CDN Weight Management Counseling 3 — Questions and Answers
Question 1: The Transtheoretical Model (TTM) stage where a client is actively changing behavior but for less than 6 months is called:
- Preparation
- Contemplation
- Action (Correct answer)
- Maintenance
Correct answer: Action
The Action stage involves active behavioral change that has been occurring for less than 6 months.
Question 2: A client has a resting metabolic rate (RMR) of 1,400 kcal/day and an activity factor of 1.3. A deficit of 500 kcal/day would require a daily intake of approximately:
- 1,200 kcal
- 1,320 kcal (Correct answer)
- 1,820 kcal
- 1,920 kcal
Correct answer: 1,320 kcal
TDEE = 1,400 × 1.3 = 1,820 kcal; subtracting 500 kcal gives a target of 1,320 kcal/day.
Question 3: Which assessment tool is MOST appropriate for identifying emotional eating patterns in a weight management client?
- Harris-Benedict equation
- Emotional Eating Scale (EES) (Correct answer)
- Nutrient Adequacy Ratio (NAR)
- Bioelectrical impedance analysis
Correct answer: Emotional Eating Scale (EES)
The Emotional Eating Scale (EES) is a validated tool that assesses the urge to eat in response to specific negative emotions.
Question 4: In weight management counseling, 'stimulus control' refers to:
- Using pharmacotherapy to control appetite signals
- Modifying environmental cues that trigger overeating (Correct answer)
- Controlling macronutrient ratios to prevent cravings
- Using brain stimulation to reduce hunger
Correct answer: Modifying environmental cues that trigger overeating
Stimulus control involves identifying and modifying environmental triggers (e.g., keeping high-calorie foods out of sight) to reduce overeating cues.
Question 5: A waist circumference of >102 cm in men and >88 cm in women indicates increased risk for which condition cluster?
- Osteoporosis and fracture risk
- Metabolic syndrome and cardiovascular disease (Correct answer)
- Malnutrition and micronutrient deficiency
- Renal disease and electrolyte imbalance
Correct answer: Metabolic syndrome and cardiovascular disease
These waist circumference thresholds are established criteria for abdominal obesity, a major component of metabolic syndrome associated with cardiovascular risk.
Question 6: Which dietary pattern has the STRONGEST evidence for both weight loss and cardiovascular risk reduction?
- Carnivore diet
- Mediterranean dietary pattern (Correct answer)
- Raw food diet
- Paleo diet
Correct answer: Mediterranean dietary pattern
The Mediterranean dietary pattern has robust evidence from multiple RCTs and meta-analyses supporting weight management and reduced cardiovascular events.
Question 7: A client reports weight regain of 5 lbs after 3 months of maintenance. The MOST appropriate counseling response is to:
- Prescribe a 500 kcal/day deficit immediately
- Explore what changed in behaviors and problem-solve collaboratively (Correct answer)
- Recommend bariatric surgery consultation
- Increase exercise to 2 hours daily
Correct answer: Explore what changed in behaviors and problem-solve collaboratively
Collaborative problem-solving to identify behavioral changes that led to regain is the evidence-based first response to prevent further weight gain.
CDN Weight Management Counseling 3
The Transtheoretical Model (TTM) stage where a client is actively changing behavior but for less than 6 months is called: