Managing Post-Operative Adjustments Flashcards
7 cards from real CBC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Managing Post-Operative Adjustments flashcards as text
Which finding in a post-operative client most strongly suggests transfer addiction and warrants further assessment?
Answer: New onset of heavy alcohol use replacing prior compulsive eating
Replacing compulsive eating with escalating alcohol use is the classic pattern of transfer (cross) addiction after bariatric surgery.
Why are bariatric patients, particularly after gastric bypass, at elevated risk from alcohol use post-operatively?
Answer: Altered anatomy speeds absorption, producing higher blood alcohol levels from smaller amounts
Post-bypass anatomy causes faster alcohol absorption and higher peak blood alcohol concentration, increasing intoxication and addiction risk.
A client 4 months post-surgery reports persistent sadness, loss of interest, and hopelessness. What should the counselor do first?
Answer: Screen for depression and refer to a qualified mental health provider as indicated
Persistent depressive symptoms require screening and appropriate referral, since post-bariatric patients face elevated depression risk.
Which client statement indicates a healthy adjustment to the post-operative plateau phase of weight loss?
Answer: "Plateaus are normal, so I'm focusing on my habits rather than the scale."
Recognizing plateaus as normal and focusing on behaviors rather than scale numbers reflects realistic, resilient adjustment.
A client feels intense guilt after eating a small dessert at a birthday party 5 months post-surgery. The best counseling response addresses which cognitive pattern?
Answer: All-or-nothing thinking that frames one lapse as total failure
Framing a single lapse as failure is all-or-nothing thinking, which counselors should restructure to prevent relapse spirals.
Which sign suggests a post-operative client may be developing disordered grazing behavior?
Answer: Consuming small amounts of high-calorie foods continuously throughout the day
Continuous intake of small high-calorie amounts, or grazing, circumvents restriction and is a common maladaptive post-operative pattern.
How should a counselor respond when a client reports skipping support group meetings because "things are going fine"?
Answer: Explore the decision and reinforce that ongoing support predicts better long-term outcomes
Continued support-group engagement is associated with better long-term weight maintenance, so gentle exploration and psychoeducation are indicated.