CHAPTER 9: Eating Disorders Flashcards
People who are overweight and regularly binge eat without compensatory behaviors are experiencing:
A) binge-purge disorder.
B) anorexia-bulimia disorder.
C) binge-eating disorder.
D) noncompensatory binge disorder.
C) binge-eating disorder.
If a person had bulimia nervosa and engaged in frequent binges,about how many of his or her binges per week would a friend of this person expect to witness?
A) 10
B) 0
C) 7
D) 40
B) 0
Someone who fasts or exercises strenuously following a binge is engaging in:
A) compensatory behaviors.
B) purging.
C) enmeshment.
D) exposure and response prevention.
A) compensatory behaviors.
A person who has anorexia nervosa has dry, rough, cracked skin and may develop lanugo. Why would you not expect to see these symptoms in someone with binge-eating disorder?
A) These symptoms develop primarily in women.
B) These symptoms are the result of an overactive thyroid.
C) These symptoms result from nutritional deficiencies caused by starvation.
D) These symptoms result from excessive,unhealthy levels of exercise.
C) These symptoms result from nutritional deficiencies caused by starvation.
At lunch,Vincent,a patient in therapy,eats exactly 23 almonds,which he chews exactly 23 times each.This is a symptom of anorexia nervosa related to:
A) schizophrenia.
B) depression.
C) obsessive-compulsive disorder.
D) substance abuse.
C) obsessive-compulsive disorder.
The levels of _____ are low in many people with depression as well as in those with eating disorders.
A) GABA
B) serotonin
C) histamine
D) norepinephrine
B) serotonin
A therapist who sat with a patient with bulimia while the patient ate appropriate quantities of “forbidden” foods,and then stayed until the patient no longer had the urge to purge,would be practicing:
A) exposure and response prevention.
B) group insight-oriented therapy.
C) correction of cognitive misperceptions.
D) supportive nursing care.
A) exposure and response prevention.
Idrina,who is fifteen,has a negative perception of her body.She is most likely dissatisfied with her:
A) upper arms.
B) waist.
C) thighs.
D) chest.
C) thighs.
Which statement is TRUE regarding anorexia nervosa?
A) Most people recover,but those who do not are most likely to die from starvation or suicide.
B) Death from starvation is a common outcome in people with this condition.
C) About half of all people with this condition will experience a life-threatening cardiac event.
D) The death rate from anorexia has declined to less than 1 percent.
A) Most people recover,but those who do not are most likely to die from starvation or suicide.
Ophelia is a college-aged woman with a history of dieting.Over the past few months,she has drastically reduced how much food she consumes.She views her constant hunger pain as a positive sign that she is maintaining control over her eating.Even though her weight is now below average,Ophelia still views herself as overweight.As her health care provider,you suspect possible anorexia nervosa.Which other sign or symptoms would be present with anorexia nervosa?
A) a history of mental illness
B) fear of becoming overweight
C) extroverted personality
D) history of being a picky eater
B) fear of becoming overweight
Studies have reported that adolescent girls who spend increased time on Facebook are more likely to have a negative body image and to display signs of eating disorders.Which aspect of Facebook MOST likely accounts for this association?
A) Facebook is an image-driven platform.
B) Facebook users tend to be covert narcissists.
C) Adolescent users tend to be more honest in their status post updates.
D) Adolescents commonly have a large number of peers who also use the platform.
A) Facebook is an image-driven platform.
If a person says,”I must be perfect in every way.I’ll be a better person if I deprive myself of food,” that person is engaging in:
A) distorted thinking.
B) wishful thinking.
C) obsessive thinking.
D) critical thinking.
A) distorted thinking.
Research on the aftermath of anorexia nervosa shows that:
A) although psychological difficulties improve,weight gain is minimal.
B) although weight gain is good,most individuals cannot hold a job.
C) although weight gain is good,women with anorexia fail to regain menstruation.
D) the death rate from anorexia appears to be declining.
D) the death rate from anorexia appears to be declining.
Relapses of people with bulimia are MOST likely to occur following:
A) time spent with others who have bulimia.
B) life stresses.
C) periods of stomach sickness.
D) consumption of desserts and other sweets.
B) life stresses.
What is a known effect of GLP-1?
A) It increases body metabolism.
B) It helps determine the weight set point.
C) It decreases the absorption of calories.
D) It suppresses appetite.
D) It suppresses appetite.
Which problem is common in anorexia nervosa?
