Chapter 23 Managing Weigthloss Plateaus And Mantaining Flashcards
1 An increase in hunger would fall under which category of reasons for lapses in dietary adherence?
Psychological
Physiological
Environmental
Personal
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
Calories consumed and calories expended
3 What types of foods are the best example of staples of a low energy density diet?
Cheese
Whole fruits and vegetables
Chips
Bread
Whole fruits and vegetables
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
Buffet effect
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
Increase in energy intake
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.
Keep calorie-dense, hyperpalatable foods out of the house.
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
Rigid restraint
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
The client is unable to adhere to a low-carb diet.
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.
Find a new dietary approach to which the client can adhere.
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
Situational barrier
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
Tenacity of eating habits
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
Confusion
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
Situational barrier
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
Environmental
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
Physiological
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
Self-monitoring
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
Managing feelings of deprivation
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
Impaired satiety signals
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
Low-energy density
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
Flexible dietary control
22 Which of the following diet characteristics is associated with successful long-term weight maintenance?
Coping capacity
Managing cravings
Self-efficacy
Flexible dietary control
Coping capacity
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
Self-efficacy
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
Helps preserve fat-free mass
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
Intermittent dietary strategies
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
Loss of dietary adherence
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
Self-monitoring
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
Self-monitoring
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
Increase energy expenditure
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.
Consider plateaus as maintenance practice or opportunities to test the programme sustainability.
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.
Choose foods with similar volume but fewer calories.
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.
The client had a more attainable calorie intake and was better able to adhere to the diet.
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.
Establish a specific plan for the diet and how to follow through with it.
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.
Change the dietary strategy, as early adherence predicts long-term adherence.
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
View the lapse as temporary and as a learning experience to strategise how to prevent it in the future.
