Lifestyle Medicine Board Review
fn fn fn
Whichfnstatementfnbestfndescribesfnthefncorefncompetenciesfnforfnprescribingfnlifestylefnme
dicine,fnasfnidentifiedfnbyfnthefn2010fnnationalfnconsensusfnpanel?
A.fnThefnusefnoffnanfninterdisciplinaryfnteam,fnsuchfnasfnafncoach,fndietitian,fnandfnphysician,fn
isfncounterproductivefninfncreatingfnthefnofficefnandfncommunityfnsupportfnneededfnforfnsusta
inedfnbehaviorfnchange.
B.fnThefncorefncompetenciesfnwerefncreatedfntofnhelpfnmedicalfnspecialistsfnprescribefninterv
entionsfnthatfnpromotefnhealthyfnlifestylefnpractices.
C.fnLeadershipfnisfnonefnoffnthefnkeyfnareasfnoffnthefncompetenciesfnandfnfocusesfnonfnleadin
gfnteamsfntofnbetterfndiagnosefnchronicfnconditionsfnandfnimplementfnstandards-
basedfntreatments.
D.fnQualityfnimprovementfnprojects,fnsuchfnasfnmeasuringfninterventions,fntrackingfnoutcom
es,fnandfnimplementingfnprocessfnimprovements,fnarefnpartfnoffnthefnpracticefnoffnlifestylefnm
edicinefnphysicians.fn-fncorrectfnanswer✔ ✔
AnswerfnD:fnAnfninterdisciplinaryfnteamfnisfnconsideredfnimperativefntofneffectivelyfnproduc
efnandfnsustainfnlifestylefnchange.fnThefncorefncompetenciesfnforfnprescribingfnlifestylefnmed
icinefnwerefncreatedfntofnguidefnprimaryfncarefnproviders,fnalthoughfnthosefncompetenciesfnc
anfnalsofnbefnappliedfntofnmostfnspecialties.fnCertainly,fnprovidersfnshouldfnimplementfnproce
ssesfntofndiagnosefnandfntreatfnchronicfnconditionsfnwithfnexcellence,fnbutfnleadershipfninfnlif
estylefnmedicinefninvolvesfnmuchfnmore,fnincludingfnanfnemphasisfnonfndiseasefnprevention,
fncommunityfnadvocacy,fnandfnthefncreationfnoffnpersonalfnandfnprofessionalfnenvironmentsf
noffnhealth.fnTrackingfnperformancefnmeasuresfnisfnonefnoffnthefncompetenciesfnforfnlifestylef
nmedicinefnproviders.
Afn45-year-
oldfnfemalefnwithfnafnpastfnmedicalfnhistoryfnsignificantfnforfnprediabetesfnandfnoverweightfnp
resentsfnforfnafnlifestylefnmedicinefnconsultation.fnAfterfnafnthoroughfndiscussionfnoffnherfncur
rentfndietfnandfnlifestylefnhabits,fnshefnstatesfnthatfnshefnisfninterestedfninfnmakingfnafnchangef
ntofnherfndietfnbyfneatingfnafnsidefnsaladfnwithfndinnerfnatfnleastfnthreefntimesfnafnweekfnasfnsoo
nfnasfnpossible.
Accordingfntofnthefntranstheoreticalfnmodelfn(TTM)fnoffnbehaviorfnchange,fnwhatfnstagefnoffnc
hangefnisfnshefnin?
a)fnContemplation
b)fnPreparation
c)fnAction
d)fnMaintenancefn-fncorrectfnanswer✔ ✔ Answer:fnB-
fnFeedback:fnDuringfnthefnpreparationfnstagefnoffnchange,fnthefnpatientfnrealizesfnafnchangefn
,isfnbeneficial,fnbeginsfnpreparingfntofnmakefnthefnchangefnandfnplansfntofnbeginfnthefnnewfnbe
haviorfnwithinfnthefnnextfn30fndays.
