CDCES study practice questions
*talk to case observe on pg 184
Based at the data furnished thus far, which education plan makes the most experience for this
pt?
A. Group training to encompass comprehensive DSMES
b. One on one training periods atleast till all her personal concerns are resolved
c. Published information on dm, along with a list of respectable dm web sites
d. All of the above are equally suitable for this pt, provided she has no scheduling conflicts -
ANS-a. Institution lessons to encompass comprehensive DSMES
*refer to case study on pg 184
Keeping in thoughts that she has not but had any dm education beyond survival abilties the
educator shows that she set a preliminary conduct goal. Based on her modern situation, which
self care conduct goals could be suitable?
A. Lose 10 lbs by means of subsequent go to (3 mon)
b. Take metformin as directed w/ fewer ignored doses over the next three mons
c. Lessen A1c to <8% over next 3 months
d. Sig lessen threat of dm associated headaches - ANS-b. Take metformin as directed w/ fewer
missed doses over the subsequent 3 mons
*refer to case take a look at on pg 184
What referrals, if any, need to be made at this time for her?
A. Mental fitness for anxiety
b. Opthalmology
c. RD to cope with her meal worries and wt mngmnt
d. No referrals are warranted until she has completed DSMES - ANS-c. RD to cope with her
meal worries and wt mngmnt
*confer with case take a look at on pg 184
Which of the subsequent DSME topics should be discussed at this visit?
A. Dm associated complications and how to save you them
b. The which means of A1c effects
c. A way to competently administer insulin
,d. Proper use of an individualized agenda for SMBG - ANS-d. Right use of an individualized
agenda for SMBG
*consult with case study on pg 189
Which geographic regions are most underserved in phrases of get right of entry to to dm
education?
A. Internal towns
b. Suburban areas
c. Rural regions, mainly inside the south
d. States w/ highest populace density - ANS-c. Rural regions, mainly inside the south
*consult with case observe on pg 189
Which statement referring to barriers to diabetes schooling is genuine?
A. Maximum pcp's do now not agree that their pt's want more training and aid for dm
b. Pt's over the age of 65 are much more likely to are searching for dm schooling than their
center elderly opposite numbers
c. Reflecting the make-up of the diabetes population, the majority of individuals in DSMES
packages are minorities
d. Tension and confrontation bt pcp's and educators concerning self care recs has been
observed to be a barrier to pt's get admission to to dm education - ANS-d. Tension and
confrontation bt pcp's and educators concerning self care recs has been discovered to be a
barrier to pt's get right of entry to to dm education
*talk over with nutrients label on pg 177
Pt claims that is a super food for him. He isn't always concerned approximately counting his
carbs for this meals bc at the package it's miles categorized as "low glycemic index." The label
also tells him the sugar are low so based totally on that on my own this is a good preference.
Finally, fiber is excessive, which means that he doesnt need to count number some carbs.
Which end is not correct in this situation?
A. Amount of fiber in this meals isn't high sufficient to discount from total carbs
b. General sugar isn't essential bc the starches unexpectedly convert to glucose as nicely
c. Even tho the meals can be low GI, moderation and monitoring of all carbs remains needed
d. The pt is correct. The combination of low sugar, low gi, and high fiber make this a really
perfect meals desire in any amount - ANS-d. The pt is correct. The combo of low sugar, low gi,
and excessive fiber make this a really perfect food choice in any amount
*check with vitamins label on pg 177
,pt states he eats about half of this package at one time. Whats the ~total carbs he consumes
from this?
A. 25 g
b. 51 g
c. Seventy five g
d. 102 g - ANS-c. 75 g
*see pt case on pg 169*
based totally on his statements, the pt most suits which transtheoretical model degree of
change?
A. Precontemplation
b. Contemplation
c. Action
d. Upkeep - ANS-b. Contemplation
*see pt case on pg 169*
His Dr has prescribed him Januvia (sitagliptin) QD and a sulfonylurea BID w/ a notice inside the
chart to probable initiate insulin if A1c isn't <8% in 6 mon. Which object is least important inside
the initial education plan for this pt?
A. A way to use an insulin pen
b. Preventing, recognizing, tx hypos
c. Making appropriate meals selections
d. Prevention of dm related complications - ANS-a. A way to use an insulin pen
*see pt case on pg 169*
Which is an example of an academic method that would be least appropriate for this pt?
A. Institution dialogue on choosing healthful food alternatives at a eating place
b. 1:1 palms on BG meter training
c. Position gambling on how he would react if he accidentally took a dbl dose of his dm meds
d. Revealed fabric (package deal insert) from producer regarding the aspect consequences of
the meds - ANS-d. Published material (package deal insert) from manufacturer concerning the
facet effects of the meds
*see pt case on pg 169*
Which choice is the nice instance of the correct SMART conduct goal for this pt?
