CBC Weight Management 3 — Questions and Answers
Question 1: A client says, "I know I should exercise, but I just can't find the time." According to the transtheoretical model, which stage of change does this most likely reflect?
- Maintenance
- Contemplation (Correct answer)
- Action
- Precontemplation
Correct answer: Contemplation
Contemplation is marked by awareness of the need to change coupled with ambivalence and perceived barriers.
Question 2: Which counseling technique involves asking a client to rate their confidence in making a change on a scale of 0 to 10, then exploring why the number isn't lower?
- Cognitive restructuring
- Aversion therapy
- The confidence ruler in motivational interviewing (Correct answer)
- Systematic desensitization
Correct answer: The confidence ruler in motivational interviewing
The confidence ruler elicits change talk by having clients articulate their own reasons for capability.
Question 3: A client on a 1,500-calorie plan attends a wedding and overeats, then abandons the plan entirely, saying "I already blew it." This all-or-nothing response is best described as what?
- The abstinence violation effect (Correct answer)
- Food neophobia
- Hedonic adaptation
- Stimulus generalization
Correct answer: The abstinence violation effect
The abstinence violation effect occurs when a single lapse triggers guilt and total abandonment of behavior goals.
Question 4: Which behavioral strategy pairs a desired new habit with an established routine, such as prepping vegetables right after the morning coffee?
- Contingency contracting
- Stimulus flooding
- Thought stopping
- Habit stacking (Correct answer)
Correct answer: Habit stacking
Habit stacking anchors a new behavior to an existing cue to increase adherence.
Question 5: A counselor helps a client identify that they snack heavily while watching evening television. Removing snacks from the living room is an example of which technique?
- Cognitive defusion
- Stimulus control (Correct answer)
- Operant extinction
- Paradoxical intention
Correct answer: Stimulus control
Stimulus control modifies environmental cues that trigger unwanted eating behaviors.
Question 6: When setting weight management goals, the "A" in SMART goals stands for what?
- Aggressive
- Abstract
- Achievable (Correct answer)
- Adjustable
Correct answer: Achievable
SMART goals are Specific, Measurable, Achievable, Relevant, and Time-bound.
Question 7: A client repeatedly says "I'm so weak-willed, I'll never lose weight." Which cognitive-behavioral intervention directly targets this pattern?
- Progressive muscle relaxation
- Exposure and response prevention
- Biofeedback training
- Cognitive restructuring of negative self-talk (Correct answer)
Correct answer: Cognitive restructuring of negative self-talk
Cognitive restructuring helps clients identify and replace distorted self-defeating thoughts with balanced ones.
CBC Weight Management 3
A client says, "I know I should exercise, but I just can't find the time." According to the transtheoretical model, which stage of change does this most likely reflect?