Deck 14: Guided Counseling Experience

Question 1

Which of the following statements could a nutrition counselor use while greeting a client?

A) Good afternoon. How did you hear about our program?
B) Good morning. I'm very happy to meet you.
C) Thank you for completing this questionnaire. What came to your mind as you were filling it out?
D) Thank you so much for your participation in this program. I look forward to working with you.
E) What do you want to achieve in this program?

Answer 1

B

Question 2

Which of the following phases should be modified based on a client's motivation level?

A) Evaluation
B) Involving
C) Exploration-Education
D) Closing
E) Resolving

Answer 2

D

Question 3

Clients in which of the following levels are commonly in denial that changes need to be made and possible intervention strategies include raising awareness of the health-related problem?

A) Level 1
B) Level 2
C) Level 3
D) Level 4
E) Both level 1 and 2

Answer 3

A

Question 4

What could a nutrition counselor say to successfully transition into the resolving phase of the counseling session? Imagine the client is a level 3 (i.e., ready to make changes).

A) Do you have an idea of what will work for you?
B) What is the smallest goal you believe is worth pursuing?
C) Tell me what a typical day looks like.
D) I'd like to start by asking about your week.
E) Would you be willing to discuss the possibility of a change in your physical activity patterns?

Question 5

Which of the following assessment tools could you have a client complete after the counseling session to collect eating pattern data?

A) Client Assessment Questionnaire
B) Food Frequency Questionnaire
C) Medical Release Form
D) Usual Diet Method
E) 3-Day Food Record

Question 6

Which of the following phases comes last during a counseling session?

A) Evaluation
B) Involving
C) Exploration-Education
D) Closing
E) Resolving

Question 7

Which of the following would occur first during the involving phase of session 1?

A) Prepare an education intervention for your client that should last ten minutes or less.
B) Stand and smile while welcoming your client and invite them to sit down.
C) Thoroughly explain the program, including the number of sessions, how long each will be, and what will occur during each session.
D) Use the typical day strategy/usual diet method to develop an understanding of your client's issues.
E) Provide and intervention geared toward your client's degree of readiness to change.

Question 8

Which assessment tool could you use during the counseling session to collect dietary data from a client?

A) Client Assessment Questionnaire
B) Food Frequency Questionnaire
C) Medical Release Form
D) Usual Diet Method
E) 3-Day Food Record

Question 9

What should the nutrition counselor do directly before setting a specific goal with a client?

A) Explore change options.
B) Praise positive behaviors.
C) Explain goal setting basics.
D) Develop an action plan.
E) Ask your client to verbalize the goal.

Question 10

Clients in which of the following levels could be ready to set goals?

A) Only clients in level 1
B) Only clients in level 2
C) Only clients in levels 1 and 2
D) Only clients in levels 2 and 3
E) Only clients in level 3

Question 11

Which of the following is a positively stated goal?

A) I will avoid eating fast food each night for dinner.
B) I will only eat one slice of pizza for dinner every Friday.
C) I will eat fruit two times per week as a snack.
D) I will not eat donuts for breakfast each morning.
E) I will only eat fast food one time per month.

Question 12

During session 2 (i.e., a follow-up session), which of the following is the first task to be addressed after greeting the client?

A) Review the preliminary food management tool you prepared since the first session.
B) Discuss with your client how the food management tool should be used and modified.
C) Review the client's progress since the first session.
D) Provide a tailored educational intervention.
E) Provide physical activity counseling.

Question 13

During which session(s) should nutrition counselors help their clients set goals?

A) Only during session 1
B) During session 1, session 2, session 3, and session 4
C) During the session(s) where the client is ready to set goals
D) Only during session 1 and the final session
E) Only during the session(s) where the counselor wants to set goals

Question 14

As a nutrition counseling student, how long should the education intervention of the resolving phase last?

A) Five minutes or less
B) Ten minutes or less
C) Fifteen minutes or less
D) Twenty minutes or less
E) Twenty-five minutes or less

Question 15

A nutrition counselor could use the "typical day strategy" during which of the following phases?

