CBN CBN Psychological & Behavioral Support 1 — Questions and Answers
Question 1: Which psychological screening tool is most commonly used to assess bariatric surgery candidates for depression and anxiety?
- Beck Depression Inventory (BDI) (Correct answer)
- Edinburgh Postnatal Depression Scale
- Geriatric Depression Scale
- Hamilton Anxiety Rating Scale
Correct answer: Beck Depression Inventory (BDI)
The Beck Depression Inventory (BDI) is widely used in bariatric preoperative psychological evaluations to screen for depression.
Question 2: A bariatric patient reports binge eating behaviors three months post-surgery. What is the nurse's priority intervention?
- Refer to a mental health professional specializing in eating disorders (Correct answer)
- Increase the patient's dietary restrictions
- Advise the patient to exercise more frequently
- Document and take no immediate action
Correct answer: Refer to a mental health professional specializing in eating disorders
Postoperative binge eating is a significant behavioral concern requiring prompt referral to a mental health professional to prevent weight regain and complications.
Question 3: Which behavioral therapy has the strongest evidence for supporting long-term weight loss maintenance after bariatric surgery?
- Cognitive Behavioral Therapy (CBT) (Correct answer)
- Psychodynamic therapy
- Exposure and response prevention
- Eye movement desensitization and reprocessing (EMDR)
Correct answer: Cognitive Behavioral Therapy (CBT)
CBT is the most evidence-based behavioral intervention for addressing maladaptive eating patterns and supporting long-term weight management after bariatric surgery.
Question 4: A patient scheduled for bariatric surgery has a history of alcohol use disorder. What is the most appropriate preoperative action?
- Require a minimum 12-month sobriety period and substance abuse evaluation (Correct answer)
- Proceed with surgery if the patient is currently abstinent for 30 days
- Cancel surgery permanently due to contraindication
- Only require written acknowledgment of the risk
Correct answer: Require a minimum 12-month sobriety period and substance abuse evaluation
Most bariatric programs require at least 12 months of sobriety and a formal substance abuse evaluation before approving surgery due to risk of addiction transfer.
Question 5: Body image dissatisfaction after significant weight loss following bariatric surgery is best addressed by:
- Psychological counseling and support groups (Correct answer)
- Cosmetic surgery referral as the first-line intervention
- Increasing caloric intake to slow further weight loss
- Reassurance that appearance will improve with time
Correct answer: Psychological counseling and support groups
Psychological counseling and peer support groups help patients adjust their body image perception, which may lag significantly behind actual physical changes.
Question 6: Which factor is the strongest predictor of poor psychosocial outcomes after bariatric surgery?
- Untreated preoperative psychiatric disorders (Correct answer)
- Type of bariatric procedure performed
- Distance from the surgical center
- Insurance type
Correct answer: Untreated preoperative psychiatric disorders
Untreated preoperative psychiatric disorders are the strongest predictors of poor psychosocial outcomes and weight regain after bariatric surgery.
CBN CBN Psychological & Behavioral Support 1
Which psychological screening tool is most commonly used to assess bariatric surgery candidates for depression and anxiety?