Nutritional Counseling Strategies 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 Nutritional Counseling Strategies flashcards as text
A counselor helping a patient set the goal "I will eat 25 grams of protein at breakfast five days this week" is applying which technique?
Answer: SMART goal setting
The goal is specific, measurable, achievable, relevant, and time-bound, which defines the SMART framework.
Which texture progression is typically counseled in the first weeks after bariatric surgery?
Answer: Clear liquids, full liquids, pureed foods, soft foods, then regular texture
The standard post-op diet advances stepwise from clear liquids through purees and soft foods to regular textures over several weeks.
A patient with iron deficiency anemia after bypass should be counseled to take iron supplements:
Answer: With vitamin C and separated from calcium by at least 2 hours
Vitamin C enhances iron absorption while calcium, dairy, coffee, and tea inhibit it, so timing separation is essential.
A patient reports eating in secret and feeling loss of control over large amounts of food twice weekly before surgery. The counselor's most appropriate action is to:
Answer: Screen for binge eating disorder and coordinate referral to behavioral health
Loss-of-control eating suggests binge eating disorder, which warrants screening and behavioral health referral because untreated it predicts poorer post-op outcomes.
Which snack recommendation best fits a post-bariatric patient 6 months out who needs an afternoon option supporting protein goals?
Answer: Plain Greek yogurt or a cheese stick
Greek yogurt and cheese provide concentrated protein in small volume without the sugar or empty calories of the alternatives.
When a bariatric patient's food diary shows accurate logging but no weight change, the counselor should first:
Answer: Review the diary together to identify calorie-dense patterns, portions, and liquid calories
Collaborative diary review often reveals overlooked liquid calories, portions, or condiments and preserves the therapeutic alliance.
Which statement best reflects culturally competent nutritional counseling for a bariatric patient?
Answer: Adapt protein and portion guidance to fit the patient's traditional foods and eating customs
Effective counseling integrates medical nutrition goals with the patient's cultural food practices rather than replacing them.