Chapter 23 Managing Weigthloss Plateaus And Mantaining

Question 1

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

Psychological

Physiological

Environmental

Personal

Question 2

2 What two components are fundamental variables of energy balance?

Calories consumed and energy intake

Calories consumed and calories expended

Calories consumed and exercise

Calories expended and resting metabolic rate

Answer 2

Calories consumed and calories expended

Question 3

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

Cheese

Whole fruits and vegetables

Chips

Bread

Answer 3

Whole fruits and vegetables

Question 4

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

Buffet effect

Impaired satiety signals

Hyperpalatable

Energy dense

Answer 4

Buffet effect

Question 5

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

Increase in energy expenditure

Decrease in energy expenditure

Decrease in energy intake

Increase in energy intake

Answer 5

Increase in energy intake

Question 6

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

Work on techniques to improve discipline.

Keep a list of allowed and disallowed foods on the refrigerator.

Store food in a closet/pantry rather than on a countertop.

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

Answer 6

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

Question 7

7 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?

Flexible restraint

Rigid restraint

Self-regulation

Tailored approach

Answer 7

Rigid restraint

Question 8

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

The client has not decreased carbohydrates enough.

The client feels low on energy and is less active.

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

The client is adherent to the diet but is not metabolically compatible

Answer 8

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

Question 9

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

Continue with the approach to see if things can improve.

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

Teach the client techniques to improve dietary discipline.

Increase the client’s exercise.

Answer 9

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

Question 10

10 A client tells their Nutrition Coach that coworkers bring donuts to work every morning. Which psychological barrier to adherence does this represent?

Situational barrier

Stress-related eating

Perception of choice

Confusion

Answer 10

Situational barrier

Question 11

11 Which item best represents a psychological barrier to dietary adherence?

No decrease in hunger during overfeeding

Tenacity of eating habits

Strong increase in hunger in response to a calorie deficit

Abundance of hyperpalatable, energy-dense foods

Answer 11

Tenacity of eating habits

Question 12

12 A client tells their Nutrition Coach, “First the experts told us to decrease our fat intake, now they tell us to decrease our carb intake! I don’t know what to do.” Which psychological barrier to adherence does this represent?

Social and cultural context

Situational barrier

Confusion

Perception of choice

Answer 12

Confusion

Question 13

13 A client tells their Nutrition Coach that coworkers bring donuts to work every morning. Which psychological barrier to adherence does this represent?

Stress-related eating

Confusion

Situational barrier

Perception of choice

Answer 13

Situational barrier

Question 14

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

Psychological

Personal

Physiological

Environmental

Answer 14

Environmental

Question 15

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

Personal

Environmental

Physiological

Psychological

Answer 15

Physiological

Question 16

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

Cognitive and behavioural skills

Education

Self-monitoring

Self-regulation

Answer 16

Self-monitoring

Question 17

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

Education

Managing feelings of deprivation

Self-monitoring

Rigid restraint

Answer 17

Managing feelings of deprivation

Question 18

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

Increased availability of high-carbohydrate foods

Lack of discipline

Impaired satiety signals

Lack of willpower

Answer 18

Impaired satiety signals

Question 19

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

High variety

Low-energy density

High palatability

High-energy density

Answer 19

Low-energy density

Question 20

21 A client’s previous diet involved a list of “good” or “bad” foods. Which characteristic of successful long-term weight maintenance would be useful for this client?

Managing cravings

Self-efficacy

Intuitive eating

Flexible dietary control

Answer 20

Flexible dietary control

Question 21

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

Coping capacity

Managing cravings

Self-efficacy

Flexible dietary control

Answer 21

Coping capacity

Question 22

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

Flexible dietary control

Self-efficacy

Intuitive eating

Managing cravings

Answer 22

Self-efficacy

Question 23

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

Decreases appetite

Increases physical activity energy expenditure

Increases metabolism

Helps preserve fat-free mass

Answer 23

Helps preserve fat-free mass

Question 24

25 Which of the following can help a client adhere to a diet without negatively effecting long-term success?

Zero cheat days

Hyperpalatable

Environmental factors

Intermittent dietary strategies

Answer 24

Intermittent dietary strategies

Question 25

26 Which item best explains most weight-loss plateaus, especially early in a program? Decline in physical activity Metabolic adaptation Loss of dietary adherence Starvation mode

Answer 25

Loss of dietary adherence

Question 26

27 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? Coping capacity Self-efficacy Overcoming situational barriers Self-monitoring

Answer 26

Self-monitoring

Question 27

28 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? Self-monitoring Coping capacity Overcoming situational barriers Self-efficacy

Answer 27

Self-monitoring

Question 28

29 A person has not experienced any weight loss for 8 weeks. Which of the following best represents what needs to happen for this person to start to experience weight loss again? Maintain current habits Increase energy intake Increase energy expenditure Decrease energy expenditure

Answer 28

Increase energy expenditure

Question 29

30 Which item represents a method for cognitively reframing a weight-loss plateau? View a plateau as a sign of a slowdown in metabolism. Consider a plateau as an indicator that the programme is not working and needs to be corrected. Consider plateaus as maintenance practice or opportunities to test the programme sustainability. View a plateau as an obstacle that needs to be overcome.

Answer 29

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

Question 30

31 Which item represents a method for re-establishing an energy deficit after a plateau? Increase protein intake to boost metabolism. Choose foods with similar volume but fewer calories. Choose foods with similar calories but more volume. Increase meal frequency.

Answer 30

Choose foods with similar volume but fewer calories.

Question 31

32 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? The client felt more energetic on the higher calorie intake and became more active. The increase in calorie intake boosted metabolism. The client was in starvation mode and boosting calorie intake got the client out of it. The client had a more attainable calorie intake and was better able to adhere to the diet.

Answer 31

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

Question 32

33 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? Provide the client with a general guide to high protein/low energy-density diets. Educate the client on the benefits of high protein and high fruit and vegetable intakes. Rely on the person's initial high motivation to help start the diet. Establish a specific plan for the diet and how to follow through with it.

Answer 32

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

Question 33

34 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? Increase physical activity. Change the dietary strategy, as early adherence predicts long-term adherence. Decrease calorie intake further. Wait another week to see if it's a true plateau.

Answer 33

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

Question 34

35 A client has been successfully maintaining weight loss for the past 3 months, but then has a bad weekend during which they overate. Which item represents the best approach in handling this situation? Decrease calorie intake for the following week to compensate for the lapse. View the lapse as temporary and as a learning experience to strategise how to prevent it in the future. Increase physical activity to compensate for the lapse. View the lapse as a sign that the dietary strateg

Answer 34

View the lapse as temporary and as a learning experience to strategise how to prevent it in the future.