CDE Practice Exam Questions #3 questions with
verified answers
"I just can't stand testing my bg, although I have to admit that when I
do and the number is high, I act on it right away." Which of the
following is the best example of "developing discrepancy" by the
educator?
A. "Just be glad that we have the meters we do today. Back in the day,
it took more than a minute to get the result and you needed a much
bigger drop of blood, which meant a much more painful finger poke!"
B. "It sounds like you are dealing with some serious obstacles when it
comes to self monitoring, yet I also sense that when you do test, you
are able to use the information to help you correct high bg when
needed. What effect do you think those corrections will have on your
health in the long run?"
C. "It is just one of those things that people with diabetes have to deal
with. Trust me, you are not alone - almost none of my pts enjoy testing
their bg, and I tell them the same thing I'm telling you."
D. " Gr Ans✓✓✓ B. "It sounds like you are dealing with some serious
obstacles when it comes to self monitoring, yet I also sense that when
you do test, you are able to use the information to help you correct
high bg when needed. What effect do you think those corrections will
have on your health in the long run?"
"The systematic process by which the worth or value of something, in
the case of DSME teaching or learning is judged" is known as which of
the following?
A. Evaluation
,B. Documentation
C. Planning
D. Implementation Ans✓✓✓ A. Evaluation
A 59 year old single female with T2DM admits that she only takes half
of her recommended Januvia (sitagliptin) tablet, but does take her full
metformin tablet. She later tells you that she has added more
vegetables to her meals, but only canned vegetables. Based on these
brief statements, what barrier do you believe is MOST likely a concern
for this pt?
A. Transportation
B. Cultural
C. Cognitive ability
D. Financial Ans✓✓✓ D. Financial
A member of the DMSE class group asks a specific question about food
choices during session one. You typically address healthy eating in
session two. What is the best way to handle the situation?
A. In order to capitalize on the apparent interest, abandon the present
order of classes. Talk about food today and discuss the session one
material next time
B. Take a few minutes to briefly answer the question; acknowledge that
many in the group likely have questions about food, and promise that
this will be addressed in greater detail as part of the next session
,C. Tell the client that if he will be patient and remember his question
for next session, you will promise to address it first thing
D. Politely explain that there is a specific order in which the information
needs to be presented to make the most sense. Ask him to limit his
questions to the topic at hand but let him know that he may ask you
one on one after class Ans✓✓✓ B. Take a few minutes to briefly
answer the question; acknowledge that many in the group likely have
questions about food, and promise that this will be addressed in
greater detail as part of the next session
A new pt reports that she is not sure what type of diabetes she has
because no one has ever giver her a clear answer. She is 46 year old
and Caucasian with a BMI of 20. She states that she has always been
thin and active, and that no one in her family has diabetes that she
knows of. With the exception of her father, who has rheumatoid
arthritis and psoriasis, her family history is unremarkable. She was
diagnosed with diabetes two years ago and claims she is able to keep
her bg in the normal range with a careful low carb diet. When you
check her labs, you see that her last A1c was 6.4% and her c-peptide
level was on the low end of normal. Labs are also positive for GAD and
islet cell antibodies. What type of diabetes does this pt most likely
have?
A. T2DM
B. T1DM
C. Latent autoimmune diabetes of adulthood (LADA)
D. Maturity onset diabetes of the young Ans✓✓✓ C. Latent
autoimmune diabetes of adulthood (LADA)
, LADA is characterized by positive GAD/islet cell antibodies, a normal to
low c-peptide level, and can often be managed with diet in the
beginning months or years.
A pt comes into your clinic to sign up for diabetes education classes. He
tells you that he has had diabetes for 12 years but did not want to face
his diagnosis. Now, after seeing how he is unable to keep up with his
grandchildren, he has realized the need to make some changes and
control his bg. What stage of change most accurately describes the pt's
state?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action Ans✓✓✓ C. Preparation
A pt in your DSME group asks why a person cannot use oral medication
to treat T1DM. Which is the most accurate and appropriate response?
A. "Because T2DM is brought on by wt, and weight gain is a side effect
of insulin, we avoid using insulin in those with T2DM while we prefer it
for those with T1DM, who are typically underweight."
B. "Everyone needs insulin to live. In T2DM, the insulin producing cells
(beta cells) may still be working somewhat but not well enough to keep
bg normal. Oral medications help the body's insulin to work better. In
T1DM, the body has destroyed its own beta cells and so we must use
insulin from an outside source."
verified answers
"I just can't stand testing my bg, although I have to admit that when I
do and the number is high, I act on it right away." Which of the
following is the best example of "developing discrepancy" by the
educator?