A) amenorrhea
B) increased heart rate
C) high blood pressure
D) elevated body temperature
A) amenorrhea
The rates of eating disorders among African American women are rising to levels approaching the rates for non-Hispanic white Americans.This is MOST likely due to:
A) increases in the availability of junk food.
B) alexithymia.
C) the increase in the number of men with eating disorders.
D) acculturation.
D) acculturation.
Which characteristic is very common in individuals with anorexia nervosa but is significantly less common in those who have bulimia nervosa or binge eating?
A) distortion of body image
B) fear of becoming overweight
C) preoccupation with food
D) loss of menstrual periods
D) loss of menstrual periods
Many teenagers go on occasional eating binges.Which statement is TRUE about this behavior?
A) This behavior is perfectly normal.
B) This behavior inevitably leads to bulimia.
C) Most people who engage in this behavior do not have bulimia.
D) This behavior inevitably leads to excessive exercise.
C) Most people who engage in this behavior do not have bulimia.
Which statement is accurate?
A) The death rate from anorexia has been increasing recently.
B) Anorexic behavior recurs in about one-third of recovered patients.
C) Most patients who recover from anorexia experience marital dissatisfaction.
D) Few patients who recover from anorexia continue to express concern about appearance.
B) Anorexic behavior recurs in about one-third of recovered patients.
The currently accepted view of eating disorders is that the cause is:
A) cognitive.
B) biological.
C) behavioral.
D) multidimensional.
D) multidimensional.
Which person is at GREATEST risk for an eating disorder?
A) a college-age woman who is not an athlete
B) a woman who is lower on the socioeconomic scale
C) an African American woman
D) a female gymnast
D) a female gymnast
According to weight set point theory,which is a consequence of dieting below one’s weight set point?
A) There is increased hypothalamic activity,producing a revulsion to food.
B) Body changes produce further weight loss.
C) There is an increase in hunger.
D) There is a continuing loss of weight no matter how many calories are consumed.
C) There is an increase in hunger
What statement BEST explains why eating disorders are less common in males than in females?
A) Compared with females,males are less concerned with how they are judged by others.
B) Eating disorders are overdiagnosed in females.
C) Males are less susceptible to brain chemistry changes than females are.
D) Males are more likely to achieve weight loss through exercise than through dieting.
D) Males are more likely to achieve weight loss through exercise than through dieting.
A teenager has recently developed signs of bulimia nervosa.She has been binge eating alone in her room and vomits immediately afterward to try to control her weight.Why will this not result in sustainable weight loss?
A) Purging increases hunger,which decreases metabolism and triggers more frequent binges.
B) Calorie absorption occurs almost instantaneously,with 80 to 90 percent of calories being absorbed before vomiting occurs.
C) With each incident of self-induced vomiting,it becomes more difficult to trigger the vomiting reflex.
D) Vomiting increases sodium levels,which results in water retention
A) Purging increases hunger,which decreases metabolism and triggers more frequent binges.
What is the immediate goal for all the treatment methods for bulimia nervosa?
A) eliminating negative self-perceptions
B) addressing the underlying causes of the bulimic patterns
C) assisting patients to eliminate their binge-purge patterns
D) forcing patients to accept the responsibility for their actions
C) assisting patients to eliminate their binge-purge patterns
Which medical breakthrough is MOST likely to appeal to an overweight person?
A) a way to safely block GLP-1 in humans
B) a way to safely activate the lateral hypothalamus in humans
C) a way to safely deactivate the ventromedial hypothalamus in humans
D) a way to safely increase GLP-1 in humans
A) a way to safely block GLP-1 in humans
Tom is a behavioral therapist for patients with bulimia.He treats one of his patients,David,by exposing him to situations that usually cause binge episodes and then preventing him from binge eating.This technique is called:
A) skillful frustration.
B) temptation-restriction.
C) willpower reinforcement.
D) exposure and response prevention.
D) exposure and response prevention.
Calvin is starting cognitive-behavioral treatment to treat his binge-eating disorder.His brother,Li,tells Calvin that he believes gastric bypass surgery would be more helpful and faster than psychotherapy.Why would this approach NOT be recommended?
A) Most people who have binge-eating disorder are not actually obese.
B) Losing weight after engaging in dangerous eating behavior would reinforce those eating habits in the individual.
C) Surgery does not teach the person how to effectively manage overall health and is “cheating.”
D) It does not address the underlying cognitive issues that compel someone to binge eat.
D) It does not address the underlying cognitive issues that compel someone to binge eat.