Chapter 2 Scope of Practice Flashcards
1 Which of the following best describes the continuum of care in healthcare?
An integrated model of care that unifies the communication among an individual’s providers through various stages of their lifetime
An example of healthcare that coordinates an individual’s care among different providers at any given stage of their life
A paradigm of healthcare that maintains the same providers for an individual through all stages of their lifetime
An integrated model of care that provides individuals with guidance, aid, and healthcare at varying levels of intensity through different stages of their life
An integrated model of care that provides individuals with guidance, aid, and healthcare at varying levels of intensity through different stages of their life
2 Which of the following options best describes scope of practice?
The services that a healthcare practitioner is able to provide based on their knowledge, experience, and education in a particular area
The services that a healthcare practitioner can offer based on their license and education in a particular area
The services that a healthcare practitioner is authorized to perform or provide based on their education and experience, license, and/or credentials in a particular area
The services for which a healthcare practitioner may receive payment based on their knowledge, education, and experience in a particular area
The services that a healthcare practitioner is authorized to perform or provide based on their education and experience, license, and/or credentials in a particular area
3 What is one potential negative impact of weight stigma for some clients seeking weight loss?
An increased sense of autonomy and self-efficacy in making dietary and lifestyle changes for weight loss
A decrease in caloric intake due to depressive thoughts and social isolation
A lack of acclimatization to make life-style changes due to low self-efficacy
Increased motivation to make lifestyle changes for weight loss
A lack of acclimatization to make life-style changes due to low self-efficacy
4 What is weight stigma?
The classification of overweight and obese individuals based on their BMI
The higher likelihood of an overweight or obese individual developing a long-term chronic health issue
Discrimination or bias against an individual based on their weight
The higher incidence of mortality among individuals who are overweight or obese
Discrimination or bias against an individual based on their weight
5 Which of the following services IS within the scope of practice of a Weight Loss Specialist (WLS)?
Recommending medications and/or medication adjustments
Counseling a client with diabetes on dietary adjustments for blood sugar
Obtaining a client’s social, lifestyle, and dietary habits during an initial assessment
Reviewing a client’s diagnostic labwork and providing dietary or supplement recommendations
Obtaining a client’s social, lifestyle, and dietary habits during an initial assessment
6 What is practice exclusivity in the field of nutrition and dietetics?
A nutrition professional’s private practice that is exclusive to a designated geographical area
The requirement of a undergraduate or graduate degree to practice nutrition
The requirement of a state license to practice dietetics and to provide medical nutrition therapy (MNT) and, in many cases, any form of nutrition counseling to clients
A nutrition professional’s unique services that are advertised to the public
The requirement of a state license to practice dietetics and to provide medical nutrition therapy (MNT) and, in many cases, any form of nutrition counseling to clients
7 Two areas of expertise for a WLS are:
Fitness assessment and program design for a client
Program design and nutrition counseling
Personal training and counseling on behavior modification
Fitness assessment and nutrition counseling
Fitness assessment and program design for a client
8 Which of the following best describes preventative healthcare?
Healthcare provided to women and children under specific income thresholds to promote overall health
Any type of care that reduces the risk of a contagious infection
Health and wellness services such as birth control and sex education that can help to reduce the incidence of STDs and unplanned pregnancies
Any type of care, such as screenings, counseling, assessments, and check-ups, which can lower the risk of developing serious health issues in the future
Any type of care, such as screenings, counseling, assessments, and check-ups, which can lower the risk of developing serious health issues in the future
9 How might a WLS be expected to contribute to preventative healthcare?
A WLS could screen individuals for obesity in a healthcare setting and refer them for appropriate counseling as needed.
A WLS would be able to prescribe exercise programs and nutrition therapies to individuals seeking weight loss.
A WLS can help individuals prevent excess weight gain when addressed early on.
A WLS would be in a position to assist individuals seeking significant weight loss through appropriate exercise programming and coaching.
A WLS would be in a position to assist individuals seeking significant weight loss through appropriate exercise programming and coaching
10 Which of the following statements best describes the role of a WLS in a fitness setting?
The WLS is a fitness specialist and a coach to clients who are seeking significant weight loss.
The WLS is certified personal trainer who helps clients at the gym lose weight through exercise.
The WLS is an fitness professional who specializes in screening individuals who would benefit from weight loss and assisting them with achieving their goals.
The WLS is a fitness specialist and dietitian to clients seeking weight loss.
The WLS is a fitness specialist and a coach to clients who are seeking significant weight loss.
