SOCIAL & EDUCATION

Question 1

DATA:  Qualitative or Quantitative? 
A1C
Pt's rating of satisfaction
Lipids
Weight
Number of ER visits
Work absenteeism

Answer 1

QuaNtitative

Question 2

DEFINE: Contemplation Stage

Answer 2

Thinking about change SOME TIME IN THE FUTURE, no set date

Question 3

What is using the experience of others behavior performance as a way to acquire that specific behavior?

Answer 3

Observational learning

Question 4

Goal & objective of DSME?

Answer 4

Allow people with DM to make informed decisions and actively participate in their own care.

Question 5

Why is “role playing” beneficial? (3)

Answer 5

(1) Engages learners. (2) Allows learners to be active in learning process. (3) Practice skills and problem solving.

Question 6

DSME Outcome Continuum: Long term improved health status (3)

Answer 6

(1) Perceived health status. (2) Quality of life (QOL). (3) Healthcare customer

Question 7

Psychological screening and follow up may include: (6)

Answer 7

(1) attitude about illness (2) expectations for medical mangement and outcomes (3) affect/mood (4) general QOL (5) resources - financial, social, emotional (6) psychiatric hx

Question 8

__________ skills. Incorporates info and personal exprirences, info previously learned into situational decision making, anticipatory planning and problem solving.

Answer 8

Self management skills

Question 9

____result form mulitple variables over extended periods of time.

Answer 9

Long term outcomes

Question 10

Characteristics of providing effective diabetes EDUCATION (4)

Answer 10

(1) Information must be perceived to be important. (2) Problem oriented. (3) Incorporates personal experiences. (4) Participatory.

Question 11

______ skills. Learn approaches for ….coping with DM related stress; problem solving to overcome barriers to self care; cope with negative thinking relapses.

Answer 11

Coping skills.

Question 12

____is the knowledge and skills required to perform a specific behavior.

Answer 12

Behavioral capability

Question 13

Assess readiness to learn (7)

Answer 13

(1) Knowledge, psychomotor skills, and attitudinal learning. (2) Level of self care. (3) Learning style. (4) Social, cultural, and reiligious preferences. (5) Literacy. (6) Readiness to change. (7) Stress level.

Question 14

Audiovisual aids, purpose & examples.

Answer 14

Holds pt’s interest; useful for low literacy. Examples, food models power point, flip chart, video.

Question 15

Characteristics of an effective assessment (7)

Answer 15

(1) Find high priority problems (2) Cross cultural (3) Identify factors that interfere with ADLs (4) Identify needso fthose in special populationis (5) Involves family members or caregivers as needed (6) Patient centered (7) Reveal lifestyl issues/factors.

Question 16

INTERNAL locus of control belief (2)

Answer 16

(1) I am most powerful. (2) My actions make a difference.

Question 17

DEFINE: locus of control

Answer 17

one’s belief about who or what controls health outcomes

Question 18

Components of Health Belief Model (4)

Answer 18

(1) Perceived benefits (2) Perceived costs (3) Severity (4) Susceptibility.

Question 19

Health Belief Model: 2 components are strongest predictors of behavior change (2)

Answer 19

(1) severity (2) susceptibility.

Question 20

Behavior change: PREPARATION step (2)

Answer 20

(1) Seriously considers behavior change within the next 1 month (2) Set LONG term goals.

Question 21

GROUP DISCUSSION points of interest (4)

Answer 21

(1) leader must prevent 1-2 members from being dominant (2) allows learners to be active participants (3) forum for practicing problem solving skills (4) members select content important to them.

Question 22

DEFINE: PIPE (research)

Answer 22

Gives percent score. e.g. number of people using their BP program, and it’s effectiveness in each community.

Question 23

DEFINE: CQI

Answer 23

Continuous Quality Improvement. Used (periodically?) to evaluate, and program outcomes data collection aids to correct problems and supports JCAHO standards.

Question 24

DEFINE: Learning objective

Answer 24

Knowledge learned. e.g. pt can plan a meal using the high CHO list of foods.

Question 25

DEFINE: Behavioral objective

Answer 25

Needed action. e.g. Pt eats less high CHO food.

Question 26

DEFINE: Chronic Care Model (5 elements)

Answer 26

Uses community healthcare persons to educate and overcome cultural barriers for behavior change. elements of the CCM include decision support, clinical information systems, self-management education, and delivery system design.

Question 27

Behavioral objective characteristics (4)

Answer 27

The pt must:
(1) Value the goal and perceive a need for it (2) Understand the steps needed to change the behavior (3) Believe that changing the behavior will improve quality of life (4) Believe he will be successful in changing behavior.