DHN 101 Ch 14

Anorexia Nervosa

Kume is a college student who became obsessed with losing weight after breaking up with her boyfriend. She avoids any foods she perceives as "fattening." Laurie is 5'9" and now weighs 113 lbs. She has not had a menstrual period in over a year.

estrogen deficiency.

Low energy availability is associated with a(an) parathyroid hormone deficiency. progesterone deficiency. cortisol deficiency. estrogen deficiency.

estrogen deficiency.

Low energy availability is associated with a(an) progesterone deficiency. cortisol deficiency. parathyroid hormone deficiency. estrogen deficiency.

the belief that one can only fall asleep after a large meal. sleep disturbances. waking during the night to binge eat.

Select all that apply Night eating syndrome is characterized by eating a large breakfast upon waking in the morning. the belief that one can only fall asleep after a large meal. sleep disturbances. waking during the night to binge eat.

have distorted body images. severely restrict their food intake.

Select all that apply People with anorexia nervosa consume food in an uncontrolled fashion. have an intense desire to gain weight. have distorted body images. severely restrict their food intake.

are often body builders. exercise obsessively. are usually male.

Select all that apply People with muscle dysmorphia are usually female. are often body builders. exercise obsessively. are usually male.

reduced bone mass. menstrual disturbances.

Select all that apply Physiological consequences of low estrogen levels include reduced bone mass. menstrual disturbances. reduced cardiovascular strength. reduced muscle mass.

yoga. movement therapy. massage.

Select all that apply Supportive activities used in the treatment of patients with eating disorders are yoga. movement therapy. massage. aerobic exercise.

self-induced vomiting. abuse of diuretics.

Select all that apply The hypokalemia observed in people suffering from bulimia nervosa can be caused by food restriction. self-induced vomiting. abuse of diuretics. abuse of alcohol.

mental health. nutrition. medicine.

Select all that apply The optimal treatment of eating disorders requires a multidisciplinary team of experts in the following fields mental health. physical education. nutrition. medicine.

nutrition. mental health. medicine.

Select all that apply The optimal treatment of eating disorders requires a multidisciplinary team of experts in the following fields: nutrition. mental health. medicine. physical education.

menarche

A girl will not experience _____ until she has about 17% body fat. amenorrhea menarche puberty

may

Genetic factors _____ play a role in a person's risk of developing an eating disorder.

deny they are too thin

Most people who suffer from anorexia nervosa ________ have high self-esteem recover completely within one year of treatment are males between 16 and 30 years of age deny they are too thin

are females

Most people who suffer from anorexia nervosa ________. have high self-esteem are females realize that they are too thin are older adults

eating disorder

Psychological disturbances that can lead to abnormal food-related behaviors and subsequent dangerous physiological complications are called ____ ____

are usually male. are often body builders. exercise obsessively.

Select all that apply People with muscle dysmorphia are usually male. are often body builders. are usually female. exercise obsessively.

Anxiety disorders Mood disorders

Select all that apply Which psychological factors often accompany eating disorders? Anxiety disorders Schizophrenia Migraine headaches Mood disorders

Inpatient

The patient is medically and/or pyschiatrically unstable. Vital signs and lab work are often impaired. The patient is worsening and may be suicidal.

Residential

The patient is medically stable but psychiatrically impaired and not responding to other treatment.

All of these choices are correct.

Which of the following alternative therapies has been found to be effective as complementary therapy in the treatment of eating disorders? Meditation All of these choices are correct. Acupuncture Equine therapy

NOT BINGE

Which of the following behaviors is a typical sign of someone who has disordered eating but not an eating disorder? Binge eating daily for two months Frequently making oneself vomit after meals Regularly using laxatives to lose weight Eating only cooked pasta with grated cheese for several meals