11 Although it is not within the scope of practice for a WLS to provide specific nutrition recommendations, they may provide which of the following services:
Review of the importance of overall energy (calorie) balance and effect on weight management
Recommendations on medication adjustments
Recommendations on supplements
Dietary modifications for health issues such as high blood pressure and high blood sugar levels
Review of the importance of overall energy (calorie) balance and effect on weight management
12 Angela is a 47-year-old client, currently 205 lbs., who desires to lose 40 lbs. At the recent medical check up, she was informed that her fasting blood sugar was elevated and that she is likely pre-diabetic. During her initial assessment, Angela asks you, the WLS, for advice on lowering her blood sugar levels. Which of the following would be the most appropriate response?
Tell Angela to try intermittent fasting to improve her blood sugar levels.
Recommend that Angela reduce her intake of sweets and limit her calorie intake to 1,200 calories per day.
Tell Angela that she should do the Keto diet to control her blood sugar levels.
Explain that it is not within your scope of practice to provide medical nutrition therapy, but you can refer the client to a registered dietitian or a certified/licensed nutritionist for further guidance.
Explain that it is not within your scope of practice to provide medical nutrition therapy, but you can refer the client to a registered dietitian or a certified/licensed nutritionist for further guidance.
13 Joe is a 56-year-old man who is seeking to lose about 50 lbs. per the recommendation of his doctor. Joe has no prior experience with exercise and is eager to begin working with you, a WLS, on a weight loss program. During the assessment, Joe states that he has high blood pressure and asks you to recommend any foods and supplements that could help him lower it. How should you respond?
Explain to Joe that you are unable to provide any dietary guidance for his blood pressure but you can refer him to some herbal supplements that may help.
Tell Joe to reduce his intake of salt and start taking some herbal supplements that can help with blood pressure reduction.
Explain that it is not within your scope of practice to recommend any specific foods or supplements and that Joe should follow up with his doctor and/or a registered dietitian or certified/licensed nutritionist for further guidance.
Research a meal plan for high blood pressure and give that to Joe at your next session.
Explain that it is not within your scope of practice to recommend any specific foods or supplements and that Joe should follow up with his doctor and/or a registered dietitian or certified/licensed nutritionist for further guidance.
14 Mary is a 37-year-old woman who is 5’3” and has a history of going on extreme diets to lose weight. Her weight has fluctuated between 100 lbs. and 170lbs. During her assessment, you notice that she seems anxious about food and apprehensive at the thought of eating. She expresses feeling out of control around some foods, such as ice cream and cake, and fearful to dine out with friends and family. What would be the appropriate course of action with Mary?
Express understanding for Mary’s concern but reassure her that she will soon feel more comfortable around dining out.
Express understanding for Mary’s concern but avoid discussing food and nutrition with her at future sessions
Express understanding for Mary’s concern and refer her to a registered dietitian or certified/licensed nutritionist for nutrition guidance.
Continue to work with Mary on weight loss and reassure her that she will become more comfortable around food after her weight loss.
Express understanding for Mary’s concern and refer her to a registered dietitian or certified/licensed nutritionist for nutrition guidance.
15 The roles and responsibilities of a WLS fall into four key areas in program design. These are:
Education, Implementation, Review, and Modification
Education, Implementation, Review, and Maintenance
Assessment, Education, Counseling, and Modification
Assessment, Education, Implementation, and Intervention
Assessment, Education, Implementation, and Intervention
16 Mary is a 37-year-old woman who is 5’3” and has a history of going on extreme diets to lose weight. Her weight has fluctuated between 100 lbs. and 170lbs. During her assessment, you notice that she seems anxious about food and apprehensive at the thought of eating. She expresses feeling out of control around some foods, such as ice cream and cake, and fearful to dine out with friends and family. What would be the appropriate course of action with Mary?
Conducting a fitness assessment of a client
Providing specific macronutrient recommendations for weight loss to a clien
Recommending supplements for weight loss
Counseling a client on disordered eating behavior
Conducting a fitness assessment of a client
17 Prior to program design, a WLS should conduct which of the following?
Counsel the client on diet modifications for weight loss.
Ask the client to complete a fitness challenge to determine their strength and endurance
Evaluate the client for any medical issues that may restrict physical training.
Perform a thorough physical, fitness and lifestyle assessment of the client.
Perform a thorough physical, fitness and lifestyle assessment of the client.
18 Aside from a physical and a fitness assessment, what other type of assessment should a WLS perform prior to program design for a client?