Precontemplationfn-fnnotfnreadyfnforfnchange
Contemplationfn-fnwithinfnthefnnextfn6fnmonths
Preparationfn-fnwithinfnthefnnextfnmonth
Actionfn-fnenactedfnchangefnforfnlessfnthanfn6fnmonthsfn
Maintenancefn-fnsustainedfnchangefnforfnatfnleastfn6fnmonths
Afnpatientfnsays,fn"AsfnmuchfnasfnIfnlovefntofnrun,fnIfnamfnreallyfnstrugglingfntofnfindfntimefntofnd
ofnitfnbecausefnitfntakesfnfromfnwhatfnlittlefntimefnIfnhavefnwithfnmyfnkids."fnYoufnrespondfnsayin
g,fn"Youfnvaluefnyourfntimefnwithfnyourfnkidsfnandfnyoufnwishfnyoufncouldfnfindfnmorefntimefntofn
enjoyfnthefnbenefitsfnoffnrunning."
Whatfnkindfnoffnreflectionfnwasfnthis?
a)fnDouble-sided
b)fnPrescriptive
c)fnAmplified
d)fnBasicfn-fncorrectfnanswer✔ ✔ Answer:fnA-fnFeedback:fnAfndouble-
sidedfnreflectionfnacknowledgesfnsustainfntalkfnandfnintegratesfnitfnwithfnpreviouslyfnexpress
edfnchangefntalk.
Duringfnafnfollow-upfnvisit,fnafn31-year-
oldfnpatientfnwithfnobesityfnsharesfnthatfnshefnhasfnbeenfnconsumingfnmorefnvegetablesfnand
fnwhole-
grainsfnforfnthefnpastfn2fnweeks,fnresultingfninfnfeelingfnmorefnenergizedfnandfnherfnclothesfnfit
tingfnmorefncomfortably.fnUponfnrecognizingfnandfncelebratingfntheirfnprogress,fnthefnpatientf
nappearsfndiscouragedfnandfnsays,fn"I'vefnlostfnweightfninitiallyfnwithfnthefnotherfndietsfnI'vefntri
ed,fnbutfnthenfnIfngainfnitfnrightfnback.fnIfnknowfnthat'sfngoingfntofnhappenfnthisfntime,fntoo."
Whichfnoffnthefnfollowingfnisfnthefnbestfnresponsefntofnsupportfnreframingfnthisfnnonproductiv
efnthinking?
a)fn"Besidesfngainingfnallfnthefnweightfnrightfnback,fnwhatfnarefnsomefnotherfnpossiblefnoutco
mesfnoffnyourfnhealthfnchanges?"
b)fn"Whofnwillfnbefnyourfnsupportfnsystemfnthisfntime?"
c)fn"Howfnimportantfnisfnitfntofnyoufntofnlosefnweight?"
d)fn"Whatfnwouldfnbefnafngoodfnnextfnstepfntowardfnlong-termfnweightfnloss?"fn-
fncorrectfnanswer✔ ✔ Answer:fnA-
Feedback:fnThefnpatient'sfnstatementfnaboutfnknowingfntheyfnwillfnregainfnallfnthefnweightfnisf
nafntypefnoffnnonproductivefnthinkingfnknownfnasfn"fortune-
,telling."fnItfnoccursfnwhenfnafnpatientfnattemptsfntofnpredictfnthefnfuture,fnoftenfnarbitrarilyfnfore
seeingfnafnnegativefnoutcome.fnTofnhelpfnreframefnnonproductivefnthinking,fnafnproviderfnca
nfnaskfnthefnpatientfnhowfntheyfnmightfnseefnthefnsituationfndifferently.fnThisfncanfnhelpfnthefnp
atientfnreplacefnnonproductivefnthinkingfnwithfnmorefnrealisticfnandfnpositivefnperspectivesfnt
hatfnsupportfnbehaviorfnchangefnandfncreatefnthefnpossibilityfnforfnfuturefnimprovement.
Forfnthefnlastfn4fnmonths,fnafn52-year-
oldfnpatientfnwithfnanxietyfnandfnchronicfnpainfnhasfnsuccessfullyfnadheredfntofnafnplanfnoffnpr
acticingfnyogafn30fnminutesfnperfnday,fn4fndaysfnafnweekfnbeforefnwork.
