CDN Weight Management Counseling 2

Question 1

A client on a 1,500 kcal/day plan reports a plateau after 6 weeks despite adherence. Which physiological mechanism most likely explains this?

Accepted Answer

Adaptive thermogenesis reducing total energy expenditure

Answer

Adaptive thermogenesis is a metabolic adaptation where the body reduces energy expenditure in response to caloric restriction, causing weight loss plateaus.

Question 2

When counseling a client using motivational interviewing, which response best reflects the 'rolling with resistance' technique?

Accepted Answer

'It sounds like change feels overwhelming right now — that makes sense.'

Answer

Rolling with resistance means acknowledging and accepting the client's ambivalence rather than confronting or arguing against it.

Question 3

A client's DEXA scan shows 38% body fat with normal BMI. This condition is best described as:

Accepted Answer

Normal weight obesity

Answer

Normal weight obesity (NWO) refers to a normal BMI combined with excess body fat percentage, which carries independent metabolic risk.

Question 4

Which behavioral strategy is MOST effective for long-term weight maintenance according to the National Weight Control Registry data?

Accepted Answer

Consistent meal timing and frequent self-monitoring

Answer

NWCR data consistently show that successful maintainers self-monitor weight and food intake regularly and maintain consistent eating patterns.

Question 5

A dietitian is counseling a client with binge eating disorder (BED) and obesity. Which approach should be prioritized initially?

Accepted Answer

Addressing the eating disorder before focusing on weight loss

Answer

Restrictive dieting can exacerbate BED; the eating disorder should be addressed first to establish a healthy relationship with food.

(CDN) Certified Dietician Nutritionist Practice Test

(CDN) Certified Dietician Nutritionist Practice Test

CDN Weight Management Counseling 2