Nutritional Counseling for Behavior Change

Question 1

Per Dr. Bessesen, what are the key ingredients for weight counseling?

Answer 1

• The patient must see a compelling need to change.
• The patient must feel confident in his ability to change.
• Identify what is motivating the patient to be better and focus on that.

Question 2

The goal of counseling is to push patients through what stages of change?

Answer 2

Precontemplative
Contemplative
Planning
Action
Maintenance
Relapse

Question 3

Describe the health belief model.

Answer 3

This posits that patients need to have the following things occur to make health changes:

• perceive themselves at risk for illness
• identify the problem as serious
• become convinced that treatment is effective and not overly costly
• be exposed to health cues
• have confidence that they can make the necessary change

Question 4

Good quote from Dean Ornish: “_________________.”

Answer 4

Fear of death is not sustainable. Joy of life is sustainable.

Question 5

The transtheoretical model helps you _______________.

Answer 5

assess readiness

Question 6

The health belief model helps you assess ______________.

Answer 6

why the patient believes an issue isn’t important

Question 7

Values-based counseling helps you ____________.

Answer 7

discover the patient’s priorities

Question 8

Motivational interviewing helps to ____________.

Answer 8

resolve ambivalence