CBC Managing Post-Operative Adjustments 3

Question 1

Which finding in a post-operative client most strongly suggests transfer addiction and warrants further assessment?

Accepted Answer

New onset of heavy alcohol use replacing prior compulsive eating

Answer

Replacing compulsive eating with escalating alcohol use is the classic pattern of transfer (cross) addiction after bariatric surgery.

Question 2

Why are bariatric patients, particularly after gastric bypass, at elevated risk from alcohol use post-operatively?

Accepted Answer

Altered anatomy speeds absorption, producing higher blood alcohol levels from smaller amounts

Answer

Post-bypass anatomy causes faster alcohol absorption and higher peak blood alcohol concentration, increasing intoxication and addiction risk.

Question 3

A client 4 months post-surgery reports persistent sadness, loss of interest, and hopelessness. What should the counselor do first?

Accepted Answer

Screen for depression and refer to a qualified mental health provider as indicated

Answer

Persistent depressive symptoms require screening and appropriate referral, since post-bariatric patients face elevated depression risk.

Question 4

Which client statement indicates a healthy adjustment to the post-operative plateau phase of weight loss?

Accepted Answer

"Plateaus are normal, so I'm focusing on my habits rather than the scale."

Answer

Recognizing plateaus as normal and focusing on behaviors rather than scale numbers reflects realistic, resilient adjustment.

Question 5

A client feels intense guilt after eating a small dessert at a birthday party 5 months post-surgery. The best counseling response addresses which cognitive pattern?

Accepted Answer

All-or-nothing thinking that frames one lapse as total failure

Answer

Framing a single lapse as failure is all-or-nothing thinking, which counselors should restructure to prevent relapse spirals.

(CBC) Certified Bariatric Counselor Practice Test

(CBC) Certified Bariatric Counselor Practice Test

CBC Managing Post-Operative Adjustments 3