Question 1

If a counseling session ends with the client not ready to change, which of the following should the counselor do?

Accepted Answer

A)  Establish goals for the client. 
B)  Arrange for follow-up contact. 
C)  Persuade the client to perform some change. 
D)  Express disappointment with the client. 
A)  Establish goals for the client. 
B)  Arrange for follow-up contact. 
C)  Persuade the client to perform some change. 
D)  Express disappointment with the client. B

Question 2

The most important thing to establish in the first counseling session is

Accepted Answer

A)  the counseling relationship. 
B)  likes and dislikes in the counseling environment. 
C)  fees for service. 
D)  reimbursement potential by insurance providers. 
A)  the counseling relationship. 
B)  likes and dislikes in the counseling environment. 
C)  fees for service. 
D)  reimbursement potential by insurance providers. A

Question 3

When a counselor elicits self-motivational statements, this includes all of the following EXCEPT

Accepted Answer

A)  optimism. 
B)  problem recognition. 
C)  reframing. 
D)  intention to change. 
A)  optimism. 
B)  problem recognition. 
C)  reframing. 
D)  intention to change. C

Question 4

Resistance to change can be overcome by all the following techniques EXCEPT

Accepted Answer

A)  affirming. 
B)  double-sided reflection. 
C)  agreeing with a twist. 
D)  reflecting. 
A)  affirming. 
B)  double-sided reflection. 
C)  agreeing with a twist. 
D)  reflecting.

Question 5

Which of the following is NOT a stage of change?

Accepted Answer

A)  Precontemplation 
B)  Motivation 
C)  Relapse 
D)  Action 
A)  Precontemplation 
B)  Motivation 
C)  Relapse 
D)  Action

Question 6

What does double-sided reflection involve doing?

Accepted Answer

A)  Monitoring a counseling session from behind a two-way mirror 
B)  Using the client's previously expressed ideas to show a discrepancy 
C)  Asking questions multiple times 
D)  Reframing 
A)  Monitoring a counseling session from behind a two-way mirror 
B)  Using the client's previously expressed ideas to show a discrepancy 
C)  Asking questions multiple times 
D)  Reframing

Question 7

Which of the following is a client's belief in his ability to carry out change?

Accepted Answer

A)  Self-efficacy 
B)  Self-management 
C)  Self-monitoring 
D)  Self-reflection 
A)  Self-efficacy 
B)  Self-management 
C)  Self-monitoring 
D)  Self-reflection

Question 8

Which tool can be used to assess a client's readiness to change?

Accepted Answer

A)  An adherence ruler 
B)  A food diary 
C)  A weight scale 
D)  Food models 
A)  An adherence ruler 
B)  A food diary 
C)  A weight scale 
D)  Food models

Question 9

Which technique is NOT useful in working with clients during a not-ready-to-change counseling session?

Accepted Answer

A)  Asking open-ended questions 
B)  Affirming 
C)  Agreeing with a twist 
D)  Summarizing 
A)  Asking open-ended questions 
B)  Affirming 
C)  Agreeing with a twist 
D)  Summarizing

Question 10

Which of the following is NOT an activity that facilitates behavior change?

Accepted Answer

A)  Self-efficacy 
B)  Empathy 
C)  Reframing 
D)  Discrepancy 
A)  Self-efficacy 
B)  Empathy 
C)  Reframing 
D)  Discrepancy

Question 11

Which of the following techniques is appropriate for use with a patient ready to change behavior?

Accepted Answer

A)  Elicit self-motivational statements. 
B)  Negotiate change. 
C)  Establish an action plan. 
D)  Develop discrepancy. 
A)  Elicit self-motivational statements. 
B)  Negotiate change. 
C)  Establish an action plan. 
D)  Develop discrepancy.

Question 12

When counseling a client who speaks a different language, the most effective way to communicate is to

Accepted Answer

A)  use a family member or close friend who speaks the language and can translate. 
B)  use a visual aid that has been developed using international symbols. 
C)  find a counselor who speaks the same language and can do the counseling. 
D)  use a certified translator. 
A)  use a family member or close friend who speaks the language and can translate. 
B)  use a visual aid that has been developed using international symbols. 
C)  find a counselor who speaks the same language and can do the counseling. 
D)  use a certified translator.

Question 13

Traditional nutritional counseling focuses on change matched to

Accepted Answer

A)  action and relapse. 
B)  empathy. 
C)  precontemplation and preparation. 
D)  action and maintenance. 
A)  action and relapse. 
B)  empathy. 
C)  precontemplation and preparation. 
D)  action and maintenance.

Question 14

A client is aware that a dietary behavior problem exists but is not sure whether to do something about it. What stage of change is this client in?

Accepted Answer

A)  Precontemplation 
B)  Contemplation 
C)  Preparation 
D)  Relapse 
A)  Precontemplation 
B)  Contemplation 
C)  Preparation 
D)  Relapse

Question 15

During which type of counseling session is one of the goals to identify barriers to change?

Accepted Answer

A)  Not-ready-to-change session 
B)  Unsure-about-change session 
C)  Ready-to-change session 
D)  First counseling session 
A)  Not-ready-to-change session 
B)  Unsure-about-change session 
C)  Ready-to-change session 
D)  First counseling session

Question 16

One of the five tenets of cultural competency is

Accepted Answer

A)  you must know a culture's communication style to be an effective counselor. 
B)  cultural competency eliminates racism. 
C)  culture is defined as race, religion, and ethnicity. 
D)  culture is mutable and multiple. 
A)  you must know a culture's communication style to be an effective counselor. 
B)  cultural competency eliminates racism. 
C)  culture is defined as race, religion, and ethnicity. 
D)  culture is mutable and multiple.

