Skip Navigation LinksHome > October/December 2010 - Volume 27 - Issue 4 > Universal Principles for Culturally Sensitive Diabetic Educa...
Journal of Christian Nursing:
doi: 10.1097/CNJ.0b013e3181f6ff67
CE Connection

Universal Principles for Culturally Sensitive Diabetic Education

Free Access
Article Outline
Collapse Box

Author Information

Earn CE CREDIT Online Find JCN's complete collection of CE modules at http://www.nursingcenter.com/CE/CNJ

Back to Top | Article Outline

Universal Principles for Culturally Sensitive Diabetic Education

TEST INSTRUCTIONS

To take the test online, go to our secure website at http://www.nursingcenter.com/CE/CNJ.

* Read the article on pages 294–299.

* Take the test, recording your answers in the test answers section (Section B) of the CE enrollment form. Each question has only one correct answer.

* Complete registration information (Section A) and course evaluation (Section C).

* Mail completed test with registration fee to: Lippincott Williams & Wilkins, CE Group, 333 7th Avenue, 19th Floor, New York, NY 10001.

* Within 4–6 weeks after your CE enrollment form is received, you will be notified of your test results.

* If you pass, you will receive a certificate of earned contact hours and answer key. If you fail, you have the option of taking the test again at no additional cost.

* A passing score for this test is 13 correct answers.

* Need CE STAT? Visit www.nursingcenter.com for immediate results, other CE activities and your personalized CE planner tool.

* No Internet access? Call 800–933–6525, ext 6617 or 6621, for other rush service options.

* Questions? Contact Lippincott Williams & Wilkins: 646–674–6617 or 646–674–6621.

Registration Deadline: December 31, 2012

DISCLOSURE STATEMENT

The author has disclosed that he has no financial relationships related to this article.

Back to Top | Article Outline
PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of the Journal of Christian Nursing, will award 2 contact hours for this continuing nursing education activity. Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11794 for 2.0 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. Your certificate is valid in all states. The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.

Back to Top | Article Outline
PAYMENT AND DISCOUNTS:

* The registration fee for this test is $16.95 for nonmembers; $11.95 for NCF members.

* If you take two or more tests in any nursing journal published by LWW and send in your CE enrollment forms together, you may deduct $0.95 from the price of each test.

* We offer special discounts for as few as six tests and institutional bulk discounts for multiple tests. Call 1–800–787–8985 for more information.

JCN continuing education offers a distinct blend of clinical and professional content with an underlying spiritual emphasis.

CE TEST QUESTIONS

General Purpose: To provide registered professional nurses with an understanding of the issues in cross-cultural diabetic and health education.

Learning Objectives: After reading this article and taking this test, you should be able to:

1. Identify issues related to culturally sensitive teaching of diabetic patients in Mauritania.

2. Outline topics in health education pertinent to diabetic patients.

1. A culturally sensitive approach to health education involves

a. demonstrating the value of Christian beliefs over beliefs in other faiths.

b. advocating for abandonment of cultural values when they negatively impact health.

c. demonstrating the ineffectiveness of cultural traditions that contradict Western medicine.

d. considering cultural issues and advocating for proven therapy for diseases.

2. The American Diabetes Association (ADA) recommends diabetics perform moderate-intensity activity at least

a. 10 minutes/day, 5 days/week.

b. 20 minutes/day, 4 days/week.

c. 30 minutes/day, 5 days/week.

d. 45 minutes/day, 3 days/week.

3. The author overcame the stereotype of Mauritanians not wanting to exercise by

a. suggesting that they walk around their neighborhoods.

b. asking them to plan their own exercise.

c. telling them to take the stairs at work.

d. recommending that they join a gym with friends.

4. The goal of glycemic control is to maintain the HBA1c below

a. 7%.

b. 7.5%.

c. 8%.

d. 8.5%.

5. The HBA1c goal equals an average pre- and post-prandial plasma glucose of

a. 100 mg/dL.

b. 110 mg/dL.

c. 133 mg/dL.

d. 154 mg/dL.

6. What percent of Mauritanians eat no fruits or vegetables each day?

a. 9%

b. 22%

c. 39%

d. 57%

7. Which statement is true about the glycemic index (GI)?

a. Grapes and watermelon have a GI ≤ 68.

b. It is a measure of the effect of carbohydrates on blood glucose levels.

c. Complex carbohydrates that break down more slowly have a higher GI.

d. Most cheeses and nuts have higher GIs.

8. Instead of 2 large, carbohydrate-rich meals with 1 meal at bedtime, patients were advised to substitute

a. 1 large meal at noon and 1 at 6 pm.

b. 2 large carbohydrate-poor meals with the last meal at 7 pm.

c. 3 small meals spaced evenly throughout the day.

d. 4 or 5 small meals.

9. For better glycemic control, the author recommended substituting

a. couscous for bulgar wheat.

b. breads with lower GIs.

c. conventional rice for parboiled rice.

d. couscous for barley porridge.

10. What is the GI of dried dates?

a. 91

b. 165

c. 121

d. 103

11. When talking to diabetics about problem foods,

a. prohibit the one food with the highest GI in their diets.

b. restrict the intake of problem foods to 2 special occasions/year.

c. suggest a culturally acceptable alternative with a lower GI.

d. advise them that they must refrain from eating problem foods to avoid complications.

12. For obese diabetic patients, the author did all of the following except

a. encouraged the patient to set small, more easily obtainable weight loss goals.

b. discussed diet and exercise before weight loss.

c. set a goal of 10 kg (22 lbs) in 2 months for each patient.

d. explained the benefits of weight loss.

13. Many West African patients believe that if they finish a course of medication they

a. will be cured.

b. will not need to modify their lifestyle.

c. can reduce their daily dosage.

d. will not be contagious.

14. Medication adherence problems in Mauritanian diabetics is most often linked to the

a. expense of the medications.

b. availability of the medications.

c. belief in the medications' efficacy.

d. side effects of the medications.

15. How were patients' glucose fluctuations assessed when glucose testing was not feasible?

a. diet adherence

b. signs and symptoms

c. how much exercise the patients were doing

d. medication adherence

16. Which of the following is a specific risk for diabetics observing Ramadan?

a. hyperkalemia

b. pancreatitis

c. diabetic ketoacidosis

d. hypervolemia

17. According to the ADA, during Ramadan Type 1 diabetics should

a. fast, but monitor their blood glucose during the fast period.

b. be strongly advised not to fast.

c. refrain from strenuous activity.

d. refrain from water but not food during the fast period.

18. A universal principle in cross-cultural health education is

a. withhold unpleasant health information to encourage compliance with the care plan.

b. patients have a right to make their own decisions about their healthcare.

c. stereotypes can provide useful starting points for understanding cultures.

d. focus on the "shoulds" and "musts" of diabetic care, not the "hows" and "whys."

Figure. No caption a...
Image Tools

Copyright © 2010 InterVarsity Christian Fellowship

Login