CDE Practice Exam Questions #3 with Verified Answers.

CDE Practice Exam Questions #3 with Verified Answers. What is the first step in the process of diabetes self management education? A. Assessment B. Goal setting C. Diagnosis D. Referral correct answers A. Assessment Which of the following options is an outcome of personal record keeping in relation to physical activity, according to recent studies? A. Those who keep logs of physical activity are more adherent to other elements of therapy (ie diet, medication) B. Those who keep exercise logs are more likely to enroll in organized exercise programs (ie gym memberships, classes) C. Keeping a physical activity log is associated with a higher level of self efficacy D. The obligation of record keeping has been identified as a barrier to exercise by study participants correct answers C. Keeping a physical activity log is associated with a higher level of self efficacy Consider the following pt: male, age 46, previously sedentary, mild HTN and hyperlipidemia (both adequately controlled with medications), T2DM, and a BMI of 26. If this pt wishes to begin a moderate-intensity exercise regimen, what additional assessment may be warranted? A. Stress test with ECG B. DEXA scan to assess bone density and strength C. Ankle-Brachial index to rule out peripheral arterial disease D. None, as BP and cholesterol are being controlled and exercise is only moderate intensity correct answers A. Stress test with ECG A stress test with ECG may be warranted, as this person is over 40, previously sedentary, has risk factors for CVD, and is beginning a program that is more intense than brisk walking, which is mild intensity. In your role as a diabetes educator for a clinic, you both assess and instruct pts on a variety of self-care skills. Which teaching strategy provides the best opportunity to both assess and instruct on self-administration of insulin? A. A written quiz in which the patient puts insulin administration steps in order B. A demonstration and return demonstration of insulin administration C. A video that can be viewed and reviewed on proper insulin administration technique D. A printed handout with pictures depicting steps of insulin administration, followed by verbal acknowledgement of understanding correct answers B. A demonstration and return demonstration of insulin administration The following policies are part of your DSME program: asking pts if there are any dietary preferences or restrictions; inviting family members to participate; and being sensitive to your rate of speech and tone of voice. These policies address which specific type of consideration? A. Readiness to change variation among your patients B. Potential low literacy/numeracy levels among your patients CDE Practice Exam Questions #3 with Verified Answers C. Cultural characteristics/barriers of your population D. Poor family and social support correct answers C. Cultural characteristics/barriers of your population According to the ADA consensus statement on managing preexisting diabetes for pregnancy (2008), what is the optimal glycemic target for pregnant women with preexisting diabetes (assuming the target may be reached without excessive hypoglycemia)? A. Pre-meal/fasting glucose: 60 to 90 mg/dL; peak postprandial <120 mg/dL; A1C <5.5% B. Pre-meal/fasting glucose: 60 to 99 mg/dL; peak postprandial <129 mg/dL; A1C <6% C. Pre-meal/fasting glucose: 70 to 100 mg/dL; peak postprandial <120 mg/dL; A1C <6.5% D. Pre-meal/fasting glucose: 70 to 110 mg/dL; peak postprandial <140 mg/dL; A1C <7% correct answers B. Pre-meal/fasting glucose: 60 to 99 mg/dL; peak postprandial <129 mg/dL; A1C <6% UPDATED 2019: Fasting <95 mg/dL; 1 hr post prandial <140 mg/dL; 2 hr post prandial <120 mg/dL; A1C <6% During the initial assessment process, your pt answers the question, "How important is it for you to make this change right now?" with a 9 our of 10 (very important) and answers the question, "How confident are you that you will be able to make this change?" with a 2 out of 10 (not very confident). In customizing hr DSME plan, what should your focus be? A. Providing materials and experiences to enhance her knowledge and skills B. Addressing psychosocial needs, such as accepting her diagnosis and managing stress levels C. Highlighting the benefits of good diabetes management as a way to encourage behavior change D. Explaingin the two questions further to confirm understanding, as it is very uncommon for a pt to rate the readiness to change elements this far apart correct answers A. Providing materials and experiences to enhance her knowledge and skills It is important to assess potential barriers to self-monitoring of bg, especially for pts who are not adhering to their plan of care recommendations. Which of the