A) Involving
B) Exploration-Education
C) Resolving
D) Closing
E) Evaluation

Question 16

During which of the following tasks might a nutrition counselor say the following: "What we will do this session is review the forms you completed, go over the foods you typically eat and set a goal, if you believe you are ready"?

A) During the greeting
B) While setting the agenda
C) During the exploration-education phase
D) While collecting assessment data
E) While partaking in small talk

Question 17

During which of the following tasks might a nutrition counselor say, "Did you find parking OK?" or "How is the weather today?"

A) Greeting the client
B) Investigating the client's long-term objectives, expectations, needs, and concerns
C) Explaining the program and counseling process
D) Partaking in small talk
E) Setting the agenda

Question 18

When would it be appropriate for a nutrition counselors to (1) ask key open-ended questions to discuss importance and identify motivating factors; (2) summarize; (3) ask permission to give advice; and (4) express support.

A) During the resolving phase for a client in level 1
B) During the resolving phase for a client in level 2
C) During the resolving phase for a client in level 3
D) During the exploration-education phase for a client in level 1
E) During the exploration-education phase for a client in level 2

Question 19

How could a nutrition counselor begin to explore the perceived pros and cons of a client in regard to changing dietary behaviors?

A) So let's move on. First I'd like to address last week's goal.
B) So you feel good about your diet, but you are not sure if you can keep it going?
C) Would you be willing to discuss the possibility of a change in your eating patterns?
D) What concerns do you have about changing your eating pattern?
E) Do you have an idea of how you will change your eating pattern?

Question 20

Examining the pros and cons of making a behavior change would be an intervention strategy for clients in which of the following levels?

A) Level 1
B) Level 2
C) Level 3
D) Levels 1 and 2
E) Levels 2 and 3

Question 21

Why is it important for nutrition counseling students to evaluate their counseling sessions?

A) To make sure the client made behavior changes
B) To ensure the client will be successful making behavior changes in the future
C) To evaluate the students' counseling skills
D) To evaluate his or her knowledge of nutrition
E) To evaluate client outcomes (e.g., weight)

Question 22

A nutrition counselor might say, "Thank you so much for your participation in this program. I look forward to working with you" at the end of session 1.

Question 23

Nutrition counselors should set the agenda at each counseling session.

Question 24

Ending the counseling relationship in a meaningful manner will have a significant impact on the encounter.

Question 25

Describe the tasks that should be included in the involving phase of the first counseling session.

Question 26

Describe why nutrition counselors should document the counseling session and the ADIME format of charting and documentation.

Question 27

Identify and describe three strengths and three weaknesses of your counseling session with your volunteer. When discussing three of your weaknesses, describe what you learned from this experience and how you would counsel differently in the future.

Question 28

There is no one perfect counseling method.

Question 29

The majority of clients rebel against setting explicit goals and prefer to set more general goals.

Question 30

Nutrition counselors should conduct evaluations at the end of each session.

Question 31

The involving phase for the first session is more extensive than subsequent sessions.

Question 32

The nutrition counselor gathers information about the nutrition problem while collecting assessment data. Which portion of the ADIME note would the nutrition counselor document the nutrition problem?

A) Assessment
B) Diagnosis
C) Intervention
D) Monitoring
E) Evaluation

Question 33

When should a nutrition student evaluate their counseling session(s)?

A) After session 1
B) After session 2
C) After session 3
D) After session 4
E) After each session

Question 34

A nutrition counselor may ask, "Have you ever worked with a nutrition counselor before?" during the exploration-education phase of the counseling session.

Question 35

A nutrition counselor would ask a client who is not ready to make changes (i.e., level 1) about the advantages and disadvantages of making changes during the counseling session.

Question 36

Nutrition counselors can document the counseling session in the ADIME format. What does the "A" in ADIME stand for?

A) Achievable
B) Accessible
C) Assessment
D) Attainment
E) Action

Question 37

Which of the following information should be monitored and evaluated and included in the ADIME note?

A) An outcome measure(s) and the standard for comparison
B) Height and weight
C) Height, weight, and BMI
D) Age, height, weight, BMI, and lab values
E) Anthropometrics, biochemical data, client history, and dietary data

Question 38

Clients in all levels of motivation should be encouraged to set goals.