, A. Lose 10 lb via Oct 31 (3 mon) by way of increasing taking walks to twenty-five minutes/day
and restricting 2d helpings to simply greens
b. Reduce A1c to six% through Oct 31 by checking BG BID and starting insulin
c. Improve dm and usual health by way of doing matters he learned in DSME elegance
d. Take good care of himself for the relaxation of his lifestyles through ingesting higher, taking
meds, checking bg, getting true rest, and so forth - ANS-a. Lose 10 lb with the aid of Oct 31 (3
mon) by means of increasing taking walks to twenty-five minutes/day and restricting second
helpings to just veggies
*see pt case on pg 169*
Which query is the satisfactory instance of the proper pt empowerment query the educator may
ask this pt?
A. "you do no longer need to emerge as on dialysis do you?"
b. "What do you observed your A1c need to be?"
c. "What affect do you observed modifications which include taking your meds and ingesting
higher may have on your daily lifestyles?"
d. "We need to set a wt loss aim for you. 10 lb could put you in the direction of a normal BMI.
Does that sound right to you?" - ANS-c. "What have an effect on do you believe you studied
changes inclusive of taking your meds and ingesting better might have to your every day
existence?"
*see pt case on pg 169*
Which might be the appropriate behavioral goal (in terms of goal and how it is stated) for him?
A. "I will choose gadgets from the restaurant menu that in shape w/ my healthy plan, which
include vegetables, LF meat, and three servings CHO"
b. "I will understand the reasons I need to I want to monitor my BG"
c. "I will recognise the difference bt my dm meds"
d. "by means of modifying ingesting patterns, taking meds, and increasing frequency of SMBG,
my A1c could be <eight% in 6 months" - ANS-a. "I will select objects from the eating place menu
that healthy w/ my healthy plan, which includes greens, LF meat, and three servings CHO"
24 yo w/ t1dm for 3 tr manages w/ MDI . Reports fashion of high am readings and hypos before
meals. Agrees to put on CGM for 3 days. Educator evaluations and notices 2 x the BG <60
overnight. One night time where this did now not occur, fasting readings were ordinary. Whats
the in all likelihood clarification?
A. Somogyi phenomenon
b. Sunrise phenomenon
c. Irrelevant nutrient balance at night (wishes extra protein)
d. Fluctuations in the honeymoon period - ANS-a. Somogyi phenomenon
*talk to case observe on pg 184
Based at the data furnished thus far, which education plan makes the most experience for this
pt?
A. Group training to encompass comprehensive DSMES
b. One on one training periods atleast till all her personal concerns are resolved
c. Published information on dm, along with a list of respectable dm web sites
d. All of the above are equally suitable for this pt, provided she has no scheduling conflicts -
ANS-a. Institution lessons to encompass comprehensive DSMES
*refer to case study on pg 184
Keeping in thoughts that she has not but had any dm education beyond survival abilties the
educator shows that she set a preliminary conduct goal. Based on her modern situation, which
self care conduct goals could be suitable?
A. Lose 10 lbs by means of subsequent go to (3 mon)
b. Take metformin as directed w/ fewer ignored doses over the next three mons
c. Lessen A1c to <8% over next 3 months
d. Sig lessen threat of dm associated headaches - ANS-b. Take metformin as directed w/ fewer
missed doses over the subsequent 3 mons
*refer to case take a look at on pg 184
What referrals, if any, need to be made at this time for her?
A. Mental fitness for anxiety
b. Opthalmology
c. RD to cope with her meal worries and wt mngmnt
d. No referrals are warranted until she has completed DSMES - ANS-c. RD to cope with her
meal worries and wt mngmnt
*confer with case take a look at on pg 184
Which of the subsequent DSME topics should be discussed at this visit?
A. Dm associated complications and how to save you them
b. The which means of A1c effects
c. A way to competently administer insulin
,d. Proper use of an individualized agenda for SMBG - ANS-d. Right use of an individualized
agenda for SMBG
*consult with case study on pg 189
Which geographic regions are most underserved in phrases of get right of entry to to dm
education?
A. Internal towns
b. Suburban areas
c. Rural regions, mainly inside the south
d. States w/ highest populace density - ANS-c. Rural regions, mainly inside the south
*consult with case observe on pg 189
Which statement referring to barriers to diabetes schooling is genuine?
A. Maximum pcp's do now not agree that their pt's want more training and aid for dm
b. Pt's over the age of 65 are much more likely to are searching for dm schooling than their
center elderly opposite numbers
c. Reflecting the make-up of the diabetes population, the majority of individuals in DSMES
packages are minorities
d. Tension and confrontation bt pcp's and educators concerning self care recs has been
observed to be a barrier to pt's get admission to to dm education - ANS-d. Tension and
confrontation bt pcp's and educators concerning self care recs has been discovered to be a
barrier to pt's get right of entry to to dm education
*talk over with nutrients label on pg 177
Pt claims that is a super food for him. He isn't always concerned approximately counting his
carbs for this meals bc at the package it's miles categorized as "low glycemic index." The label
also tells him the sugar are low so based totally on that on my own this is a good preference.