Accordingfntofnthefntranstheoreticalfnmodelfn(TTM)fnoffnbehaviorfnchange,fnwhichfnoffnthefnfol
lowingfnbestfndescribesfnthefnpatient'sfncurrentfnstagefnoffnchange?
a)fnContemplation
b)fnPreparation
c)fnAction
d)fnMaintenancefn-fncorrectfnanswer✔ ✔ Answer:fnC-
fnFeedback:fnAccordingfntofnthefntranstheoreticalfnmodelfn(TTM)fnoffnbehaviorfnchange,fnindi
vidualsfnarefninfnthefnactionfnstagefnoffnchangefnwhenfntheyfnhavefnmadefnspecific,fnintention
alfnlifestylefnchangesfnbutfnhavefnnotfnyetfnmaintainedfntheirfntargetfnbehaviorfnforfn6fnmonthsf
norfnmore.
Precontemplationfn-fnnotfnreadyfnforfnchange
Contemplationfn-fnwithinfnthefnnextfn6fnmonths
Preparationfn-fnwithinfnthefnnextfnmonth
Actionfn-fnenactedfnchangefnforfnlessfnthanfn6fnmonthsfn
Maintenancefn-fnsustainedfnchangefnforfnatfnleastfn6fnmonths
Afn33-year-
oldfnpatientfnwithfnendometriosisfnsharesfnthatfnshefnregularlyfndrinksfnthreefntofnfourfnglasse
sfnoffnwinefnatfnnightfnafterfnwork.fnAfterfnreadingfnafnmagazinefnaboutfnthefnadversefneffectsfn
offnalcoholfnconsumptionfnonfnreproductivefnhealth,fnshefnhasfndecidedfnthatfnshefnisfnreadyfn
tofnstopfndrinkingfnsincefntheyfnwouldfnlikefntofnstartfnafnfamilyfnsoon.
Whichfnoffnthefnfollowingfnconstructsfnoffnthefnhealthfnbelieffnmodelfnbestfndescribesfnherfnde
cisionfntofnquitfndrinking?
a)fnStimulusfncontrol
b)fnCuesfntofnaction
c)fnSocialfnlearning
d)fnCounterfnconditioningfn-fncorrectfnanswer✔ ✔ Answer:fnB-
fnFeedback:fnAsfnoutlinedfninfnthefnhealthfnbelieffnmodel,fncuesfntofnactionfnarefneventsfnorfnsti
mulifnthatfnpromptfnafnpatientfntofnchangefntheirfnbehavior.fnExamplesfnoffncuesfntofnactionfnm
, ayfnincludefnbutfnarefnnotfnlimitedfntofnmassfnmediafncontent,fnsocialfnmarketing,fnandfnhealthf
neducation.
50fnyofnptfnw/fnprostatefncancerfnisfninterestedfninfneatingfnhealthier.fnHisfnactionfnplanfnstatesf
nhefnwillfndedicatefn30fnmin/fnday,fn5fndaysfnafnweek,fnafterfnworkfntofncookingfnafnplant-
basedfndinnerfnwithfnhisfnpartner,fnwhofnwillfnhelpfnwithfnaccountability.fnAlthoughfnthefnptfnm
entionsfnfeelingfntiredfnafterfnworkfnasfnafnpotentialfnbarrier,fnhefnstatesfnthatfnafnsolutionfntofnt
hisfnbarrierfnwillfnbefntofnrecordfnthefnlocalfnnewsfnandfnwatchfnitfnafterfndinner.fnWatchingfnTVf
nrightfnafterfnworkfntendsfntofndecreasefnhisfnmotivationfntofncook.
Tofnhelpfnhimfndevelopfnafncompletefnactionfnplan,fnwhichfnoffnthefnfollowingfnisfnthefnmostfnap
propriatefnquestion?
a)fn"I'mfncurious,fnhowfndofnyoufnthinkfnyourfndietaryfnchoicesfnhavefnaffectedfnyourfnhealth?"
b)fn"Infnreflectingfnback,fnwhatfnhasfnyourfnrelationshipfnwithfnfoodfnbeenfnlikefnoverfnthefnyear
s?"
c)fn"Onfnafnscalefnoffn0fntofn10,fnwhatfnisfnyourfnconfidencefnlevelfninfncompletingfnthisfnactionfn
plan?"
