CDCES study practice questions with
correct answers
What |is |the |first |step |in |the |process |of |diabetes |self |management |education?
a. |assessment |
b. |goal |setting |
c. |diagnosis
d. |referral |- |CORRECT |ANSWER✔✔-a. |assessment |
the |steps |in |order |are: |assessment, |goal |setting, |planning, |implementation,
|evaluation/monitoring
Which |option |is |an |outcome |of |personal |record |keeping |in |relation |to |physical |activity, |
according |to |recent |studies?
a. |those |who |keep |logs |of |PA |are |more |adherent |to |other |elements |of |tx |(ie |diet, |meds)
b. |those |who |keep |PA |logs |are |more |likely |to |enroll |in |organized |exercise |programs |(ie |classes, |
gym |memberships)
c. |keeping |a |PA |log |is |associated |w/ |higher |level |of |self |efficacy |
d. |the |obligation |of |record |keeping |has |been |identified |as |a |barrier |to |exercise |- |CORRECT |
ANSWER✔✔-c. |keeping |a |PA |log |is |associated |w/ |higher |level |of |self |efficacy
consider |the |following |pt- |male, |46 |yo, |prev |sedentary, |mild |HTN |and |HLD |(both |controlled |w/ |
meds), |T2DM, |BMI |26. |If |this |pt |wishes |to |start |a |moderate |intensity |exercise |regimen, |what |
additional |assessment |may |be |warranted?
,a. |stress |test |w/ |ECG
b. |DEXA |scan |to |assess |bone |density |and |strength |
c. |ankle-brachial |index |to |rule |out |PAD |
d. |none |as |BP |and |chol |are |controlled |and |exercise |is |only |mod |intensity |- |CORRECT |
ANSWER✔✔-a. |stress |test |w/ |ECG
stress |test |is |not |mandated |prior |to |exercise |for |pt's |w/ |dm, |clinical |judgement |recommended |
based |on |hx |and |comorbidities. |
Stress |test |may |be |warranted |in |this |case |d/t |pt |being |>40 |yo |w/ |prev |hx |of |sedentary, |cvd |risk
|factors, |and |beginning |a |program |that |is |more |intense |than |brisk |walking.
a |diabetes |educator |assess |and |instructs |pts |on |a |variety |of |of |self |care |skills. |Which |teaching |
strategy |provides |the |best |opportunity |to |both |assess |and |instruct |on |self |administration |of |
insulin?
a. |written |quiz |in |which |the |pt |puts |insulin |admin |steps |in |order. |
b. |demonstration |and |return |demonstration |of |insulin |admin
c. |video |viewed |and |reviewed |on |proper |insulin |technique
d. |printed |handout |w/ |pics |depicting |steps |of |insulin |admin, |followed |by |verbal |
acknowledgement |of |understanding. |- |CORRECT |ANSWER✔✔-b. |demonstration |and |return |
demonstration |of |insulin |admin
The |following |policies |are |apart |of |a |DSME |program: |asking |pt's |if |there |are |any |dietary |
restrictions |or |preferences, |inviting |family |members |to |participate, |being |sensitive |to |ones |rate
|of |speech |and |tone |of |voice. |These |policies |address |which |specific |type |of |consideration?
a. |readiness |for |change |variation |among |pt's |
b. |potential |low |literacy/numeracy |levels |
,c. |cultural |characteristics/barriers |of |the |population
d. |poor |family |and |social |support |- |CORRECT |ANSWER✔✔-c. |cultural |characteristics/barriers |of
|the |population
according |to |the |ADA |consensus |statement |on |managing |preexisting |dm |for |pregnancy, |what |is
|the |optimal |glycemic |target |for |pregnant |women |w/ |preexisting |dm |(assuming |target |may |be |
reached |w/o |excessive |hypoglycemia)?
a. |premeal |fasting |<90 |and |either |1 |hr |pp |<120 |OR |2 |hr |pp |<100; |hbA1c |<5.5%
b. |premeal |fasting |<95 |and |either |1 |hr |pp |<140 |OR |2 |hr |pp |<120; |hbA1c |<6%
c. |premeal |fasting |<90 |and |either |1 |hr |pp |<120 |OR |2 |hr |pp |<100; |hbA1c |<6%
d. |premeal |fasting |<100 |and |either |1 |hr |pp |<140 |OR |2 |hr |pp |<120; |hbA1c |<7% |- |CORRECT |
ANSWER✔✔-b. |premeal |fasting |<95 |and |either |1 |hr |pp |<140 |OR |2 |hr |pp |<120; |hbA1c |<6%
also |note |for |pregnancy, |BG |not |considered |hypoglycemia |until |<60
during |the |initial |assessment |process, |the |patient |answers |the |question |"how |important |is |it |
for |you |to |make |this |change |right |now?" |with |a |9 |out |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. |In |customizing |her |DSME |plan, |what |should |the |focus |be?