Cognitive behavioral

_______ is a major treatment approach for those with bulimia nervosa and binge eating disorder. This type of treatment involves addressing unhealthy emotions and behaviors and involves goal-oriented therapy Cognitive behavioral therapy Yoga therapy Phototherapy Dialectical behavior therapy

muscle dysmorphia

unhealthy preoccupation with the body being too small or not muscular enough

muscle dysmorphia

A disordered eating pattern that is characterized by an unhealthy preoccupation with the body being too thin or not muscular enough is called ____ ____

rapid heart rate

All of the following are common physiological consequences of anorexia nervosa except ________ rapid heart rate hypotension (low blood pressure) lanugo dehydration

obesity

Because people with binge-eating disorder do not purge, their risk for _______ increases cancer osteoporosis irritable bowel syndrome obesity

Binge eating disorder

Brianna is a high school cross-country runner who experienced a season-ending injury. She is feeling depressed about not being able to compete and her grades are beginning to suffer. She consoles herself by eating large quantities of food, including cakes, cookies, and ice cream. She feels an overwhelming sense of guilt after these binges, but she does not engage in any compensatory behaviors, such as vomiting or laxative abuse.

Female athlete triad

Celeste is an elite gymnast who recently transferred to a very competitive gym. The girls on her new team commented that she is heavier than they are. Her teammates' nagging has led Celeste to severely restrict her food intake. She has lost so much weigh that she has stopped menstruating. Last week at practice, she fractured her ankle after falling off the balance beam.

very low body weight

Choose the best definition for emaciation. very low body weight weight gain attributed to chronic disease very high body fat

reduced bone mineral density

Conditions associated with the female athlete triad include ________ premenopausal polycystic syndrome cystic fibrosis reduced bone mineral density hyperthermia

True

In general, cognitive behavioral therapy has been shown to be helpful for treating patients with bulimia nervosa or binge eating disorder.

mass index composition

In order to diagnose a patient with anorexia nervosa, health care providers look for changes in body ___ BMI and body ___ over time

mass index composition

In order to diagnose a patient with anorexia nervosa, health care providers look for changes in body ___ ____ (BMI) and body ___ over time

Eating disorder

Psychological disturbances that lead to certain physiological changes and serious health complications:

chronic sore throat worn tooth enamel frequent heartburn

Select all that apply Choose signs and symptoms of bulimia nervosa. very thin chronic sore throat worn tooth enamel frequent heartburn

psychological counseling

To optimize the effectiveness of prescription medications, ______ should accompany their use hospitalization exercise psychological counseling

False

True or false: An eating disorder is a term used to describe a short-term and mild change in a person's eating habit

False

True or false: An eating disorder is a term used to describe a short-term and mild change in a person's eating habits.

anorexia nervosa

Which eating disorder has the highest mortality? night eating syndrome binge-eating disorder anorexia nervosa bulimia nervosa

phototherapy

exposure to certain wavelengths of light with a specific lamp for prescribed amounts of time

orthorexia

extreme obsession with eating healthy foods

equine therapy

patient engages with horses to support self-discovery, self-relations, and fun

diabulimia

people with type 1 diabetes who manipulate their body weight by skipping insulin injections

athlete triad

the best approach to preventing the female ___ ___is to provide information about the disorder to parents and those in sports who associate with young women, such as coaches and trainers.

biofeedback

use of heart rate monitoring and neuro feedback to decrease anxiety

more

Binge-eating disorder may be ________ common than anorexia nervosa or bulimia nervosa. less more equally as

suicide

People with anorexia nervosa have a high risk of dying from _______ vitamin toxicities suicide pancreatic cancer hyperglycemia

False

People with binge eating disorder are usually able to control their eating behavior and do not need professional help

True

People with binge eating disorder often suffer from psychological illnesses such as depression.

body image.

People with eating disorders typically have a distorted view of their body image. lifestyle habits. environment. financial state.

True

People with night eating syndrome may consume 50% of their 24-hour caloric intake after the evening meal

heart

The most dire consequence of electrolyte abnormalities is disrupted function of the ____

All of these choices are correct.