d)fn"Whatfndofnyoufnforeseefnbeingfnthefnbiggestfnchallengefnwhenfnitfncomesfntofncooking?"fn
-fncorrectfnanswer✔ ✔ Answer:fnC-
fnFeedback:fnAsfnpartfnoffndevelopingfnanfnactionfnplan,fninfnadditionfntofncreatingfnSMARTfng
oalsfnandfninquiringfnaboutfnsocialfnsupport,fnbarriers,fnandfnstrategiesfnforfnovercomingfnobs
tacles,fnitfnisfnalsofnimportantfntofngaugefnthefnpatient'sfnconfidencefnandfncommitmentfntofnco
mpletingfnthefnactionfnplan.fnOnefneffectivefnapproach,fnparticularlyfninfnthefnearlyfnstagesfnof
fnchange,fnisfntofnaskfnafnscalingfnquestionfninfnwhichfnthefnpatientfnscoresfntheirfnconfidence,f
nimportance,fnorfnreadinessfnlevelfnonfnafnscalefnoffn0fntofn10.
AccordingfntofnthefnAmericanfnDiabetesfnAssociationfnnationalfnguidelines,fnwhenfncanfnthefn
diagnosisfnoffnprediabetesfnbefnmade?
a.fnTwofnseparatefnfastingfnbloodfnglucosefnreadingsfnlessfnthanfn80-90fnmg/dLfn(4.4-
5.0fnmmol/L)
b.fnAfnsinglefnfastingfnbloodfnglucosefnreadingfninfnthefnrangefnoffn100-125fnmg/dLfn(5.6-
6.9fnmmol/L)
c.fnAnfnoralfnglucosefntolerancefntestfn(OGTT)fnwithfnafnbloodfnglucosefnreadingfnoffn≥fn200fn
mg/dLfn(11.1fnmmol/L)
d.fnAfnsinglefnrandomfnbloodfnglucosefnreadingfnoffn≥fn200fnmg/dLfn(11.1fnmmol/L)fnwithoutfna
nyfnconcerningfnsymptomsfnoffndiabetesfn(hyperglycemicfncrisis)fn-fncorrectfnanswer✔ ✔
AnswerfnB.fnAnswerfnAfnisfnincorrectfnbecausefnthesefnbloodfnglucosefnreadingsfnarefninfnaf
nnormalfnrangefn60-99fnmg/dLfn(3.3-
5.5fnmmol/L).fnAnswerfnCfnisfnincorrectfnbecausefnitfnisfnconsistentfnwithfnthefndiagnosisfnoffnd
fn fn fn
Whichfnstatementfnbestfndescribesfnthefncorefncompetenciesfnforfnprescribingfnlifestylefnme
dicine,fnasfnidentifiedfnbyfnthefn2010fnnationalfnconsensusfnpanel?
A.fnThefnusefnoffnanfninterdisciplinaryfnteam,fnsuchfnasfnafncoach,fndietitian,fnandfnphysician,fn
isfncounterproductivefninfncreatingfnthefnofficefnandfncommunityfnsupportfnneededfnforfnsusta
inedfnbehaviorfnchange.
B.fnThefncorefncompetenciesfnwerefncreatedfntofnhelpfnmedicalfnspecialistsfnprescribefninterv
entionsfnthatfnpromotefnhealthyfnlifestylefnpractices.
C.fnLeadershipfnisfnonefnoffnthefnkeyfnareasfnoffnthefncompetenciesfnandfnfocusesfnonfnleadin
gfnteamsfntofnbetterfndiagnosefnchronicfnconditionsfnandfnimplementfnstandards-
basedfntreatments.
D.fnQualityfnimprovementfnprojects,fnsuchfnasfnmeasuringfninterventions,fntrackingfnoutcom
es,fnandfnimplementingfnprocessfnimprovements,fnarefnpartfnoffnthefnpracticefnoffnlifestylefnm
edicinefnphysicians.fn-fncorrectfnanswer✔ ✔
AnswerfnD:fnAnfninterdisciplinaryfnteamfnisfnconsideredfnimperativefntofneffectivelyfnproduc
efnandfnsustainfnlifestylefnchange.fnThefncorefncompetenciesfnforfnprescribingfnlifestylefnmed
icinefnwerefncreatedfntofnguidefnprimaryfncarefnproviders,fnalthoughfnthosefncompetenciesfnc
anfnalsofnbefnappliedfntofnmostfnspecialties.fnCertainly,fnprovidersfnshouldfnimplementfnproce
ssesfntofndiagnosefnandfntreatfnchronicfnconditionsfnwithfnexcellence,fnbutfnleadershipfninfnlif
estylefnmedicinefninvolvesfnmuchfnmore,fnincludingfnanfnemphasisfnonfndiseasefnprevention,
fncommunityfnadvocacy,fnandfnthefncreationfnoffnpersonalfnandfnprofessionalfnenvironmentsf
noffnhealth.fnTrackingfnperformancefnmeasuresfnisfnonefnoffnthefncompetenciesfnforfnlifestylef
nmedicinefnproviders.