A. "Just be glad that we have the meters we do today. Back in the day,
it took more than a minute to get the result and you needed a much
bigger drop of blood, which meant a much more painful finger poke!"
B. "It sounds like you are dealing with some serious obstacles when it
comes to self monitoring, yet I also sense that when you do test, you
are able to use the information to help you correct high bg when
needed. What effect do you think those corrections will have on your
health in the long run?"
C. "It is just one of those things that people with diabetes have to deal
with. Trust me, you are not alone - almost none of my pts enjoy testing
their bg, and I tell them the same thing I'm telling you."
D. " Gr Ans✓✓✓ B. "It sounds like you are dealing with some serious
obstacles when it comes to self monitoring, yet I also sense that when
you do test, you are able to use the information to help you correct
high bg when needed. What effect do you think those corrections will
have on your health in the long run?"
"The systematic process by which the worth or value of something, in
the case of DSME teaching or learning is judged" is known as which of
the following?
A. Evaluation
,B. Documentation
C. Planning
D. Implementation Ans✓✓✓ A. Evaluation
A 59 year old single female with T2DM admits that she only takes half
of her recommended Januvia (sitagliptin) tablet, but does take her full
metformin tablet. She later tells you that she has added more
vegetables to her meals, but only canned vegetables. Based on these
brief statements, what barrier do you believe is MOST likely a concern
for this pt?
A. Transportation
B. Cultural
C. Cognitive ability
D. Financial Ans✓✓✓ D. Financial
A member of the DMSE class group asks a specific question about food
choices during session one. You typically address healthy eating in
session two. What is the best way to handle the situation?
A. In order to capitalize on the apparent interest, abandon the present
order of classes. Talk about food today and discuss the session one
material next time
B. Take a few minutes to briefly answer the question; acknowledge that
many in the group likely have questions about food, and promise that
this will be addressed in greater detail as part of the next session
,C. Tell the client that if he will be patient and remember his question
for next session, you will promise to address it first thing
D. Politely explain that there is a specific order in which the information
needs to be presented to make the most sense. Ask him to limit his
questions to the topic at hand but let him know that he may ask you
one on one after class Ans✓✓✓ B. Take a few minutes to briefly
answer the question; acknowledge that many in the group likely have
questions about food, and promise that this will be addressed in
greater detail as part of the next session
A new pt reports that she is not sure what type of diabetes she has
because no one has ever giver her a clear answer. She is 46 year old
and Caucasian with a BMI of 20. She states that she has always been
thin and active, and that no one in her family has diabetes that she
knows of. With the exception of her father, who has rheumatoid
arthritis and psoriasis, her family history is unremarkable. She was
diagnosed with diabetes two years ago and claims she is able to keep
her bg in the normal range with a careful low carb diet. When you
check her labs, you see that her last A1c was 6.4% and her c-peptide
level was on the low end of normal. Labs are also positive for GAD and
islet cell antibodies. What type of diabetes does this pt most likely
have?
A. T2DM
B. T1DM
C. Latent autoimmune diabetes of adulthood (LADA)
D. Maturity onset diabetes of the young Ans✓✓✓ C. Latent
autoimmune diabetes of adulthood (LADA)
, LADA is characterized by positive GAD/islet cell antibodies, a normal to
low c-peptide level, and can often be managed with diet in the
beginning months or years.
A pt comes into your clinic to sign up for diabetes education classes. He
tells you that he has had diabetes for 12 years but did not want to face
his diagnosis. Now, after seeing how he is unable to keep up with his
grandchildren, he has realized the need to make some changes and
control his bg. What stage of change most accurately describes the pt's
state?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action Ans✓✓✓ C. Preparation
A pt in your DSME group asks why a person cannot use oral medication
to treat T1DM. Which is the most accurate and appropriate response?
A. "Because T2DM is brought on by wt, and weight gain is a side effect
of insulin, we avoid using insulin in those with T2DM while we prefer it
for those with T1DM, who are typically underweight."
B. "Everyone needs insulin to live. In T2DM, the insulin producing cells
(beta cells) may still be working somewhat but not well enough to keep
bg normal. Oral medications help the body's insulin to work better. In
T1DM, the body has destroyed its own beta cells and so we must use
insulin from an outside source."
