CDCES study practice questions
*discuss with case look at on pg 184
Based at the data supplied to date, which training plan makes the maximum experience for this
pt?
A. Group training to encompass complete DSMES
b. One on one schooling periods atleast till all her personal worries are resolved
c. Printed data on dm, inclusive of a list of official dm websites
d. All of the above are equally appropriate for this pt, supplied she has no scheduling conflicts -
ANS-a. Group instructions to encompass complete DSMES
*check with case have a look at on pg 184
Keeping in thoughts that she has not yet had any dm schooling past survival skills the educator
suggests that she set a preliminary conduct intention. Based on her cutting-edge state of affairs,
which self care conduct dreams might be appropriate?
A. Lose 10 lbs via next go to (three mon)
b. Take metformin as directed w/ fewer ignored doses over the subsequent 3 mons
c. Reduce A1c to <eight% over subsequent 3 months
d. Sig lessen hazard of dm related headaches - ANS-b. Take metformin as directed w/ fewer
overlooked doses over the next three mons
*discuss with case take a look at on pg 184
What referrals, if any, have to be made right now for her?
A. Intellectual health for tension
b. Opthalmology
c. RD to cope with her meal concerns and wt mngmnt
d. No referrals are warranted until she has finished DSMES - ANS-c. RD to deal with her meal
concerns and wt mngmnt
*seek advice from case observe on pg 184
Which of the subsequent DSME topics should be mentioned at this visit?
A. Dm related complications and the way to prevent them
b. The that means of A1c consequences
,c. A way to competently administer insulin
d. Proper use of an individualized schedule for SMBG - ANS-d. Right use of an individualized
schedule for SMBG
*seek advice from case have a look at on pg 189
Which geographic regions are most underserved in phrases of access to dm education?
A. Inner cities
b. Suburban areas
c. Rural regions, especially within the south
d. States w/ maximum populace density - ANS-c. Rural areas, mainly in the south
*consult with case have a look at on pg 189
Which declaration referring to obstacles to diabetes training is authentic?
A. Most pcp's do now not agree that their pt's want more training and help for dm
b. Pt's over the age of 65 are much more likely to are trying to find dm schooling than their
center elderly counterparts
c. Reflecting the make-up of the diabetes population, the majority of members in DSMES
applications are minorities
d. Tension and war of words bt pcp's and educators concerning self care recs has been located
to be a barrier to pt's get admission to to dm education - ANS-d. Anxiety and disagreement bt
pcp's and educators concerning self care recs has been discovered to be a barrier to pt's get
admission to to dm education
*check with nutrition label on pg 177
Pt claims that is a super food for him. He isn't involved about counting his carbs for this meals
bc at the package it's far categorised as "low glycemic index." The label additionally tells him the
sugar are low so based totally on that alone this is a superb desire. Finally, fiber is excessive,
which means he doesnt want to depend a few carbs. Which end isn't accurate in this case?
A. Quantity of fiber in this food isn't excessive enough to cut price from general carbs
b. Total sugar isn't important bc the starches rapidly convert to glucose as properly
c. Even tho the meals can be low GI, moderation and tracking of all carbs is still needed
d. The pt is accurate. The combination of low sugar, low gi, and excessive fiber make this a
really perfect meals preference in any quantity - ANS-d. The pt is accurate. The combination of
low sugar, low gi, and high fiber make this a great meals preference in any amount
*refer to nutrients label on pg 177
,pt states he eats about half of of this package deal at one time. Whats the ~total carbs he
consumes from this?
A. 25 g
b. Fifty one g
c. Seventy five g
d. 102 g - ANS-c. 75 g
*see pt case on pg 169*
based on his statements, the pt most fits which transtheoretical model stage of alternate?
A. Precontemplation
b. Contemplation
c. Action
d. Maintenance - ANS-b. Contemplation
*see pt case on pg 169*
His Dr has prescribed him Januvia (sitagliptin) QD and a sulfonylurea BID w/ a note inside the
chart to probably provoke insulin if A1c isn't always <8% in 6 mon. Which object is least critical
inside the preliminary education plan for this pt?
A. A way to use an insulin pen
b. Preventing, spotting, tx hypos
c. Making appropriate food choices
d. Prevention of dm associated complications - ANS-a. A way to use an insulin pen
*see pt case on pg 169*
Which is an example of an instructional approach that might be least appropriate for this pt?
A. Group dialogue on deciding on wholesome meals options at a restaurant
b. 1:1 palms on BG meter education
c. Role gambling on how he might react if he by chance took a dbl dose of his dm meds
d. Revealed fabric (bundle insert) from producer concerning the facet consequences of the
meds - ANS-d. Printed material (package insert) from producer concerning the side effects of
the meds
*see pt case on pg 169*
Which option is the best instance of the precise SMART conduct goal for this pt?
