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

Assessment of current intake and tolerance must precede any intervention so recommendations are individualized and realistic.

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

Guidelines typically recommend a minimum of 60 grams per day, often 60-80 g or 1.1-1.5 g/kg ideal body weight, after bariatric surgery.

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

OARS (open questions, affirmations, reflections, summaries) is the core skill set of motivational interviewing.

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

Fluids consumed with meals accelerate pouch emptying, decreasing satiety and potentially allowing greater calorie intake or discomfort.

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

Early dumping syndrome is triggered by concentrated simple sugars rapidly entering the small intestine, so sugar restriction is the primary dietary strategy.

(CBC) Certified Bariatric Counselor Practice Test

(CBC) Certified Bariatric Counselor Practice Test

CBC Nutritional Counseling Strategies 2