Week 9 - Exam 2

Question 1

eating disorder etiology include:
1.
2.
3.
4.

Answer 1

1. societal factors ( media portray beauty with thinness)
2. family dynamics ( parents model unhealthy attitudes toward food and dieting)
3. psychological factors (positive reinforcement fro weight loss, all or nothing thinking)
4. biological factors (multiple brain structural and neurotransmitter changes occur)

Question 2

Clients worry excessively about being overweight, even though they are severely ____________.

Answer 2

underweight

Question 3

Clients with anorexia nervosa implement various strategies to keep weight off which include:
1.
2.
3.

Answer 3

1. They may severely restrict caloric intake
2. Over-exercise
3. They may eat large quantities of food and then purge

Question 4

This disorder is misnamed. The term anorexia means “lack of ________________.”

Answer 4

appetite

Question 5

Clients with anorexia nervosa are underweight (i.e., BMI of ____ or lower). They look emaciated.

Answer 5

17

Question 6

Anorexia nervose assessment finding:
1.
2.
3.
4.
5.
6.
7.

Answer 6

1. arrested growth and development
2. low bone mineral density
3. amenorrhea
4. bradycardia
5. hypotension
6. hypothermia
7. lanugo

Question 7

Anorexia clients who consume a vegetable-only diet sometimes have a __________ pigmentation due to excessive intake of beta-carotene (hypercarotenemia)

Answer 7

yellowish

Question 8

Laxative and diuretic abuse can cause peripheral _________

Answer 8

edema

Question 9

Food restrictions and purging can cause serious:
electrolyte deficiencies, including hypokalemia and hypomagnesemia. Anemia, leukopenia, and thrombocytopenia may also be present.

Answer 9

1. electrolyte deficiencies, including hypokalemia and hypomagnesemia.
2. Anemia
3. leukopenia
4. thrombocytopenia

Question 10

Effective psychotherapies include:
1.
2.
3.
4.

Answer 10

1. CBT
2. psychoanalysis
3. motivational interviewing 4. form of family therapy called the Maudsley method.

Question 11

The standard treatment for anorexia nervosa is?

Answer 11

nutritional rehabilitation plus psychotherapy

Question 12

__________-generation antipsychotics (e.g., olanzapine) can help clients gain weight.

Answer 12

second

Question 13

______________ (e.g., fluoxetine) can help with comorbid anxiety and depressive disorders.

Answer 13

SSRIs

Question 14

Anorexia nervosa most often occurs _________ in client

Answer 14

female

Question 15

Usually, meals have a time limit (e.g., 30 minutes). Sit with clients during meal times and observe them for at least ______ hour afterward. ⭐

Answer 15

1

Question 16

________________ trips must be monitored. Usually, calories that are not consumed in the given time period are counted and given via a nasogastric tube. Speak matter-of-factly about this policy, using a non-threatening tone.

Answer 16

bathroom

Question 17

Two to three pounds of weight gain a week is considered medically safe. More rapid weight gain in malnourished clients can cause __________________ syndrome—a potentially deadly complication.

Answer 17

refeeding

Question 18

After binging, ___________ _________ clients try to prevent weight gain by inducing vomiting, misusing laxatives or diuretics, fasting, or extreme exercise.

Answer 18

bulimia nervosa

Question 19

Clients who have recurrent eating binges but do not engage in compensatory behaviors meet the criteria for __________ eating disorder.

Answer 19

binge

Question 20

Excessive vomiting in bulimic clients can cause parotid gland enlargement, erosion of __________ enamel, and scarring on the ________________ (Russell’s sign). Clients with bulimia tend to have tachycardia. ⭐

Answer 20

teeth, knuckles

Question 21

Purging behaviors can cause fluid and electrolyte abnormalities and metabolic ____________

Answer 21

alkalosis

Question 22

______ is the treatment of choice for bulimia nervosa

Answer 22

CBT

Question 23

If bulimic clients don’t respond well to psychotherapy, an ______________ (e.g., an SSRI) can be added.

Answer 23

antidepressant

Question 24

Other people don’t like me because I’m fat is an example of?

Answer 24

overgeneralization

Question 25

if I eat any dessert, I’ll gain gain 50 pounds is an example of?

Answer 25

all or nothing

Question 26

My life is over if I gain weight is an example of?

Answer 26

catastrophizing

Question 27

When I walk through the hospital hallway, I know everyone is looking at me is an example of?

Answer 27

personlization