Afn45-year-
oldfnfemalefnwithfnafnpastfnmedicalfnhistoryfnsignificantfnforfnprediabetesfnandfnoverweightfnp
resentsfnforfnafnlifestylefnmedicinefnconsultation.fnAfterfnafnthoroughfndiscussionfnoffnherfncur
rentfndietfnandfnlifestylefnhabits,fnshefnstatesfnthatfnshefnisfninterestedfninfnmakingfnafnchangef
ntofnherfndietfnbyfneatingfnafnsidefnsaladfnwithfndinnerfnatfnleastfnthreefntimesfnafnweekfnasfnsoo
nfnasfnpossible.
Accordingfntofnthefntranstheoreticalfnmodelfn(TTM)fnoffnbehaviorfnchange,fnwhatfnstagefnoffnc
hangefnisfnshefnin?
a)fnContemplation
b)fnPreparation
c)fnAction
d)fnMaintenancefn-fncorrectfnanswer✔ ✔ Answer:fnB-
fnFeedback:fnDuringfnthefnpreparationfnstagefnoffnchange,fnthefnpatientfnrealizesfnafnchangefn
,isfnbeneficial,fnbeginsfnpreparingfntofnmakefnthefnchangefnandfnplansfntofnbeginfnthefnnewfnbe
haviorfnwithinfnthefnnextfn30fndays.
Precontemplationfn-fnnotfnreadyfnforfnchange
Contemplationfn-fnwithinfnthefnnextfn6fnmonths
Preparationfn-fnwithinfnthefnnextfnmonth
Actionfn-fnenactedfnchangefnforfnlessfnthanfn6fnmonthsfn
Maintenancefn-fnsustainedfnchangefnforfnatfnleastfn6fnmonths
Afnpatientfnsays,fn"AsfnmuchfnasfnIfnlovefntofnrun,fnIfnamfnreallyfnstrugglingfntofnfindfntimefntofnd
ofnitfnbecausefnitfntakesfnfromfnwhatfnlittlefntimefnIfnhavefnwithfnmyfnkids."fnYoufnrespondfnsayin
g,fn"Youfnvaluefnyourfntimefnwithfnyourfnkidsfnandfnyoufnwishfnyoufncouldfnfindfnmorefntimefntofn
enjoyfnthefnbenefitsfnoffnrunning."
Whatfnkindfnoffnreflectionfnwasfnthis?
a)fnDouble-sided
b)fnPrescriptive
c)fnAmplified
d)fnBasicfn-fncorrectfnanswer✔ ✔ Answer:fnA-fnFeedback:fnAfndouble-
sidedfnreflectionfnacknowledgesfnsustainfntalkfnandfnintegratesfnitfnwithfnpreviouslyfnexpress
edfnchangefntalk.
Duringfnafnfollow-upfnvisit,fnafn31-year-
oldfnpatientfnwithfnobesityfnsharesfnthatfnshefnhasfnbeenfnconsumingfnmorefnvegetablesfnand
fnwhole-
grainsfnforfnthefnpastfn2fnweeks,fnresultingfninfnfeelingfnmorefnenergizedfnandfnherfnclothesfnfit
tingfnmorefncomfortably.fnUponfnrecognizingfnandfncelebratingfntheirfnprogress,fnthefnpatientf
nappearsfndiscouragedfnandfnsays,fn"I'vefnlostfnweightfninitiallyfnwithfnthefnotherfndietsfnI'vefntri
ed,fnbutfnthenfnIfngainfnitfnrightfnback.fnIfnknowfnthat'sfngoingfntofnhappenfnthisfntime,fntoo."