Which of the following alternative therapies has been found to be effective as complementary therapy in the treatment of eating disorders? Acupuncture All of these choices are correct. Meditation Equine therapy

Frequent heartburn

Which of the following is a common sign or symptom of bulimia nervosa? Extreme thinness Slow resting pulse rate Anemia Frequent heartburn

Frequent heartburn

Which of the following is a common sign or symptom of bulimia nervosa? Frequent heartburn Anemia Slow resting pulse rate Extreme thinness

People with night eating syndrome believe they can only fall asleep by having a full stomach.

Which of the following statements is true? People with night eating syndrome have a huge appetite in the morning. People with night eating syndrome believe they can only fall asleep by having a full stomach. Night eating syndrome is the same as sleepwalking. People with night eating syndrome do not experience any episodic food binges.

night eating syndrome

An eating disorder characterized by food binges occurring after the evening meal and/or when the person awakens from sleep during the night is called ___ ___ ___ (NES)

Disordered eating

Chaotic and abnormal food-related practices such as skipping meals, limiting food choices, and following fad diets:

True

Sandra has binge eating disorder and does not use any compensatory mechanisms to purge calories; therefore, she is likely to develop type 2 diabetes and/or hypertension.

purging binge eating

Select all that apply Choose the two classic characteristics of bulimia nervosa. purging extreme thinness binge eating consuming a completely clean diet

social psychological genetic

Select all that apply Which factors can contribute to the development of an eating disorder? geographical social psychological genetic

more

People with a mother or sister with anorexia nervosa are ______ likely to develop an eating disorder themselves. more equally less

muscle dysmorphia orthorexia diabulimia

Select all that apply Choose the disordered eating patterns that are described in DSM-5 as unspecified feeding or eating disorders muscle dysmorphia female athlete triad orthorexia diabulimia

Issues of self esteem Social media Peer and family pressure

Select all that apply Which of the following can contribute to the development of an eating disorder? Socioeconomic status Issues of self esteem Social media Peer and family pressure Geographic location

Orthorexia nervosa

________ is an extreme obsession with eating healthy foods Orthorexia nervosa Bulimia nervosa Diabulimia Muscle dysmorphia

trigger

A stressful life event that can lead to the development of an eating disorder is called a ____

False

Dialectical behavioral therapy (DBT) is a form of phototherapy that may be beneficial in treating night eating syndrome.

menarche

The onset of the first menstrual cycle for female adolescents is called ___

bulimia nervosa

The psychological condition characterized by binge eating followed by purging behaviors is called ___ ____

Eating slowly during binge episodes

Which of the following is not a common sign or symptom of binge eating disorder? Eating alone or in secret Eating until uncomfortably full Eating unusually large amounts of food in a short period of time Eating slowly during binge episodes

concerns about body image skipping meals or following fad diets

Select all that apply Which of the following is associated with disordered eating? concerns about body image having a positive body image skipping meals or following fad diets displaying high self esteem

hypokalemia

The rapid loss of electrolytes and fluids due to purging in bulimia nervosa can cause low blood levels of potassium, a condition known as ____

1. healthy eating behavior 2. concerns about body image and shape 3. clinically evident eating disorder recognized

Show the progression from ordered to disordered eating.

more

Binge-eating disorder may be ________ common than anorexia nervosa or bulimia nervosa. more equally as less

Dialectical behavioral therapy (DBT)

Form of psychotherapy that strives to improve skills used to manage stress, anxiety, or feelings of inadequacy:

do not purge after overeating.