, A. Lose 10 lb by means of Oct 31 (3 mon) with the aid of increasing strolling to twenty-five
minutes/day and limiting 2nd helpings to just veggies
b. Lessen A1c to six% by Oct 31 by means of checking BG BID and beginning insulin
c. Improve dm and average fitness with the aid of doing things he discovered in DSME class
d. Take excellent care of himself for the rest of his existence by means of eating higher, taking
meds, checking bg, getting suitable relaxation, etc - ANS-a. Lose 10 lb by Oct 31 (three mon) by
using growing on foot to 25 minutes/day and proscribing 2nd helpings to just vegetables
*see pt case on pg 169*
Which query is the excellent instance of the suitable pt empowerment query the educator would
possibly ask this pt?
A. "you do now not want to end up on dialysis do you?"
b. "What do you believe you studied your A1c have to be?"
c. "What have an effect on do you observed modifications which includes taking your meds and
eating higher may have to your every day lifestyles?"
d. "We want to set a wt loss aim for you. 10 lb might put you in the direction of a normal BMI.
Does that sound exact to you?" - ANS-c. "What affect do you observed adjustments consisting
of taking your meds and eating higher would possibly have on your every day lifestyles?"
*see pt case on pg 169*
Which would be the correct behavioral goal (in phrases of aim and how it's miles stated) for
him?
A. "I will choose gadgets from the eating place menu that healthy w/ my healthy plan, together
with veggies, LF meat, and 3 servings CHO"
b. "I will apprehend the reasons I need to I need to reveal my BG"
c. "I will recognise the difference bt my dm meds"
d. "by means of enhancing ingesting styles, taking meds, and growing frequency of SMBG, my
A1c can be <eight% in 6 months" - ANS-a. "I will select gadgets from the eating place menu that
healthy w/ my wholesome plan, which include greens, LF meat, and three servings CHO"
24 yo w/ t1dm for three tr manages w/ MDI . Reports fashion of excessive am readings and
hypos before meals. Agrees to wear CGM for three days. Educator evaluations and notices 2 x
the BG <60 overnight. One night in which this did not occur, fasting readings were regular.
Whats the likely clarification?
A. Somogyi phenomenon
b. Sunrise phenomenon
c. Beside the point nutrient stability at night time (desires greater protein)
d. Fluctuations in the honeymoon period - ANS-a. Somogyi phenomenon
*discuss with case look at on pg 184
Based at the data supplied to date, which training plan makes the maximum experience for this
pt?
A. Group training to encompass complete DSMES
b. One on one schooling periods atleast till all her personal worries are resolved
c. Printed data on dm, inclusive of a list of official dm websites
d. All of the above are equally appropriate for this pt, supplied she has no scheduling conflicts -
ANS-a. Group instructions to encompass complete DSMES
*check with case have a look at on pg 184
Keeping in thoughts that she has not yet had any dm schooling past survival skills the educator
suggests that she set a preliminary conduct intention. Based on her cutting-edge state of affairs,
which self care conduct dreams might be appropriate?
A. Lose 10 lbs via next go to (three mon)
b. Take metformin as directed w/ fewer ignored doses over the subsequent 3 mons
c. Reduce A1c to <eight% over subsequent 3 months
d. Sig lessen hazard of dm related headaches - ANS-b. Take metformin as directed w/ fewer
overlooked doses over the next three mons
*discuss with case take a look at on pg 184
What referrals, if any, have to be made right now for her?
A. Intellectual health for tension
b. Opthalmology
c. RD to cope with her meal concerns and wt mngmnt
d. No referrals are warranted until she has finished DSMES - ANS-c. RD to deal with her meal
concerns and wt mngmnt
*seek advice from case observe on pg 184
Which of the subsequent DSME topics should be mentioned at this visit?
A. Dm related complications and the way to prevent them
b. The that means of A1c consequences
,c. A way to competently administer insulin
d. Proper use of an individualized schedule for SMBG - ANS-d. Right use of an individualized
schedule for SMBG
*seek advice from case have a look at on pg 189
Which geographic regions are most underserved in phrases of access to dm education?
A. Inner cities
b. Suburban areas
c. Rural regions, especially within the south
d. States w/ maximum populace density - ANS-c. Rural areas, mainly in the south
*consult with case have a look at on pg 189
Which declaration referring to obstacles to diabetes training is authentic?
