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Behavioral & Psychological Support Flashcards

7 cards from real CBE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Behavioral & Psychological Support flashcards as text

  1. A patient 18 months after Roux-en-Y gastric bypass reports drinking wine nightly to 'unwind' and says it affects her more than before surgery. What is the most accurate educational response?

    Answer: After bypass, alcohol reaches the bloodstream faster and peaks higher, raising intoxication and alcohol use disorder risk

    RYGB speeds alcohol delivery to the small intestine, producing faster, higher blood alcohol peaks and increased risk of alcohol use disorder.

  2. Which DSM-5 frequency criterion is required for a diagnosis of binge eating disorder?

    Answer: Binge episodes at least once a week for 3 months

    DSM-5 requires binge eating at least once weekly on average for 3 months.

  3. A patient says, 'I know I should log my food, but I'm just too busy.' Using motivational interviewing, which response best reflects ambivalence?

    Answer: Part of you sees the value in logging, and part of you feels your schedule makes it hard.

    A double-sided reflection acknowledges both sides of ambivalence without confrontation.

  4. Which behavior pattern after sleeve gastrectomy is most associated with gradual weight regain because small portions are eaten continuously throughout the day?

    Answer: Grazing

    Grazing, repetitive unplanned eating of small amounts, bypasses the restrictive effect of surgery and is linked to weight regain.

  5. Population studies show which risk is elevated after bariatric surgery compared with matched controls?

    Answer: Risk of suicide and self-harm

    Several cohort studies show increased rates of suicide and self-harm after bariatric surgery, warranting ongoing mental health screening.

  6. Which tool is most appropriate for brief screening of depressive symptoms at a postoperative visit?

    Answer: PHQ-9

    The PHQ-9 is a validated nine-item depression screening tool widely used in bariatric follow-up.

  7. A patient keeps chips in the pantry and eats them when stressed. Which behavioral strategy is best described as stimulus control?

    Answer: Removing chips from the home and storing healthy snacks in view

    Stimulus control modifies the environment to reduce cues that trigger unwanted eating.