CDN Weight Management Counseling 4

Question 1

Which hormonal change during weight loss most directly drives increased hunger and is considered a key barrier to maintenance?

Accepted Answer

Increased ghrelin

Answer

Ghrelin, the primary hunger hormone, increases significantly during and after weight loss, creating persistent appetite signals that drive regain.

Question 2

For a client who is 30% above ideal body weight, an initial weight loss goal of _____ is considered clinically meaningful for reducing comorbidities.

Accepted Answer

3-5%

Answer

Clinical evidence shows that even a 3-5% weight loss produces meaningful improvements in metabolic markers including blood glucose, triglycerides, and blood pressure.

Question 3

A client following a very-low-calorie diet (VLCD, <800 kcal/day) is at highest risk for which nutrient deficiency without supplementation?

Accepted Answer

Micronutrient deficiencies including thiamin, folate, and iron

Answer

VLCDs severely restrict food volume, making it nearly impossible to meet micronutrient needs without a comprehensive multivitamin/mineral supplement.

Question 4

The '5 A's' counseling framework used in weight management stands for:

Accepted Answer

Ask, Advise, Assess, Assist, Arrange

Answer

The 5 A's (Ask, Advise, Assess, Assist, Arrange) is a structured brief counseling framework adapted for obesity and lifestyle behavior change.

Question 5

A client with hypothyroidism and obesity reports difficulty losing weight despite adherence to a 1,400 kcal/day diet. The dietitian should FIRST:

Accepted Answer

Verify thyroid medication compliance and current TSH levels with the physician

Answer

Undertreated hypothyroidism significantly reduces metabolic rate; the dietitian should communicate with the physician to ensure thyroid function is optimized before adjusting the diet.

(CDN) Certified Dietician Nutritionist Practice Test

(CDN) Certified Dietician Nutritionist Practice Test

CDN Weight Management Counseling 4