CH 9 - Eating Disorder Based Questions

Chapter 9 review

Approximately 20% to 30% of anorexia nervosa-related deaths are due to ________, which is 50 times higher than the risk of death from the same cause in the general population.

suicide

Jody regularly engages in binge-eating episodes, and clearly suffers from an eating disorder. How would you determine if her diagnosis should be bulima nervosa or binge-eating disorder?

If it is bulimia nervosa, Jody's binge-eating episodes will be followed by some sort of compensatory behaviors to get rid of the calories she consumed. If it is binge-eating disorder, she will not.

Which of the following potentially fatal medical conditions is not a known consequence of the electrolyte imbalances that can occur as a result of repeated vomiting that is often associated with bulimia nervosa?

Development of lanugo

Serena has had anorexia nervosa since she was a teenager. Now in her mid-twenties, which of the following behaviors would she be most likely to demonstrate?

Sally hoards food in her room, and although she doesn't eat it, she looks at it from time to time.

Because societal messages promoting thinness as ideal for girls are received even in early childhood, your authors note that by the age of ________ years as many as 20% of girls report that they are trying to lose weight.

9

Megan has recently been diagnosed with an eating disorder. Which of the following likely does not play a key role in driving Megan's disordered behavior?

the desire to attract a mate

College men and women were asked to rate their assessment of what is an attractive body size and what is an ideal body size in both men and women. Read the following statements and select which best reflects the findings of this very important study.

Women rated the ideal female body size the smallest, while men's assessment of an attractive woman's size was considerably larger.

In a study comparing the genetic contribution to eating disorders, researchers found that in ___% of identical twin pairs both twins had bulimia nervosa, while that number was ___% of fraternal twin pairs. Although this does not rule out the influence of environmental and sociocultural factors, it does present compelling evidence for a genetic contribution to these conditions.

23; 9

Errol as bulimia nervosa and is currently receiving treatment for it. His clinician has read the existing research on the use of medications and has found that a particular type of drug is of use during the bingeing and purging cycle of this disorder. Which of the following types of medication will Errol be asked to take?

an antidepressant

A later stage of Alice's enhanced cognitive-behavioral treatment (CBT-E) for bulimia will likely involve

altering dysfunctional thoughts about body shape, weight, and eating.

In comparing the effectiveness of enhanced cognitive-behavioral therapy (CBT-E) with psychoanalytic psychotherapy (PPT) for patients with bulimia nervosa, which of the following statements is the most accurate?

The CBT-E patients showed significantly higher rates of recovery at 5 months (when CBT-E concluded) and 2 years (when PPT concluded).

Jiang has been in treatment for anorexia nervosa for the past two months. Her treatment has consisted of many different features, including helping her to gain weight to get back into a health range, family therapy, and individual psychotherapy. Jiang has participated willingly in all of these aspects of her treatment. Which of them will be the best predictor of long-term recovery from anorexia nervosa?

family therapy

Individuals with night eating syndrome tend to consume more than ______ of their daily calorie intake after their evening meal.

one- third

Eden is classified as being morbidly obese. Her body mass index is well over 40, and she is experiencing a variety of physical symptoms related to her body size. Her physician has been gently encouraging her to lose weight for years, but Eden has ignored this advice. Now that her weight is causing extreme pain in her hips, knees, and ankles and is interfering with her life, Eden has decided to do something about the problem. Which of the following interventions will be the most effective at helping her lose weight and keep it off?

Bariatric surgery

Linh is receiving treatment for a dyssomnia. What symptom did Linh likely describe so her doctor could determine an appropriate treatment strategy?

having trouble staying asleep at night

Donte has been having difficulty with sleeping and feeling rested lately. His doctor decides to send him for a polysomnographic evaluation to assess different physical functions that are occurring during his sleep time. One of them, called an ________, will measure the eye movements that take place during his sleep and this will help determine whether or not he is entering a REM stage while he sleeps and, if so, for how long.

electrooculogram

Ramiro has a problem getting to his morning classes in college, and it has been going on for more than half of the semester. Although he goes to bed by 11 pm every night, he often does not wake up until at least 9 am, and on these days he misses his 8 am course. His roommate has suggested just dropping the course and signing up for later classes, but Ramiro is bothered because he usually does not feel well-rested even after a night of so much sleep. Which of the following is accurate for Ramiro's case?

Ramiro should be diagnosed with hypersomnolence disorder.

Some people who have narcolepsy experience a sudden loss of muscle tone, a condition called ________. This can be very dangerous, as a person can hurt themselves during such episodes.

cataplexy

Why is it that people who work overnight shifts on a regular basis may have a higher risk of developing circadian rhythm sleep disorder?

Because the part of the brain that controls our sleep cycles is directly connect to our eyes and is affected by the light in our surroundings.

Millicent sits up in bed several times a week, shouting and crying as if she is terrified. Her mother takes her to the pediatrician who suggests that she is having night terrors. Upon hearing this, Millicent's father says, "This is probably just caused by nightmares. She'll grow out of it!" Is Millicent's father correct?

He is half right. Millicent is not having nightmares because sleep terrors occur during NREM sleep, but the typical treatment is to wait and see if the terrors go away on their own. Only if they do not will additional treatment be needed.