Binge-eating disorder is different than bulimia nervosa in that patients with binge-eating disorder do not purge after overeating. starve themselves. purge after overeating. lack control over their eating while binging.

sores on her knuckles

After bingeing on cakes and cookies, Bonnie practices self-induced vomiting to avoid gaining weight. Based on this information, you would expect to notice ________ as a sign of her purging behavior. cuts on her forehead scar tissue in her kidneys sores on her knuckles bruises on her cheeks

reduced bone mineral density

Conditions associated with the female athlete triad include ________. cystic fibrosis premenopausal polycystic syndrome hyperthermia reduced bone mineral density

higher

Female athletes have a _______ risk of disordered eating practices compared to males and females who do not participate in sports. higher lower equal

Cheerleading

Females involved in which of the following activities are at the greatest risk for the female athlete triad? Cheerleading Lacrosse Rugby Basketball

Cognitive behavioral therapy

Form of psychotherapy that addresses unhealthy behavior by challenging current beliefs and replacing them with more realistic thoughts:

Beyond the Looking Glass: a message that aims to build confidence and body acceptance by encouraging students to compliment each other on characteristics and accomplishments that have nothing to do with appearance Powerfully Fit: a message that emphasizes the importance of a balanced and nutritionally adequate diet for student athletes and informs students that being thin is not a predictor of optimal athletic performance The Media's Ideal is Not for Real: a visual presentation that shows how advertisers use very thin females to portray thinness as the ideal for beauty rather than show females who have healthy body weights. *Prevention efforts should include various means to improve self-confidence. Prevention efforts should challenge the idea that being thin is required to be beautiful or successful. Efforts at prevention should challenge the idea that being thin is a prerequisite for being beautiful or successful.*

Mrs. Dawson is collecting topic ideas that will be shared as part of morning announcements during National Eating Disorders Awareness Week. She has received the following submissions from her student advisory board. Which of these topics would be appropriate? Check all that apply. Beyond the Looking Glass: a message that aims to build confidence and body acceptance by encouraging students to compliment each other on characteristics and accomplishments that have nothing to do with appearance Powerfully Fit: a message that emphasizes the importance of a balanced and nutritionally adequate diet for student athletes and informs students that being thin is not a predictor of optimal athletic performance By the Numbers: a lesson that explains how many calories are expended in various types of physical activity and exactly how many reps of certain exercises are required to burn off the calories in common snack foods The Media's Ideal is Not for Real: a visual presentation that shows how advertisers use very thin females to portray thinness as the ideal for beauty rather than show females who have healthy body weights.

purging, including self-induced vomiting

People who have bulimia nervosa typically avoid gaining weight after bingeing on food by _______ taking thyroid hormone supplements to increase their metabolic rate purging, including self-induced vomiting abusing alcohol abusing stimulant drugs, such as cocaine, caffeine, and ephedra

bulimia nervosa

Petros is a high school wrestler who is struggling to keep his weight in a healthy range. After a stressful practice, he will sometime binge on very large quantities of food. He feels so guilty afterward that he exercises for hours to try to burn off the extra calories.

Night eating disorder

Samantha is a stay-at-home mom who is struggling with her marriage. She is overweight and often wakes up in the middle of the night to binge on large quantities of food while her husband is asleep. She feels isolated and angry and confides to her therapist that more than 50% of her caloric intake occurs in the middle of the night.

registered dietitian medical doctor psychologist

Select all that apply A professional that plays a critical role in the treatment of eating disorders is a ____ laboratory technician registered dietitian medical doctor psychologist

exercise excessively. fast frequently. diet frequently.

Select all that apply An intense fear of gaining weight compels people with anorexia nervosa to exercise excessively. fast frequently. drink alcohol excessively. diet frequently.

fast frequently. diet frequently. exercise excessively.

Select all that apply An intense fear of gaining weight compels people with anorexia nervosa to fast frequently. diet frequently. exercise excessively. drink alcohol excessively.

becoming emaciated. self-imposed starvation.