following barriers was NOT one cited by patients in recent studies? A. Cost of testing supplies B. Discomfort of finger sticks C. Lack of instruction and support D. Misplacement of small items correct answers D. Misplacement of small items When assessing for risk of hypoglycemia in relation to exercise, which element of the patient record is most important to consider? A. The patients typical signs and symptoms with hypoglycemia B. Current patient physical/glycemic status (wt, BMI, A1C) C. Timing and content (ie carb content) of meals in relation to activity D. Medication regimen: types, dose, and timing correct answers D. Medication regimen: types, dose, and timing Which of the following behaviors is the MOST likely indication that the pt is at a very low level of readiness to change? A. The pt becomes tearful as you explain how to keep a food diary B. The pt watches your demonstration but does not say anything C. The pt volunteers to answer a review question at the end of class but gets the answer wrong D. The pt denies that she has diabetes and disagrees with the doctor's referral to DSME correct answers D. The pt denies that she has diabetes and disagrees with the doctor's referral to DSME According to ADA Standards, which statement is NOT true regarding medical nutrition therapy and diabetes? A. MNT is recommended for only those person with diabetes who are underweight, overweight, or obese B. MNT is recommended for anyone who has diabetes, regardless of nutritional status C. Children with diabetes and celiac disease should consult with a registered dietitian familiar with both conditions D. Because nutrition in the hospital setting is complex, a registered dietitian should be part of the inpatient diabetes care team to provide MNT correct answers A. MNT is recommended for only those person with diabetes who are underweight, overweight, or obese You are assessing a pt's bg monitoring technique b having her demonstrate a bg test. Which fo the following actions is indicative of improper technique? A. Cleaning her hands with warm water and soap instead of alcohol B. Setting the lancet device to her preference C. Milking the lanced finger at the tip to acquire a sufficient blood sample D. Recording the reading in her notebook rather than on the clinic-provided sheet correct answers C. Milking the lanced finger at the tip to acquire a sufficient blood sample A pt should milk the finger closer to the base of the finger and move towards the tip or milk the finger before lancing. Your pt suffers from obesity, T2DM, HTN, and hyperlipidemia. He recalls his dinner from last night: a low-fat turkey and cheese sandwich with mustard, a side salad with low-fat Italian dressing, pickles, a small serving of baked chips, and one can of club soda. Based on your assessment, which of the pt's conditions is at the greatest risk due to his food choices? A. Hyperlipidemia B. T2DM C. Obesity D. HTN correct answers D. HTN A pt with GDM is convinced she developed GDM from eating too much of her favorite food - popcorn - early in her pregnancy. She insists that if she does not eat any again during her pregnancy, she will not have to start insulin and her bg values will return to normal. What emotional stage associated with chronic disease diagnosis (similar to Kubler-Ross stages of grief) do you assess in your pt? A. Denial B. Anger C. Bargaining D. Frustration and depression correct answers C. Bargaining The bargaining stage is characterized by inaccurate explanations and /or erroneous cures. The pt "makes a deal" with self, provider, God, or others to get rid of the diabetes. Denial is characterized by disbelief in the diagnosis, anger is characterized by irritation, rage, anxiety, or guilt. Frustration and depression can occur at any time and are characterized by feelings of hopelessness and trouble establishing or maintaining good self-care habits. Which instructional strategy is likely to be MOST effective in terms of pt retention? A. PowerPoint presentation with funny visuals and bullet list of main points B. Current, well-referenced booklets with colorful diagrams, written at a patient's optimal reading level, that can be reviewed if desired C. One-on-one conversation over the phone where the educator presents information and then rephrases the information using analogies to ensure understanding D. Small group discussion around a table where pts teach each other a skill after seeing it explained and demonstrated by the educator correct answers D. Small group discussion around a table where pts teach each other a skill after seeing it explained and demonstrated by the educator Which is the strongest predictor of health status? A. Ethnic group B. Literacy skill C. Income level D. Age correct answers B. Literacy skill .