CBC Nutritional Counseling Strategies 2

Question 1

A patient 3 weeks post-sleeve gastrectomy reports difficulty meeting protein goals. Which counseling strategy is most appropriate first?

Accepted Answer

Assess current intake patterns and identify tolerated protein sources

Answer

Immediately prescribe protein supplements at 120 g/day

Answer

Advance the diet to solid meats to increase protein density

Answer

Recommend delaying protein goals until 6 months post-op

Question 2

Which daily protein intake is generally recommended for adults after bariatric surgery to preserve lean body mass?

Accepted Answer

60-80 grams

Answer

20-30 grams

Answer

150-200 grams

Answer

10-15 grams

Question 3

A counselor uses open-ended questions, affirmations, reflective listening, and summaries with a bariatric patient. Which approach is being applied?

Accepted Answer

Motivational interviewing (OARS)

Answer

Aversion therapy

Answer

Directive confrontation

Answer

Psychoanalytic free association

Question 4

Why are patients counseled to separate liquids from solid meals by about 30 minutes after bariatric surgery?

Accepted Answer

Drinking with meals can flush food through the pouch, reducing satiety and increasing intake

Answer

Liquids taken with food block vitamin B12 absorption

Answer

Combining them causes immediate strictures

Answer

It prevents all forms of acid reflux permanently

Question 5

A gastric bypass patient experiences sweating, dizziness, and cramping 20 minutes after eating ice cream. What dietary counseling point addresses this?

Accepted Answer

Limit simple sugars to prevent early dumping syndrome

Answer

Increase fluid intake during meals

Answer

Add more high-fat foods to slow digestion

Answer

Eat larger portions less frequently

Question 6

When a patient says, "I know I should stop drinking soda, but it's my only treat," the counselor's best motivational interviewing response is to:

Accepted Answer

Reflect the ambivalence and explore what the patient values about change

Answer

Warn the patient that soda will make the surgery fail

Answer

Assign a strict no-soda contract immediately

Answer

Change the subject to exercise goals

Question 7

Which behavioral strategy best helps a post-bariatric patient who eats quickly and experiences frequent regurgitation?

Accepted Answer

Mindful eating with small bites and 20-30 minutes per meal

Answer

Drinking water with each bite to wash food down

Answer

Switching entirely to liquid meals long-term

Answer

Eating only once per day to reduce episodes