A lifestyle assessment
An assessment of their medical history and labwork
An assessment of their endurance
A sleep assessment
A lifestyle assessment
19 A WLS may need to provide clients with some education on factors related to their fitness and weight loss goals. Which of the following topics are within the scope of practice for a WLS?
Appropriate exercises for the client
Specific diet and/or macronutrient and micronutrient recommendations
Specific dietary adjustments for metabolic or endocrine disorders
Dietary modifications for health and/or medical issues
Appropriate exercises for the client
20 A WLS may need to provide clients with some education on factors related to their fitness and weight loss goals. Which of the following topics are NOT within the scope of practice for a WLS?
Specific dietary modifications for health and/or medical issues such as diabetes
Review of energy balance and weight loss
Types of lifestyle modifications that may assist client’s weight loss
General guidelines on a healthy lifestyle
Specific dietary modifications for health and/or medical issues such as diabetes
21 When discussing diet with a client, what areas are NOT within the scope of practice for a WLS?
General guidelines on healthy eating such as those provided in the USDA My Plate and/or NHS Eatwell Guide
A review of food labels
Specific diet and/or macronutrient and micronutrient recommendations for weight loss
A review of general portion guidelines
Specific diet and/or macronutrient and micronutrient recommendations for weight loss
22 What are the five key areas to address when implementing a weight loss program for a client?
The client’s needs and schedule, program timeline, measurement parameters, education timeline, and modification options
Assessment, evaluation, identification, education, and review
Assessment, education, identification, modification, and review
The client’s needs and schedule, program timeline, evaluation options, modification strategies, and program review
The client’s needs and schedule, program timeline, measurement parameters, education timeline, and modification options
23 One responsibility of a WLS is to intervene when clients face obstacles or plateaus in their weight loss journey and help them identify and address these issues. Which of the following interventions is NOT within the scope of practice for a WLS?
Providing general guidance on healthy portion sizes of foods and food groups
Providing accountability for healthy dietary changes implemented by the client
Program modification based on the client’s ability and feedback
Providing specific caloric and/or macronutrient recommendations to promote weight loss and a plateau breakthrough
Providing specific caloric and/or macronutrient recommendations to promote weight loss and a plateau breakthrough
24 Bill is a client you have been working with over the past 6 weeks. At your recent session, he expressed feeling frustrated that he has hit a plateau and seems unable to lose any more weight. He asks you to give him a meal plan with macronutrient targets to follow. What would be the appropriate response to Bill?
Express understanding of his frustration and explain that it is not within your scope of practice to provide a meal plan but that you can review factors in his diet that may be contributing to a plateau.
Express understanding of his frustration and look up a meal plan on the Internet to give him so that he has some structure with his diet.
Express understanding of his frustration and agree to provide him with a 1,200-calorie meal plan at the end of your next session.
Express understanding of his frustration, review his diet, and then give him a specific meal plan to follow.
Express understanding of his frustration and explain that it is not within your scope of practice to provide a meal plan but that you can review factors in his diet that may be contributing to a plateau.
25 One of the roles of a WLS is to be a coach to clients on their weight loss journey. Which of the following best describes the role of a coach in this context?
A fitness professional who is a mentor and guide to the client, helps the client identify and address obstacles in their weight loss goals, and provides support and accountability through the client’s journey
A fitness professional who trains the client and provides them with specific fitness and nutrition targets to facilitate weight loss
A counselor experienced in fitness assessment and program design who helps the client address training and nutrition factors to achieve weight loss
A mentor and guide who counsels the client on training techniques and specific dietary adjustments to achieve weight loss
A fitness professional who is a mentor and guide to the client, helps the client identify and address obstacles in their weight loss goals, and provides support and accountability through the client’s journey
26 Stacey is a 43-year-old client who has been working with you, a WLS, for a week. During a training session, she reports that she is having a difficult time adhering to dietary changes such as eating more vegetables and avoiding snacking on candy during the day. Keeping in mind your role as a WLS and a coach and your professional scope of practice, what would be the most appropriate response to Stacey’s concerns?
Express understanding for Stacey’s frustration and then ask her what she thinks may be contributing to her habit of snacking on candy and not eating more vegetables.
Express understanding for Stacey’s frustration and give her a meal plan to follow that includes more vegetables and no candy.
Tell Stacey that she needs to have better will power if she wants to make changes and lose weight.
Express understanding for Stacey’s frustration and reassure her that if she keeps trying she will eventually succeed.