Select all that apply Anorexia nervosa is characterized by consuming large quantities of food at night. becoming emaciated. self-imposed starvation. uncontrolled eating.

acupuncture meditation yoga and massage therapy

Select all that apply Choose appropriate alternative therapies that may be helpful in reducing stress and anxiety. acupuncture meditation yoga and massage therapy strenuous exercise

yoga and massage therapy meditation acupuncture

Select all that apply Choose appropriate alternative therapies that may be helpful in reducing stress and anxiety. strenuous exercise yoga and massage therapy meditation acupuncture

A person with BN is difficult to identify by appearance. A person with BN often feels ashamed about their behavior and tries to hide it. A person with BN can be slightly underweight, normal weight, or overweight.

Select all that apply Choose the statements that are true about bulimia nervosa (BN). A person with BN feels as if they have control over the eating behaviors. A person with BN is difficult to identify by appearance. A person with BN often feels ashamed about their behavior and tries to hide it. A person with BN can be slightly underweight, normal weight, or overweight.

antipsychotics mood stabilizers antidepressants

Select all that apply Choose the types of medications that may be used for treating eating disorders. antihalucinogens antipsychotics mood stabilizers antidepressants

antipsychotics mood stabilizers antidepressants

Select all that apply Choose the types of medications that may be used for treating eating disorders. antipsychotics antihalucinogens mood stabilizers antidepressants

dealing with a dysfunctional family. moving to a new location. going away to college.

Select all that apply Examples of stressful events or situations that can lead to the development of an eating disorder are dealing with a dysfunctional family. reading a short novel. moving to a new location. going away to college.

maintain a lean physique. improve athletic performance. lose weight.

Select all that apply Females exhibiting the female athlete triad may intentionally restrict their calorie intake to increase their muscle size. maintain a lean physique. improve athletic performance. lose weight.

provide medical nutrition therapy. help patients in recovery to avoid relapse. answer questions about food and nutrition.

Select all that apply To help in the treatment of patients with eating disorders, registered dietitians can provide medical nutrition therapy. help patients in recovery to avoid relapse. prescribe and administer medications. answer questions about food and nutrition.

outpatient care with counseling inpatient hospitalization

Select all that apply Treatments for eating disorders can occur in which settings? in home care without counseling outpatient care with counseling inpatient hospitalization

outpatient care with counseling inpatient hospitalization

Select all that apply Treatments for eating disorders can occur in which settings? outpatient care with counseling in home care without counseling inpatient hospitalization

medical nutrition therapy. psychotherapy.

Select all that apply Treatments for eating disorders should include physical therapy. electro convulsive therapy. medical nutrition therapy. psychotherapy.

psychotherapy. medical nutrition therapy.

Select all that apply Treatments for eating disorders should include physical therapy. electro convulsive therapy. psychotherapy. medical nutrition therapy.

amenorrhea osteoporosis eating disorders

Select all that apply What are the most serious health outcomes for a person who exhibits all of the signs of the female athlete triad? amenorrhea osteoporosis eating disorders athletic injury

osteoporosis amenorrhea eating disorders

Select all that apply What are the most serious health outcomes for a person who exhibits all of the signs of the female athlete triad? osteoporosis athletic injury amenorrhea eating disorders

bulimia nervosa binge eating disorder anorexia nervosa

Select all that apply What are the three main types of eating disorders that physicians can diagnose? night eating syndrome bulimia nervosa binge eating disorder anorexia nervosa

Bulimia nervosa Anorexia nervosa Binge-eating disorder

Select all that apply Which of the following are types of eating disorders? Food coma Food psychosis Bulimia nervosa Anorexia nervosa Binge-eating disorder

Issues of self esteem Peer and family pressure Social media

Select all that apply Which of the following can contribute to the development of an eating disorder? Issues of self esteem Peer and family pressure Geographic location Social media Socioeconomic status

Lanugo osteoporosis cold intolerance immune dysfunction muscle weakness slow heart rate.