Question 17

Which stage of change is characterized by the patient's feelings of ambivalence?

Accepted Answer

A)  Precontemplation 
B)  Contemplation 
C)  Preparation 
D)  Maintenance 
A)  Precontemplation 
B)  Contemplation 
C)  Preparation 
D)  Maintenance

Question 18

Educating and counseling with cultural competency should acknowledge surface and deep structure. Surface structure includes things like

Accepted Answer

A)  the client's appearance. 
B)  language and foods. 
C)  social beliefs. 
D)  health diagnoses. 
A)  the client's appearance. 
B)  language and foods. 
C)  social beliefs. 
D)  health diagnoses.

Question 19

Assessment of a patient's stage of change should be completed

Accepted Answer

A)  when the patient is referred for counseling. 
B)  at the beginning of the first counseling session. 
C)  by the end of the first counseling session. 
D)  before the second counseling session. 
A)  when the patient is referred for counseling. 
B)  at the beginning of the first counseling session. 
C)  by the end of the first counseling session. 
D)  before the second counseling session.

Question 20

What counseling activity is based on the idea that thoughts and beliefs that affect behavior can be changed to promote behavior change?

Accepted Answer

A)  Cognitive behavioral therapy 
B)  Transtheoretical model 
C)  Reflective listening 
D)  Shifting focus 
A)  Cognitive behavioral therapy 
B)  Transtheoretical model 
C)  Reflective listening 
D)  Shifting focus

Exam 14: Education and Counseling: Behavioral Change

If a counseling session ends with the client not ready to change, which of the following should the counselor do?

The most important thing to establish in the first counseling session is

When a counselor elicits self-motivational statements, this includes all of the following EXCEPT

Resistance to change can be overcome by all the following techniques EXCEPT

Which of the following is NOT a stage of change?

What does double-sided reflection involve doing?

Which of the following is a client's belief in his ability to carry out change?

Which tool can be used to assess a client's readiness to change?

Which technique is NOT useful in working with clients during a not-ready-to-change counseling session?

Which of the following is NOT an activity that facilitates behavior change?

Which of the following techniques is appropriate for use with a patient ready to change behavior?

When counseling a client who speaks a different language, the most effective way to communicate is to

Traditional nutritional counseling focuses on change matched to

A client is aware that a dietary behavior problem exists but is not sure whether to do something about it. What stage of change is this client in?

During which type of counseling session is one of the goals to identify barriers to change?

One of the five tenets of cultural competency is

Which stage of change is characterized by the patient's feelings of ambivalence?

Educating and counseling with cultural competency should acknowledge surface and deep structure. Surface structure includes things like

Assessment of a patient's stage of change should be completed

What counseling activity is based on the idea that thoughts and beliefs that affect behavior can be changed to promote behavior change?

Intake: Digestion, Absorption, Transport, and Excretion of Nutrients

Intake: Energy

Inflammation and the Pathophysiology of Chronic Disease

Intake: Analysis of the Diet

Clinical: Nutritional Genomics

Clinical: Water, Electrolytes, and Acid-Base Balance

Clinical: Biochemical, Physical, and Functional Assessment

Clinical: Food-Drug Interactions

Behavioral-Environmental: the Individual in the Community

Overview of Nutrition Diagnosis and Intervention

Food and Nutrient Delivery: Diet Guidelines, Nutrient Standards, and Cultural Competence

Food and Nutrient Delivery: Complementary and Integrative Medicine and Dietary Supplementation

Food and Nutrient Delivery: Nutrition Support

Nutrition for Reproductive Health and Lactation

Nutrition in Infancy

Nutrition in Childhood

Nutrition in Adolescence

Nutrition in the Adult Years

Nutrition in Aging

Nutrition in Weight Management

Nutrition in Eating Disorders

Nutrition in Exercise and Sports Performance

Nutrition and Bone Health

Nutrition for Oral and Dental Health

Medical Nutrition Therapy for Adverse Reactions to Food: Allergies and Intolerances

Medical Nutrition Therapy for Upper Gastrointestinal Tract Disorders

Medical Nutrition Therapy for Lower Gastrointestinal Tract Disorders

Medical Nutrition Therapy for Hepatobiliary and Pancreatic Disorders

Medical Nutrition Therapy for Diabetes Mellitus and Hypoglycemia of Nondiabetic Origin

Medical Nutrition Therapy for Thyroid, Adrenal, and Other Endocrine Disorders

Medical Nutrition Therapy for Anemia

Medical Nutrition Therapy for Cardiovascular Disease

Medical Nutrition Therapy for Pulmonary Disease

Medical Nutrition Therapy for Renal Disorders

Medical Nutrition Therapy for Cancer Prevention, Treatment, and Survivorship

Medical Nutrition Therapy for Hiv and Aids

Medical Nutrition Therapy in Critical Care

Medical Nutrition Therapy for Rheumatic Disease

Medical Nutrition Therapy for Neurologic Disorders

Mnt in Psychiatric and Cognitive Disorders

Medical Nutrition Therapy for Low-Birth-Weight Infants

Medical Nutrition Therapy for Genetic Metabolic Disorders

Medical Nutrition Therapy for Intellectual and Developmental Disabilities

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