nutriional counciling

Question 1

1. List the “stages of change” and typical responses that a patient might make in a clinical interview that help you establish their stage.

Answer 1

Precontemplative

contemplative

planning

action- support them, help them see future challenges

maintenance

relapse- “i tried this and it doesnt work”
-open the door for trying again

identification

Question 2

2. Describe the primary utility of “stages of change” theory in clinical practice.

Answer 2

goal is to help someone to the next stage

Question 3

3. Describe the primary goal of motivational interviewing and the list the key principles of this counseling style.

Answer 3

examination and resolution of ambivalence is its central purpose
-direct persuasion doesnt work
-readiness/resistance provides feedbackabout the counselors demands
-build a sense of self-efficacy
A person needs to see a compelling reason to to change

concrete measurable goals, small changes

get the patient to take ownership and decide what they want to do

ask
listen
reflect
empathize
ask patient what they want to do

Question 4

4. Describe two important steps in “Values-based counseling.”

Answer 4

link core value to health behavior

Question 5

5. Identify the key criteria addressed in the “health belief model.”

Answer 5

posits that a person’s willingness to change relates to their perception of their vulnerability for illness and the possible effectiveness of treatment

behavior change can only happen id you are on the same page and have same beliefs as the patient

Question 6

6. Identify situations where cognitive behavioral therapy might be the best counseling model to use.

Answer 6

focus is on actually changing unwanted behaviors, not motivation. nuts and bolts

• specific tools are brought up
• what are triggers, how are u gonna deal with those?
• set very specific small achievable goals

acceptance/mindfulness- be aware of what they are feeling