Chapter 23 Managing Weight Loss Plateaus And Maintaining Weight Loss

Question 1

A client tells their Nutrition Coach that co-workers bring doughnuts to work every morning. Which psychological barrier to adherence does this represent?

Answer 1

Situational barrier

Question 2

What two components are fundamental variables of energy balance?

Answer 2

Calories consumed and calories expended

Question 3

A client has been under a lot of stress which has been leading to incidents of overeating. On which characteristic of successful long-term weight maintenance should this client work?

Answer 3

Coping capacity

Question 4

A client is looking to change nutritional habits and start a diet consisting of high protein and plenty of fruits and vegetables. Which item represents the best way to initially go about this?

Answer 4

Establish a specific plan for the diet and how to follow through with it.

Question 5

Which item represents a method for re-establishing an energy deficit after a plateau?

Answer 5

Choose foods with similar volume but fewer calories.

Question 6

Which item represents the likely outcome of a lapse in dietary adherence?

Answer 6

Increase in energy intake

Question 7

Which item represents a reason for poor long-term weight maintenance statistics?

Answer 7

Impaired satiety signals

Question 8

Setting a red-light number in terms of weight regain as a trigger for action can be useful for maintaining long-term weight loss. This is best categorised under which maintenance-associated factor?

Answer 8

Self-monitoring

Question 9

Setting a red-light number in terms of weight regain as a trigger for action can be useful for maintaining long-term weight loss. This is best categorised under which maintenance-associated factor?

Answer 9

Only keep foods in the house that need to be prepared or cooked (not pre-made or pre-packaged).

Question 10

A client tracks food intake online and tracks body weight daily. What adherence-promotion factor does this behaviour fall under?

Answer 10

Self-monitoring

Question 11

A client’s weight loss has stalled after about 12 weeks of weight loss. Which item is most likely to be true?

Answer 11

The client has lost some adherence to the diet.

Question 12

An increase in hunger would fall under which category of reasons for lapses in dietary adherence?

Answer 12

Physiological

Question 13

A client increases protein and fibre intake to help feel fuller. Which type of barrier to adherence does this strategy help overcome?

Answer 13

Physiological

Question 14

Which item refers to the tendency to eat more when a wide variety of foods are present?

Answer 14

Buffet effect

Question 15

Which of the following represents the best reason as to why resistance training may help with long-term weight maintenance?

Answer 15

Helps preserve fat-free mass

Question 16

Which of the following diet characteristics is associated with successful long-term weight maintenance?

Answer 16

Low-energy density

Question 17

What types of foods are the best example of staples of a low energy density diet?

Answer 17

Whole fruits and vegetables

Question 18

Which item represents the best way to manage a hyperpalatable, energy-dense food environment?

Answer 18

Keep calorie-dense, hyperpalatable foods out of the house.

Question 19

What two components are fundamental variables of energy balance?

Answer 19

Flexible dietary control

Question 20

Which item represents a method for cognitively reframing a weight-loss plateau?

Answer 20

Consider plateaus as maintenance practice or opportunities to test the programme sustainability.

Question 21

A client has just started a weight-loss programme and is trying a low-carb diet. There has not been any weight-loss for the first 3 weeks of the diet. Which item represents the best approach to managing this situation?

Answer 21

Change the dietary strategy, as early adherence predicts long-term adherence.

Question 22

Setting weekly goals around grocery shopping and food preparation can be considered which characteristic of successful long-term weight maintenance?

Answer 22

Self-efficacy

Question 23

A client’s home is filled with tasty, high-calorie foods. Under which category of reasons for adherence lapses does this fall?

Answer 23

Environmental

Question 24

A client has been struggling to lose weight on a low-carb diet. Which item is most likely to be true?

Answer 24

The client is unable to adhere to a low-carb diet.

Question 25

Modest deficits, flexible dieting approaches, and avoiding dichotomous thinking around food and diets all represent which technique for improving adherence?

Answer 25

Managing feelings of deprivation

Question 26

A client has been struggling to lose weight on an Ornish diet. Which item represents the best approach to solving this problem?

Answer 26

Find a new dietary approach to which the client can adhere.

Question 27

Which item best explains most weight-loss plateaus, especially early in a programme?

Answer 27

Loss of dietary adherence

Question 28

A client sees a Nutrition Coach having previously followed a diet that separated foods into healthy and unhealthy choices. What sort of dietary approach does this represent?

Answer 28

Rigid restraint

Question 29

Which item refers to the amount of calories provided from a food, in relation to how much energy and time it took to get it?

Answer 29

Optimal Foraging Theory

Question 30

A client’s weight-loss progress is very slow. The client is reporting a low calorie intake of 1200 per day. Their Nutrition Coach decides to increase the client’s calorie intake to give the person a diet break. Suddenly, the client starts to lose weight again. Which of the following best describes why this happened?

Answer 30

The client had a more attainable calorie intake and was better able to adhere to the diet.