Whichfnoffnthefnfollowingfnisfnthefnbestfnresponsefntofnsupportfnreframingfnthisfnnonproductiv
efnthinking?
a)fn"Besidesfngainingfnallfnthefnweightfnrightfnback,fnwhatfnarefnsomefnotherfnpossiblefnoutco
mesfnoffnyourfnhealthfnchanges?"
b)fn"Whofnwillfnbefnyourfnsupportfnsystemfnthisfntime?"
c)fn"Howfnimportantfnisfnitfntofnyoufntofnlosefnweight?"
d)fn"Whatfnwouldfnbefnafngoodfnnextfnstepfntowardfnlong-termfnweightfnloss?"fn-
fncorrectfnanswer✔ ✔ Answer:fnA-
Feedback:fnThefnpatient'sfnstatementfnaboutfnknowingfntheyfnwillfnregainfnallfnthefnweightfnisf
nafntypefnoffnnonproductivefnthinkingfnknownfnasfn"fortune-
,telling."fnItfnoccursfnwhenfnafnpatientfnattemptsfntofnpredictfnthefnfuture,fnoftenfnarbitrarilyfnfore
seeingfnafnnegativefnoutcome.fnTofnhelpfnreframefnnonproductivefnthinking,fnafnproviderfnca
nfnaskfnthefnpatientfnhowfntheyfnmightfnseefnthefnsituationfndifferently.fnThisfncanfnhelpfnthefnp
atientfnreplacefnnonproductivefnthinkingfnwithfnmorefnrealisticfnandfnpositivefnperspectivesfnt
hatfnsupportfnbehaviorfnchangefnandfncreatefnthefnpossibilityfnforfnfuturefnimprovement.
Forfnthefnlastfn4fnmonths,fnafn52-year-
oldfnpatientfnwithfnanxietyfnandfnchronicfnpainfnhasfnsuccessfullyfnadheredfntofnafnplanfnoffnpr
acticingfnyogafn30fnminutesfnperfnday,fn4fndaysfnafnweekfnbeforefnwork.
Accordingfntofnthefntranstheoreticalfnmodelfn(TTM)fnoffnbehaviorfnchange,fnwhichfnoffnthefnfol
lowingfnbestfndescribesfnthefnpatient'sfncurrentfnstagefnoffnchange?
a)fnContemplation
b)fnPreparation
c)fnAction
d)fnMaintenancefn-fncorrectfnanswer✔ ✔ Answer:fnC-
fnFeedback:fnAccordingfntofnthefntranstheoreticalfnmodelfn(TTM)fnoffnbehaviorfnchange,fnindi
vidualsfnarefninfnthefnactionfnstagefnoffnchangefnwhenfntheyfnhavefnmadefnspecific,fnintention
alfnlifestylefnchangesfnbutfnhavefnnotfnyetfnmaintainedfntheirfntargetfnbehaviorfnforfn6fnmonthsf
norfnmore.
Precontemplationfn-fnnotfnreadyfnforfnchange
Contemplationfn-fnwithinfnthefnnextfn6fnmonths
Preparationfn-fnwithinfnthefnnextfnmonth
Actionfn-fnenactedfnchangefnforfnlessfnthanfn6fnmonthsfn
Maintenancefn-fnsustainedfnchangefnforfnatfnleastfn6fnmonths
Afn33-year-
oldfnpatientfnwithfnendometriosisfnsharesfnthatfnshefnregularlyfndrinksfnthreefntofnfourfnglasse
sfnoffnwinefnatfnnightfnafterfnwork.fnAfterfnreadingfnafnmagazinefnaboutfnthefnadversefneffectsfn
offnalcoholfnconsumptionfnonfnreproductivefnhealth,fnshefnhasfndecidedfnthatfnshefnisfnreadyfn
tofnstopfndrinkingfnsincefntheyfnwouldfnlikefntofnstartfnafnfamilyfnsoon.
Whichfnoffnthefnfollowingfnconstructsfnoffnthefnhealthfnbelieffnmodelfnbestfndescribesfnherfnde
cisionfntofnquitfndrinking?
a)fnStimulusfncontrol
b)fnCuesfntofnaction
c)fnSocialfnlearning
d)fnCounterfnconditioningfn-fncorrectfnanswer✔ ✔ Answer:fnB-
fnFeedback:fnAsfnoutlinedfninfnthefnhealthfnbelieffnmodel,fncuesfntofnactionfnarefneventsfnorfnsti
mulifnthatfnpromptfnafnpatientfntofnchangefntheirfnbehavior.fnExamplesfnoffncuesfntofnactionfnm
, ayfnincludefnbutfnarefnnotfnlimitedfntofnmassfnmediafncontent,fnsocialfnmarketing,fnandfnhealthf
neducation.
