Eating Disorders (11), test 3

Prior to a binge episode, bulimics typically experience feelings of:

anxiety and tension

Compared to those suffering from anorexia, those with bulimia:

are more inclined to try to please others compared to anorexics

In contrast to individuals with anorexia nervosa, most people with bulimia nervosa:

are of normal or slightly overweight

Compared with a therapist with a psychodynamic view, what would a therapist with a cognitive-behavioral view be most likely to ask someone whom he or she suspected might have a somatic symptom disorder?

"What underlying conflict do you think might have caused your symptoms?"

Which statement BEST describes someone with illness anxiety disorder?

A person misinterprets normal bodily functions and changes as signs of a serious health condition.

Having a background in medicine, but also a grudge against the profession, puts a person at risk for:

a factitious disorder

Someone who has Munchausen syndrome, also by definition, has:

a factitious disorder

Characteristics of anorexia nervosa include all the following EXCEPT:

a view that one is currently unattractively thin.

Adrian recently graduated from college and has started a new job in his field of study. He has very long work hours and gets little sleep. He quit exercising and is not eating a balanced diet. If he develops a psychophysiological disorder, it will be because of

behavioral changes

For people with bulimia nervosa, binge episodes produce feelings of:

guilt and depression

Immediately preceding the onset of an eating disorder, one would most likely find that the patient:

had been successful in losing weight and had been praised by family.

If you looked in Leijla's medicine cabinet, you would find dozens of prescriptions and even more over-the-counter medications. Every time she sneezes, Leijla is sure she has the latest deadly flu, although no physician has ever found anything wrong with her. Leijla probably suffers from:

illness anxiety disorder

Pretending to be ill to get paid sick leave is an example of (a):

malingering

One of the dangers of a diagnosis of conversion disorder is that the patient

may have a genuine medical problem

An individual who has been diagnosed with a somatic symptom disorder would MOST likely first seek:

medical help

With _____, a person pays attention to the feelings, thoughts, and sensations that are flowing through his or her mind but does so with detachment and objectivity and, most important, without judgment

mindfulness meditation

Which one of the following statements accurately reflects a difference between anorexia nervosa and bulimia nervosa:

none of the above reflect accurate differences

Because of similarities in presentation, people with illness anxiety disorder often receive the same kinds of treatments used to address symptoms of:

obsessive-compulsive disorder

Which sleep disorder is characterized by frequent sleep walking episodes, sleep terrors, or nightmares

parasomnias

A group of physical illnesses that seem to be caused or worsened by an interaction of biological, psychological, and sociocultural factors is called:

psychological factors affecting other medical conditions

A researcher conducts studies to better understand how exposure to stress affects the immune system. This researcher is practicing in the field of:

psychoneuroimmunology

The best diagnosis for a woman who regularly eats a whole pizza, a carton of ice cream, and a box of donuts at one sitting, then forces herself to throw it all up is:

purging-type bulimia nervosa

Therapists who take a reinforcement approach while treating a conversion disorder would be MOST likely to focus on:

reducing the rewards available for displaying the disorder.

If a man's behavior elicited kindness and sympathy from his wife when he was mute, he would be receiving _____ gains from his behavior.

secondary

The levels of the neurotransmitter ______ are low in many people with depression and in eating disorders.

serotonin

The disorder with a wide range of vague, long-lasting, and disturbing physical symptoms without a medical cause is:

somatic symptom disorder (somatization pattern).

What is the first type of food usually eliminated from the diet of the developing restricting-type anorexic person?

sweets

Which is likely to be useful in distinguishing conversion disorders and somatic symptom disorders from TRUE medical problems?

the manifestation of the disorder in terms of what is being experienced is inconsistent with the body's anatomy and physiology

Which of the following is characteristic of bulimics during a binge episode?

they barely taste their food at all

How do anorexics view their body size?

they tend to overestimate their body size

Which medical problem is linked to bulimia nervosa?

tooth decay

Individuals with Munchausen syndrome by proxy know they are lying.

true

The traditional psychophysiological disorder most commonly associated with intense feelings of anger and the presence of bacteria is

ulcer

The central feature of bulimia nervosa is:

binge eating followed by a compensatory behavior

John, who is of normal weight, tends to exercise excessively, especially following periods in which he feels he's eaten too much. John might be best diagnosed as having:

bulimia nervosa, non-purging type

The leading cause of death globally, resulting in 17 million deaths worldwide each year, is:

coronary heart disease

Overabundance of _____ can lead to chronic inflammation throughout the body, contributing to heart disease, stroke, and other illnesses.

cytokines

One of the therapy methods commonly used to treat bulimia nervosa is:

Exposure and response therapy

_____ is a field that combines psychological and physical interventions to treat or prevent medical problems

Behavioral medicine

International studies have noted that individuals in _____ display the largest number of somatization symptoms.

Latin American cultures

Sarah brings her young daughter into the emergency room with internal bleeding. The attending physician later concludes that Sarah caused the symptoms in her daughter intentionally, to bring her to a doctor's attention. If this assessment is true, Sarah would be diagnosed as having:

Munchausen syndrome by proxy

Which of the following is NOT a component of treating someone with anorexia nervosa?

all of the above are true

Which of the following factors is NOT associated with better recovery for those suffering from anorexia nervosa?

all of the factors listed above are associated with better recovery

Which is a foreign invader of the body?

antigen

Every time Miguel had a headache, his mother let him miss school. Now, as an adult, his headaches have become more frequent. His head pounds any time he is required to do something he would rather not do. This is a _____ explanation of conversion symptoms

cognitive-behavioral

The first time the patient reported vague chest pains to a 911 operator, local EMTs responded with obvious attention and concern. Over the next several months, the patient called 911 more and more often, receiving the same concerned care for the same symptoms. This pattern of patient response is MOST easily explained by which theoretical perspective?

cognitive-behavioral

The most widely applied method of biofeedback uses a device called an _____, which provides feedback about the level of muscular tension in the body.

electromyograph

Stress-related writing has been found to be beneficial for patients with either HIV infection or cancer. This is an example of the effectiveness of:

emotion expresssion

Defects in the _____ system are thought to contribute to the development of psychophysiological disorders.

immune

Which sleep disorder is characterized by severe difficulty falling asleep or maintaining sleep at least three nights per week is:

insomnia disorder

Which of the following is an example of malingering?

intentionally faking a tic in order to avoid military service

Relapse for both bulimia and anorexia is most likely triggered by:

life stresses