Express understanding for Stacey’s frustration and then ask her what she thinks may be contributing to her habit of snacking on candy and not eating more vegetables.
27 Which of the following best describes coaching as it applies to the role of a WLS?
A process that guides the client to self-improvement through learning, reflection, engagement, and interaction with the coach
An interactive relationship, where the WLS counsels the client and recommends specific changes to help the client achieve their weight loss goals
The WLS performs the role of a coach in developing a physical training program for the client.
The WLS assumes the role of a fitness coach for the client.
A process that guides the client to self-improvement through learning, reflection, engagement, and interaction with the coach
28 Which of the following is an example of how a WLS can intervene to help clients who experience difficulty adhering to dietary changes?
The WLS can recommend specific foods and supplements to help a client adhere to dietary changes.
The WLS can provide a meal plan to the client to ensure dietary adherence.
The WLS can provide accountability and support to a client to help them adhere to dietary changes.
The WLS can write out specific macronutrient targets for the client to help them adhere to dietary changes.
The WLS can provide accountability and support to a client to help them adhere to dietary changes.
29 A new client asks you if she should try the ketogenic diet to lose weight in addition to training with you. What would be an appropriate response?
Agree with the client and give them a sample keto meal plan to follow.
Tell the client that you can assist her with implementing the keto diet by providing her with some meal ideas and recommendations.
Explain that the ketogenic diet may be appropriate for some individuals in certain cases but that the client should see a registered dietitian or certified/licensed nutritionist for further dietary guidance on this.
Explain that the ketogenic diet may be appropriate for some individuals in certain cases and that the client can try it if they like.
Explain that the ketogenic diet may be appropriate for some individuals in certain cases but that the client should see a registered dietitian or certified/licensed nutritionist for further dietary guidance on this.
30 What are the two primary, modifiable factors that play a key role in weight management?
Physical activity and diet
Diet and sleep
Diet and genetics
Physical activity and metabolic rate
Physical activity and diet
31 Why is a diet and lifestyle assessment important when designing a weight loss program for a client?
To determine what type of a meal plan might be appropriate for the client
To provide counseling and recommendations in multiple areas to help the client reach their goals
To determine other factors that may be affecting a client’s weight loss efforts
To review other factors that may affect the client’s fitness
To determine other factors that may be affecting a client’s weight loss efforts
32 Gina is a 51-year-old woman who has been working with you for the past 2 weeks. During a training session, she says that lately she has been snacking a great deal at night after dinner. She asks you for advice. What would be the most appropriate response as a coach?
Ask Gina to review her reasons for snacking and her earlier intake. Is she snacking because she is hungry, bored, or stressed? Did she eat enough at dinner?
Recommend that Gina work on her will power to control her snacking at night.
Ask Gina to follow a meal plan that you can give her to ensure that she stays on track.
Recommend that Gina ask her doctor for an appetite suppressant to help her avoid snacking at night.
Ask Gina to review her reasons for snacking and her earlier intake. Is she snacking because she is hungry, bored, or stressed? Did she eat enough at dinner?
33 Damien is a 28-year-old man who has been struggling with his weight for the past 5 years and recently started working with you. During the course of a training session, he expresses that, at times, when he feels he has eaten too much, he makes himself vomit. What would be the appropriate response and course of action in this case?
Acknowledge Damien’s feelings and his willingness to share this information and schedule a counseling session with him for another date.
Acknowledge Damien’s feelings and his willingness to share this information and suggest that he speak with a nutrition professional to further explore his eating habits and obtain nutrition counseling.
Acknowledge Damien’s feelings and his willingness to share this information and then continue with the training session with no further discussion on the matter.
Acknowledge Damien’s feelings and his willingness to share this information and tell him to avoid purging in the future.
Acknowledge Damien’s feelings and his willingness to share this information and suggest that he speak with a nutrition professional to further explore his eating habits and obtain nutrition counseling.
34 What are two tools that the WLS can encourage clients to use to assess their food intake?
A nutrient and activity tracker
Professional nutrition software and a food scale
A fitness tracker and a food app
Food journals and nutrient trackers
Food journals and nutrient trackers
35 What are two examples of healthy eating guidelines that a WLS can use in coaching clients?
The USDA Pyramid and the USDA MyPlate
The ketogenic diet guide and intermittent fasting
The USDA Pyramid and the Eatwell Guide by the National Health Service (UK)
The USDA MyPlate and the NHS Eatwell Guide (UK)
The USDA MyPlate and the NHS Eatwell Guide (UK)