50fnyofnptfnw/fnprostatefncancerfnisfninterestedfninfneatingfnhealthier.fnHisfnactionfnplanfnstatesf
nhefnwillfndedicatefn30fnmin/fnday,fn5fndaysfnafnweek,fnafterfnworkfntofncookingfnafnplant-
basedfndinnerfnwithfnhisfnpartner,fnwhofnwillfnhelpfnwithfnaccountability.fnAlthoughfnthefnptfnm
entionsfnfeelingfntiredfnafterfnworkfnasfnafnpotentialfnbarrier,fnhefnstatesfnthatfnafnsolutionfntofnt
hisfnbarrierfnwillfnbefntofnrecordfnthefnlocalfnnewsfnandfnwatchfnitfnafterfndinner.fnWatchingfnTVf
nrightfnafterfnworkfntendsfntofndecreasefnhisfnmotivationfntofncook.
Tofnhelpfnhimfndevelopfnafncompletefnactionfnplan,fnwhichfnoffnthefnfollowingfnisfnthefnmostfnap
propriatefnquestion?
a)fn"I'mfncurious,fnhowfndofnyoufnthinkfnyourfndietaryfnchoicesfnhavefnaffectedfnyourfnhealth?"
b)fn"Infnreflectingfnback,fnwhatfnhasfnyourfnrelationshipfnwithfnfoodfnbeenfnlikefnoverfnthefnyear
s?"
c)fn"Onfnafnscalefnoffn0fntofn10,fnwhatfnisfnyourfnconfidencefnlevelfninfncompletingfnthisfnactionfn
plan?"
d)fn"Whatfndofnyoufnforeseefnbeingfnthefnbiggestfnchallengefnwhenfnitfncomesfntofncooking?"fn
-fncorrectfnanswer✔ ✔ Answer:fnC-
fnFeedback:fnAsfnpartfnoffndevelopingfnanfnactionfnplan,fninfnadditionfntofncreatingfnSMARTfng
oalsfnandfninquiringfnaboutfnsocialfnsupport,fnbarriers,fnandfnstrategiesfnforfnovercomingfnobs
tacles,fnitfnisfnalsofnimportantfntofngaugefnthefnpatient'sfnconfidencefnandfncommitmentfntofnco
mpletingfnthefnactionfnplan.fnOnefneffectivefnapproach,fnparticularlyfninfnthefnearlyfnstagesfnof
fnchange,fnisfntofnaskfnafnscalingfnquestionfninfnwhichfnthefnpatientfnscoresfntheirfnconfidence,f
nimportance,fnorfnreadinessfnlevelfnonfnafnscalefnoffn0fntofn10.
AccordingfntofnthefnAmericanfnDiabetesfnAssociationfnnationalfnguidelines,fnwhenfncanfnthefn
diagnosisfnoffnprediabetesfnbefnmade?
a.fnTwofnseparatefnfastingfnbloodfnglucosefnreadingsfnlessfnthanfn80-90fnmg/dLfn(4.4-
5.0fnmmol/L)
b.fnAfnsinglefnfastingfnbloodfnglucosefnreadingfninfnthefnrangefnoffn100-125fnmg/dLfn(5.6-
6.9fnmmol/L)
c.fnAnfnoralfnglucosefntolerancefntestfn(OGTT)fnwithfnafnbloodfnglucosefnreadingfnoffn≥fn200fn
mg/dLfn(11.1fnmmol/L)
d.fnAfnsinglefnrandomfnbloodfnglucosefnreadingfnoffn≥fn200fnmg/dLfn(11.1fnmmol/L)fnwithoutfna
nyfnconcerningfnsymptomsfnoffndiabetesfn(hyperglycemicfncrisis)fn-fncorrectfnanswer✔ ✔
AnswerfnB.fnAnswerfnAfnisfnincorrectfnbecausefnthesefnbloodfnglucosefnreadingsfnarefninfnaf
nnormalfnrangefn60-99fnmg/dLfn(3.3-
5.5fnmmol/L).fnAnswerfnCfnisfnincorrectfnbecausefnitfnisfnconsistentfnwithfnthefndiagnosisfnoffnd
