Nutritional Counseling Flashcards
7 cards from real CBC practice questions. Tap to flip, then mark Knew It or Still Learning โ missed cards come back until you master them.
Read the first 7 Nutritional Counseling flashcards as text
A patient scheduled for surgery is placed on a preoperative liver-shrinking diet. What is its primary purpose?
Answer: To reduce liver size for safer surgical access
A low-calorie, low-carbohydrate preoperative diet shrinks the liver, improving visualization and safety during laparoscopic surgery.
Which symptom pattern suggests reactive (late) hypoglycemia rather than early dumping syndrome?
Answer: Shakiness, sweating, and confusion 1-3 hours after a high-carbohydrate meal
Late dumping is caused by an exaggerated insulin response producing hypoglycemia one to three hours after carbohydrate intake.
A counselor is reviewing a food journal showing 900 calories daily at 12 months post-op with adequate protein. Weight loss has appropriately slowed. What is the best response?
Answer: Affirm the intake pattern and discuss the expected weight plateau phase
Weight loss naturally plateaus around 12-18 months, and adequate intake with protein goals met should be affirmed, not restricted further.
Which iron-related counseling point is correct for menstruating women after gastric bypass?
Answer: They are at elevated deficiency risk and iron should be taken separately from calcium
Menstrual losses plus bypassed duodenal absorption raise deficiency risk, and calcium competes with iron absorption.
A patient uses food to cope with work stress and asks for help breaking the pattern. Which strategy fits nutritional counseling best?
Answer: Identify triggers and build alternative coping skills alongside structured eating
Trigger identification with replacement coping strategies addresses emotional eating within the counselor's scope.
What texture progression is standard after bariatric surgery?
Answer: Clear liquids, full liquids, purees, soft foods, then regular texture
The staged progression from clear liquids through purees and soft foods allows the healing stomach to adapt safely.
A patient asks whether sugar alcohols like sorbitol are a good sugar substitute post-op. What is the most accurate counseling point?
Answer: Large amounts can cause gas, bloating, and diarrhea, so intake should be limited
Sugar alcohols are poorly absorbed and ferment in the gut, causing GI distress when consumed in excess.