CBC Psychosocial Patient Assessment Questions and Answers

Question 1

A bariatric surgery candidate reveals a history of an untreated eating disorder, specifically bulimia nervosa.
According to standard psychosocial assessment guidelines, which of the following is the most appropriate initial action for the Certified Bariatric Counselor?

Accepted Answer

Recommend a significant delay in surgical consideration until the eating disorder is effectively treated and managed.

Answer

Clear the patient for surgery with the stipulation of mandatory post-operative psychotherapy.

Answer

Suggest a less invasive bariatric procedure to minimize potential complications.

Answer

Immediately disqualify the patient as a surgical candidate due to the high risk of failure.

Question 2

During a psychosocial assessment, a 45-year-old male candidate for gastric bypass surgery expresses that his primary motivation is to 'finally look good for my upcoming high school reunion.' While this is a common desire, which potential issue should the counselor explore further?

Accepted Answer

Unrealistic expectations regarding the speed and extent of post-surgical changes.

Answer

Lack of social support from his family.

Answer

A potential misunderstanding of the required dietary changes.

Answer

Financial inability to afford post-operative nutritional supplements.

Question 3

Which of the following is a primary objective of the pre-surgical psychosocial evaluation for a bariatric surgery candidate?

Accepted Answer

To identify psychosocial strengths and weaknesses that may impact post-operative success.

Answer

To guarantee the patient will lose a specific amount of weight.

Answer

To screen for personality disorders using the Myers-Briggs Type Indicator.

Answer

To determine the patient's eligibility for insurance coverage.

Question 4

A patient who is 18 months post-sleeve gastrectomy reports significant weight regain, feelings of shame, and admits to 'grazing' on high-carbohydrate snacks throughout the day. In addition to nutritional counseling, what is the most critical psychosocial intervention?

Accepted Answer

Exploring underlying emotional triggers and coping mechanisms related to the eating behavior.

Answer

Recommending an immediate surgical revision.

Answer

Suggesting the patient join a gym to increase caloric expenditure.

Answer

Advising the patient to keep a strict food-only diary.

Question 5

In assessing a bariatric surgery candidate's social support system, which factor is considered most crucial for long-term post-operative success?

Accepted Answer

The availability of supportive individuals with whom the patient can discuss challenges and successes.

Answer

The number of friends the patient has on social media.

Answer

The patient's marital status.

Answer

Whether the patient's family members are also overweight.

Question 6

Which of the following psychiatric conditions is considered an absolute contraindication for bariatric surgery, requiring resolution before a candidate can be considered?

Accepted Answer

Active psychosis or severe, uncontrolled substance abuse.

Answer

Mild, controlled depression.

Answer

A remote history of substance abuse (sober for 10 years).

Answer

Generalized anxiety disorder managed with medication.

A bariatric surgery candidate reveals a history of an untreated eating disorder, specifically bulimia nervosa.According to standard psychosocial assessment guidelines, which of the following is the most appropriate initial action for the Certified Bariatric Counselor?

A bariatric surgery candidate reveals a history of an untreated eating disorder, specifically bulimia nervosa.
According to standard psychosocial assessment guidelines, which of the following is the most appropriate initial action for the Certified Bariatric Counselor?