A. Most pcp's do now not agree that their pt's want more training and help for dm
b. Pt's over the age of 65 are much more likely to are trying to find dm schooling than their
center elderly counterparts
c. Reflecting the make-up of the diabetes population, the majority of members in DSMES
applications are minorities
d. Tension and war of words bt pcp's and educators concerning self care recs has been located
to be a barrier to pt's get admission to to dm education - ANS-d. Anxiety and disagreement bt
pcp's and educators concerning self care recs has been discovered to be a barrier to pt's get
admission to to dm education
*check with nutrition label on pg 177
Pt claims that is a super food for him. He isn't involved about counting his carbs for this meals
bc at the package it's far categorised as "low glycemic index." The label additionally tells him the
sugar are low so based totally on that alone this is a superb desire. Finally, fiber is excessive,
which means he doesnt want to depend a few carbs. Which end isn't accurate in this case?
A. Quantity of fiber in this food isn't excessive enough to cut price from general carbs
b. Total sugar isn't important bc the starches rapidly convert to glucose as properly
c. Even tho the meals can be low GI, moderation and tracking of all carbs is still needed
d. The pt is accurate. The combination of low sugar, low gi, and excessive fiber make this a
really perfect meals preference in any quantity - ANS-d. The pt is accurate. The combination of
low sugar, low gi, and high fiber make this a great meals preference in any amount
*refer to nutrients label on pg 177
,pt states he eats about half of of this package deal at one time. Whats the ~total carbs he
consumes from this?
A. 25 g
b. Fifty one g
c. Seventy five g
d. 102 g - ANS-c. 75 g
*see pt case on pg 169*
based on his statements, the pt most fits which transtheoretical model stage of alternate?
A. Precontemplation
b. Contemplation
c. Action
d. Maintenance - ANS-b. Contemplation
*see pt case on pg 169*
His Dr has prescribed him Januvia (sitagliptin) QD and a sulfonylurea BID w/ a note inside the
chart to probably provoke insulin if A1c isn't always <8% in 6 mon. Which object is least critical
inside the preliminary education plan for this pt?
A. A way to use an insulin pen
b. Preventing, spotting, tx hypos
c. Making appropriate food choices
d. Prevention of dm associated complications - ANS-a. A way to use an insulin pen
*see pt case on pg 169*
Which is an example of an instructional approach that might be least appropriate for this pt?
A. Group dialogue on deciding on wholesome meals options at a restaurant
b. 1:1 palms on BG meter education
c. Role gambling on how he might react if he by chance took a dbl dose of his dm meds
d. Revealed fabric (bundle insert) from producer concerning the facet consequences of the
meds - ANS-d. Printed material (package insert) from producer concerning the side effects of
the meds
*see pt case on pg 169*
Which option is the best instance of the precise SMART conduct goal for this pt?
, A. Lose 10 lb by means of Oct 31 (3 mon) with the aid of increasing strolling to twenty-five
minutes/day and limiting 2nd helpings to just veggies
b. Lessen A1c to six% by Oct 31 by means of checking BG BID and beginning insulin
c. Improve dm and average fitness with the aid of doing things he discovered in DSME class
d. Take excellent care of himself for the rest of his existence by means of eating higher, taking
meds, checking bg, getting suitable relaxation, etc - ANS-a. Lose 10 lb by Oct 31 (three mon) by
using growing on foot to 25 minutes/day and proscribing 2nd helpings to just vegetables
*see pt case on pg 169*
Which query is the excellent instance of the suitable pt empowerment query the educator would
possibly ask this pt?
A. "you do now not want to end up on dialysis do you?"
b. "What do you believe you studied your A1c have to be?"
c. "What have an effect on do you observed modifications which includes taking your meds and
eating higher may have to your every day lifestyles?"
d. "We want to set a wt loss aim for you. 10 lb might put you in the direction of a normal BMI.
Does that sound exact to you?" - ANS-c. "What affect do you observed adjustments consisting
of taking your meds and eating higher would possibly have on your every day lifestyles?"
*see pt case on pg 169*
Which would be the correct behavioral goal (in phrases of aim and how it's miles stated) for
him?
A. "I will choose gadgets from the eating place menu that healthy w/ my healthy plan, together
with veggies, LF meat, and 3 servings CHO"
b. "I will apprehend the reasons I need to I need to reveal my BG"
c. "I will recognise the difference bt my dm meds"
d. "by means of enhancing ingesting styles, taking meds, and growing frequency of SMBG, my
A1c can be <eight% in 6 months" - ANS-a. "I will select gadgets from the eating place menu that
healthy w/ my wholesome plan, which include greens, LF meat, and three servings CHO"
24 yo w/ t1dm for three tr manages w/ MDI . Reports fashion of excessive am readings and
hypos before meals. Agrees to wear CGM for three days. Educator evaluations and notices 2 x
the BG <60 overnight. One night in which this did not occur, fasting readings were regular.
Whats the likely clarification?
A. Somogyi phenomenon
b. Sunrise phenomenon
c. Beside the point nutrient stability at night time (desires greater protein)
d. Fluctuations in the honeymoon period - ANS-a. Somogyi phenomenon