a. |providing |materials |and |experiences |that |enhance |her |knowledge |and |skills
b. |addressing |psychosocial |needs, |such |as |accepting |her |dx |
c. |highlighting |benefits |of |good |dm |mngmnt |to |encourage |behavior |change
d. |explaining |the |questions |further |to |confirm |understanding |- |CORRECT |ANSWER✔✔-a. |
providing |materials |and |experiences |that |enhance |her |knowledge |and |skills
, it |is |important |to |address |potential |barriers |to |self |monitoring |of |BG, |esp |for |patients |who |are |
not |adhering |to |their |plan |of |care. |Which |of |the |following |barriers |was |not |one |cited |by |
patients |in |recent |studies?
a. |cost |of |testing |supplies |
b. |discomfort |of |fingersticks |
c. |lack |of |instruction |and |support
d. |misplacement |of |small |items |- |CORRECT |ANSWER✔✔-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 |patient's |typical |s/s |w/ |hypos
b. |current |pt |physical/glycemic |status |(wt, |BMI, |A1c)
c. |timing |and |content |of |meals |(ie |carbs) |in |relation |to |activity
d. |med |regimen- |types, |dosing, |timing |- |CORRECT |ANSWER✔✔-d. |med |regimen- |types, |dosing,
|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. |pt |becomes |tearful |as |the |educator |explains |how |to |keep |a |food |diary
b. |pt |watches |a |demo |but |does |not |say |anything |
c. |pt |volunteers |to |answer |a |review |question |at |the |end |of |class |but |gets |the |answer |wrong |
d. |pt |denies |dm |dx |and |disagrees |w/ |the |dr's |referral |for |DSME |- |CORRECT |ANSWER✔✔-d. |pt |
denies |dm |dx |and |disagrees |w/ |the |dr's |referral |for |DSME
according |to |ADA |standards, |which |statement |is |not |true |regarding |MNT |and |diabetes?
correct answers
What |is |the |first |step |in |the |process |of |diabetes |self |management |education?
a. |assessment |
b. |goal |setting |
c. |diagnosis
d. |referral |- |CORRECT |ANSWER✔✔-a. |assessment |
the |steps |in |order |are: |assessment, |goal |setting, |planning, |implementation,
|evaluation/monitoring
Which |option |is |an |outcome |of |personal |record |keeping |in |relation |to |physical |activity, |
according |to |recent |studies?
a. |those |who |keep |logs |of |PA |are |more |adherent |to |other |elements |of |tx |(ie |diet, |meds)
b. |those |who |keep |PA |logs |are |more |likely |to |enroll |in |organized |exercise |programs |(ie |classes, |
gym |memberships)
c. |keeping |a |PA |log |is |associated |w/ |higher |level |of |self |efficacy |
d. |the |obligation |of |record |keeping |has |been |identified |as |a |barrier |to |exercise |- |CORRECT |
ANSWER✔✔-c. |keeping |a |PA |log |is |associated |w/ |higher |level |of |self |efficacy
consider |the |following |pt- |male, |46 |yo, |prev |sedentary, |mild |HTN |and |HLD |(both |controlled |w/ |
meds), |T2DM, |BMI |26. |If |this |pt |wishes |to |start |a |moderate |intensity |exercise |regimen, |what |
additional |assessment |may |be |warranted?
,a. |stress |test |w/ |ECG
b. |DEXA |scan |to |assess |bone |density |and |strength |
c. |ankle-brachial |index |to |rule |out |PAD |
d. |none |as |BP |and |chol |are |controlled |and |exercise |is |only |mod |intensity |- |CORRECT |
ANSWER✔✔-a. |stress |test |w/ |ECG
stress |test |is |not |mandated |prior |to |exercise |for |pt's |w/ |dm, |clinical |judgement |recommended |
based |on |hx |and |comorbidities. |
Stress |test |may |be |warranted |in |this |case |d/t |pt |being |>40 |yo |w/ |prev |hx |of |sedentary, |cvd |risk
|factors, |and |beginning |a |program |that |is |more |intense |than |brisk |walking.
