2-Low carbohydrate diets have been shown to be effective but are not without risk due to the limited consumption of fruits, vegetables and grains. If a client wishes to follow this type of diet, it is your responsibility to make sure that they follow it in the safest manner possible.

4-Assessment indicates client currently has low self efficacy (unemployed and lives with parents) and conflict with family value system (perception that mother prepares fattening food and insists client "clean her plate"). Client engages in negative self talk and appears to be depressed. Though she came to counseling on her own accord, she appears to be in the pre-contemplation stage of change related to making changes to promote weight loss including food and physical activity behaviors. May also have unrealistic nutrition-related goals - believes weight loss will lead to employment. Eating in response to boredom is also an issue. Will initiate motivational interviewing and reassess in two weeks. Food and Nutrition Knowledge and Skills are unknown. Client has a limited social network to support behavior changes and believes family may be a barrier. Her ability to elicit social support from her family is a ____ on a scale of 1 to 10. Will evaluate at the next encounter. Calculate BMI, caloric needs using Mifflin St. Jeor. NC 3.3 Overweight/Obesity related to physical inactivity, excess energy intake, food and nutrition related knowledge deficit and not ready for lifestyle change as evidenced by high BMI, increased adiposity, and reports of large amounts of sedentary activities, inability to apply nutrition-related recommendations, history of familial obesity and overconsumption of high-fat and/or calorie density food or beverage, verbalized perception of lack of support from family and that they sabotage her efforts, pre-contemplation stage of change and low self-efficacy.

6-Cognitive Behavioral Theory identify determinants or antecedents to behaviors identify resultant behavior analyze consequences of behavior make specific goals to modify the environment/cognitions to reduce target behaviors Health Belief Model determine perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers, cue to action, self-efficacy Social Learning Theory define reciprocal relationship between environment, client and behavior. Consider observing and modeling behaviors, attitudes and emotional reactions of others. Determinants include goals, outcome expectations, self-efficacy. Reinforcements increase or decrease likelihood behavior will be repeated. reciprocal