Severe restriction of food intake among individuals with anorexia nervosa affects nearly every organ system. Click to select the physiological effects of anorexia nervosa from the list below. Hypertension Lanugo osteoporosis cold intolerance immune dysfunction muscle weakness slow heart rate. hyperglycemia

hypokalemia

The compensatory behaviors of individuals with bulimia nervosa, which include vomiting and abuse of laxatives, can lead to low blood levels of potassium, known as ______

binge eating disorder

The eating disorder that features recurrent episodes of overeating without purging is called ___ ___ ___

menarche

The onset of the first menstrual cycle for female adolescents is called ____

Outpatient Care

The patient is medically and psychiatrically stable. Eating disorder symptoms are under sufficient control to attend school, work, and engage in normal social activities.

Partial hospital

The patient is medically or psychiatrically stable, but eating disorder is impacting school, work, and/or social activities. The patient needs daily assessment.

True

True or false: Genetic factors may play a role in a person's risk of developing eating disorder.

professional counseling

Typical treatment for eating disorders includes ________ bariatric surgery professional counseling stimulant medications thyroxin injections

Having a history of frequent dieting Having a poor self-image and low self-esteem Having a close relative with an eating disorder or a mental illness Having a limited social network and feeling isolated Having a perfectionist personality

Which of the following are risk factors for eating disorders? Check all that apply. Being a young adult male Having a history of frequent dieting Having a poor self-image and low self-esteem Having a close relative with an eating disorder or a mental illness Having type 2 diabetes Having a limited social network and feeling isolated Having a perfectionist personality

Fear that "insulin makes me fat" Extreme anxiety about body image Withdrawal from friends and/or family Increasing neglect of diabetes management ***Increasing neglect of diabetes management, avoiding diabetes-related appointments, fear of low blood sugars, fear that "insulin makes me fat," extreme anxiety about body image, overly strict food rules, withdrawal from friends and/or family, and infrequently filled insulin prescriptions are all signs and symptoms of diabulimia.***

Which of the following are signs or symptoms of diabulimia? Check all that apply. More frequently filled insulin prescriptions Fear that "insulin makes me fat" Extreme anxiety about body image Fear of high blood sugars Withdrawal from friends and/or family Increasing neglect of diabetes management

Eating only cooked pasta with grated cheese for several meals

Which of the following behaviors is a typical sign of someone who has disordered eating but not an eating disorder? Eating only cooked pasta with grated cheese for several meals Regularly using laxatives to lose weight Binge eating daily for two months Frequently making oneself vomit after meals

Heart rate disturbances damaged walls of the esophagus swelling of salivary glands Demineralization of teeth

Which of the following health problems may occur in people with bulimia nervosa who use self-induced vomiting to purge excess calories? Check all that apply. Heart rate disturbances Muscle wasting and weakness Damaged walls of the esophagus Swelling of salivary glands Cold intolerance Demineralization of teeth

Disordered eating practices are usually temporary, and occur when the person is under stress.

Which of the following statements is true? Binge-eating disorder is the most serious eating disorder, because 36% of people with the condition commit suicide. Young women are more likely to develop muscle dysmorphia than young men. Disordered eating practices are usually temporary, and occur when the person is under stress. According to the DSM-5, there are two main types of eating disorders that physicians can diagnose: bulimia nervosa and anorexia nervosa.

Disordered eating practices are usually temporary, and occur when the person is under stress.

Which of the following statements is true? Young women are more likely to develop muscle dysmorphia than young men. According to the DSM-5, there are two main types of eating disorders that physicians can diagnose: bulimia nervosa and anorexia nervosa. Binge-eating disorder is the most serious eating disorder, because 36% of people with the condition commit suicide. Disordered eating practices are usually temporary, and occur when the person is under stress.

Assembling a group of concerned friends and family members to meet with the person at a local coffee shop

You have a friend who you believe may have an eating disorder. Which of the following is not recommended when approaching a person to discuss a possible eating disorder? Suggesting the person meets with an expert who is involved with the treatment of eating disorders Assembling a group of concerned friends and family members to meet with the person at a local coffee shop Sharing your feelings and concerns in a supportive manner Describing occasions when you observed behaviors that were signs of an eating disorder and may indicate the person needs professional care