CBC Behavioral Care 3

Question 1

A patient reports consuming most of their daily calories after dinner and waking at night to eat. Which condition should the bariatric counselor screen for?

Accepted Answer

Night eating syndrome

Answer

Night eating syndrome is characterized by evening hyperphagia and nocturnal awakenings to eat, and it can undermine surgical outcomes.

Question 2

Which screening instrument is most commonly used to identify binge eating behavior in bariatric surgery candidates?

Accepted Answer

Binge Eating Scale (BES)

Answer

The Binge Eating Scale is a validated self-report tool widely used in pre-surgical psychological evaluations to assess binge severity.

Question 3

During a pre-surgical evaluation, a patient states they expect surgery to fix their marriage and depression. The counselor's best initial response is to:

Accepted Answer

Explore and gently correct unrealistic expectations about surgical outcomes

Answer

Unrealistic expectations predict post-operative dissatisfaction, so counselors should address them directly during evaluation.

Question 4

A patient two years post-bypass has regained 15 pounds and avoids follow-up appointments out of shame. Which counseling approach is most appropriate?

Accepted Answer

Normalize the regain, reduce shame, and re-engage the patient in behavioral strategies

Answer

Shame drives avoidance, so a nonjudgmental, re-engagement approach is most effective for addressing post-surgical weight regain.

Question 5

Which of the following best distinguishes emotional hunger from physical hunger when teaching patients hunger awareness?

Accepted Answer

Emotional hunger tends to come on suddenly and craves specific comfort foods

Answer

Emotional hunger is typically sudden, urgent, and specific to comfort foods, whereas physical hunger builds gradually and accepts a range of foods.

(CBC) Certified Bariatric Counselor Practice Test

(CBC) Certified Bariatric Counselor Practice Test

CBC Behavioral Care 3