Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

How frequently should a diabetes educator assess a patient's tobacco use status and readiness to quit?

1. At every visit for those who smoke and only at the initial visit for those who do not

2. Annually unless the patient brings it up

3. At every visit

4. Whenever educator notes signs that indicate possible change in status

The correct answer is: At every visit

Assessing a patient's tobacco use status and readiness to quit at every visit is crucial for several reasons. Tobacco use is a significant health risk, especially for individuals with diabetes, as it can complicate the management of the condition and increase the likelihood of complications. Regular assessment ensures that healthcare providers have the most up-to-date information on the patient's habits and can offer timely support or interventions to assist in cessation efforts. Routine assessments at each visit foster an ongoing dialogue about tobacco use, reinforcing the importance of quitting and keeping the topic at the forefront of health discussions. This consistent engagement allows educators to address any changes in the patient’s readiness or motivation to quit, which can fluctuate over time. It also provides opportunities to tailor support and resources to the individual's current situation, which is essential for effective behavior change. While some other approaches may seem relevant, they do not prioritize the ongoing relationship between the patient's tobacco use and their overall health. Evaluating tobacco use only at initial visits or on an annual basis may miss critical opportunities for intervention. Additionally, limiting assessments to signs indicating possible changes could overlook patients who are ready to quit but may not exhibit obvious signs or symptoms. Therefore, consistent evaluation at every visit is the most effective strategy for addressing tobacco use among patients with diabetes.