a |diabetes |educator |assess |and |instructs |pts |on |a |variety |of |of |self |care |skills. |Which |teaching |
strategy |provides |the |best |opportunity |to |both |assess |and |instruct |on |self |administration |of |
insulin?
a. |written |quiz |in |which |the |pt |puts |insulin |admin |steps |in |order. |
b. |demonstration |and |return |demonstration |of |insulin |admin
c. |video |viewed |and |reviewed |on |proper |insulin |technique
d. |printed |handout |w/ |pics |depicting |steps |of |insulin |admin, |followed |by |verbal |
acknowledgement |of |understanding. |- |CORRECT |ANSWER✔✔-b. |demonstration |and |return |
demonstration |of |insulin |admin
The |following |policies |are |apart |of |a |DSME |program: |asking |pt's |if |there |are |any |dietary |
restrictions |or |preferences, |inviting |family |members |to |participate, |being |sensitive |to |ones |rate
|of |speech |and |tone |of |voice. |These |policies |address |which |specific |type |of |consideration?
a. |readiness |for |change |variation |among |pt's |
b. |potential |low |literacy/numeracy |levels |
,c. |cultural |characteristics/barriers |of |the |population
d. |poor |family |and |social |support |- |CORRECT |ANSWER✔✔-c. |cultural |characteristics/barriers |of
|the |population
according |to |the |ADA |consensus |statement |on |managing |preexisting |dm |for |pregnancy, |what |is
|the |optimal |glycemic |target |for |pregnant |women |w/ |preexisting |dm |(assuming |target |may |be |
reached |w/o |excessive |hypoglycemia)?
a. |premeal |fasting |<90 |and |either |1 |hr |pp |<120 |OR |2 |hr |pp |<100; |hbA1c |<5.5%
b. |premeal |fasting |<95 |and |either |1 |hr |pp |<140 |OR |2 |hr |pp |<120; |hbA1c |<6%
c. |premeal |fasting |<90 |and |either |1 |hr |pp |<120 |OR |2 |hr |pp |<100; |hbA1c |<6%
d. |premeal |fasting |<100 |and |either |1 |hr |pp |<140 |OR |2 |hr |pp |<120; |hbA1c |<7% |- |CORRECT |
ANSWER✔✔-b. |premeal |fasting |<95 |and |either |1 |hr |pp |<140 |OR |2 |hr |pp |<120; |hbA1c |<6%
also |note |for |pregnancy, |BG |not |considered |hypoglycemia |until |<60
during |the |initial |assessment |process, |the |patient |answers |the |question |"how |important |is |it |
for |you |to |make |this |change |right |now?" |with |a |9 |out |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. |In |customizing |her |DSME |plan, |what |should |the |focus |be?
a. |providing |materials |and |experiences |that |enhance |her |knowledge |and |skills
b. |addressing |psychosocial |needs, |such |as |accepting |her |dx |
c. |highlighting |benefits |of |good |dm |mngmnt |to |encourage |behavior |change
d. |explaining |the |questions |further |to |confirm |understanding |- |CORRECT |ANSWER✔✔-a. |
providing |materials |and |experiences |that |enhance |her |knowledge |and |skills
, it |is |important |to |address |potential |barriers |to |self |monitoring |of |BG, |esp |for |patients |who |are |
not |adhering |to |their |plan |of |care. |Which |of |the |following |barriers |was |not |one |cited |by |
patients |in |recent |studies?
a. |cost |of |testing |supplies |
b. |discomfort |of |fingersticks |
c. |lack |of |instruction |and |support
d. |misplacement |of |small |items |- |CORRECT |ANSWER✔✔-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 |patient's |typical |s/s |w/ |hypos
b. |current |pt |physical/glycemic |status |(wt, |BMI, |A1c)
c. |timing |and |content |of |meals |(ie |carbs) |in |relation |to |activity
d. |med |regimen- |types, |dosing, |timing |- |CORRECT |ANSWER✔✔-d. |med |regimen- |types, |dosing,
|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. |pt |becomes |tearful |as |the |educator |explains |how |to |keep |a |food |diary
b. |pt |watches |a |demo |but |does |not |say |anything |
c. |pt |volunteers |to |answer |a |review |question |at |the |end |of |class |but |gets |the |answer |wrong |
d. |pt |denies |dm |dx |and |disagrees |w/ |the |dr's |referral |for |DSME |- |CORRECT |ANSWER✔✔-d. |pt |
denies |dm |dx |and |disagrees |w/ |the |dr's |referral |for |DSME
according |to |ADA |standards, |which |statement |is |not |true |regarding |MNT |and |diabetes?