Finally, fiber is excessive, which means that he doesnt need to count number some carbs.
Which end is not correct in this situation?
A. Amount of fiber in this meals isn't high sufficient to discount from total carbs
b. General sugar isn't essential bc the starches unexpectedly convert to glucose as nicely
c. Even tho the meals can be low GI, moderation and monitoring of all carbs remains needed
d. The pt is correct. The combination of low sugar, low gi, and high fiber make this a really
perfect meals desire in any amount - ANS-d. The pt is correct. The combo of low sugar, low gi,
and excessive fiber make this a really perfect food choice in any amount
*check with vitamins label on pg 177
,pt states he eats about half of this package at one time. Whats the ~total carbs he consumes
from this?
A. 25 g
b. 51 g
c. Seventy five g
d. 102 g - ANS-c. 75 g
*see pt case on pg 169*
based totally on his statements, the pt most suits which transtheoretical model degree of
change?
A. Precontemplation
b. Contemplation
c. Action
d. Upkeep - ANS-b. Contemplation
*see pt case on pg 169*
His Dr has prescribed him Januvia (sitagliptin) QD and a sulfonylurea BID w/ a notice inside the
chart to probable initiate insulin if A1c isn't <8% in 6 mon. Which object is least important inside
the initial education plan for this pt?
A. A way to use an insulin pen
b. Preventing, recognizing, tx hypos
c. Making appropriate meals selections
d. Prevention of dm related complications - ANS-a. A way to use an insulin pen
*see pt case on pg 169*
Which is an example of an academic method that would be least appropriate for this pt?
A. Institution dialogue on choosing healthful food alternatives at a eating place
b. 1:1 palms on BG meter training
c. Position gambling on how he would react if he accidentally took a dbl dose of his dm meds
d. Revealed fabric (package deal insert) from producer regarding the aspect consequences of
the meds - ANS-d. Published material (package deal insert) from manufacturer concerning the
facet effects of the meds
*see pt case on pg 169*
Which choice is the nice instance of the correct SMART conduct goal for this pt?
, A. Lose 10 lb via Oct 31 (3 mon) by way of increasing taking walks to twenty-five minutes/day
and restricting 2d helpings to simply greens
b. Reduce A1c to six% through Oct 31 by checking BG BID and starting insulin
c. Improve dm and usual health by way of doing matters he learned in DSME elegance
d. Take good care of himself for the relaxation of his lifestyles through ingesting higher, taking
meds, checking bg, getting true rest, and so forth - ANS-a. Lose 10 lb with the aid of Oct 31 (3
mon) by means of increasing taking walks to twenty-five minutes/day and restricting second
helpings to just veggies
*see pt case on pg 169*
Which query is the satisfactory instance of the proper pt empowerment query the educator may
ask this pt?
A. "you do no longer need to emerge as on dialysis do you?"
b. "What do you observed your A1c need to be?"
c. "What affect do you observed modifications which include taking your meds and ingesting
higher may have on your daily lifestyles?"
d. "We need to set a wt loss aim for you. 10 lb could put you in the direction of a normal BMI.
Does that sound right to you?" - ANS-c. "What have an effect on do you believe you studied
changes inclusive of taking your meds and ingesting better might have to your every day
existence?"
*see pt case on pg 169*
Which might be the appropriate behavioral goal (in terms of goal and how it is stated) for him?
A. "I will choose gadgets from the restaurant menu that in shape w/ my healthy plan, which
include vegetables, LF meat, and three servings CHO"
b. "I will understand the reasons I need to I want to monitor my BG"
c. "I will recognise the difference bt my dm meds"
d. "by means of modifying ingesting patterns, taking meds, and increasing frequency of SMBG,
my A1c could be <eight% in 6 months" - ANS-a. "I will select objects from the eating place menu
that healthy w/ my healthy plan, which includes greens, LF meat, and three servings CHO"
24 yo w/ t1dm for 3 tr manages w/ MDI . Reports fashion of high am readings and hypos before
meals. Agrees to put on CGM for 3 days. Educator evaluations and notices 2 x the BG <60
overnight. One night time where this did now not occur, fasting readings were ordinary. Whats
the in all likelihood clarification?
A. Somogyi phenomenon
b. Sunrise phenomenon
c. Irrelevant nutrient balance at night (wishes extra protein)
d. Fluctuations in the honeymoon period - ANS-a. Somogyi phenomenon
