Eating Disorders

Treatment for bulimia should last at least how many weeks? 4 8 16 32

16

Which of the following is true about purging behavior related to bulimia? There are no medical risks to purging. After many months of purging, it gets harder and harder to do. After vomiting, many kilocalories from the food eaten are still absorbed. Few kilocalories are absorbed when laxatives are used as a purging technique.

After vomiting, many kilocalories from the food eaten are still absorbed.

Which of the following is the best treatment approach for binge-eating disorder? A diet that lists foods to be eaten and others to be avoided. A structured eating plan that the person eats without regard to his or her hunger signals. Teaching them not to be selfish and work at nurturing others. An eating plan that does not restrict particular foods, in which the person eats in response to hunger signals

An eating plan that does not restrict particular foods, in which the person eats in response to hunger signals

Which of the following is characteristic of bulimics? Binge eating Have obvious symptoms Tend to be very thin Are almost never male

Binge eating

Which of the following is not a sign or symptom of night eating syndrome? Not feeling hungry in the morning and delaying the first meal until several hours after waking Overeating in the evening with more than one-third of daily food intake after dinner Difficulty staying awake and not feeling hungry before falling asleep at night Feeling depressed, especially at night

Difficulty staying awake and not feeling hungry before falling asleep at night

What is the name of the condition characterized by disordered eating, lack of menstrual periods, and osteoporosis? Female anorexia Female bulimia Female athlete triad Binge eating disorder

Female athlete triad

Which characteristic is more indicative of bulimia than anorexia nervosa? Rigid, disciplined dieting Feeling a sense of power because of strict discipline and self-denial Fluctuating weight Lack of menstruation

Fluctuating weight

Which of the following is not characteristic of individuals who develop eating disorders? From middle- and upper-class families Highly competitive From families with unrealistic expectations Have high self-esteem

Have high self-esteem

Jane is a binge eater. Which of the following is probably not true about her? There is a high probability that she comes from an alcoholic family and may have been sexually abused. She uses food to numb herself in response to disruptive emotions such as anger and hurt. She binges on large quantities of food and purges. She most likely does not have the persistent preoccupation with body shape, weight, and thinness that anorexics and bulimics have.

She binges on large quantities of food and purges.

Which of the following is not an early warning sign of anorexia nervosa? Withdrawing from family and friends Cooking a large meal and watching others eat, but not eating themselves Sleeping often and having no interest in exercise Becoming irritable and hostile

Sleeping often and having no interest in exercise

Which of the following is true about the bingeing behavior of the bulimic? Violation of rigid food rules can initiate a binge. Binges most often occur during the morning. Binges usually last 15 to 30 minutes. Accomplishing a personal goal usually initiates a binge.

Violation of rigid food rules can initiate a binge.

Which of the following is true about the bingeing behavior of the bulimic? Violation of rigid food rules can initiate a binge. Binges most often occur during the morning. Binges usually last 15 to 30 minutes. Accomplishing a personal goal usually initiates a binge.

Violation of rigid food rules can initiate a binge.

The most long-term success in anorexia nervosa treatment has been with hospitalization and feeding via a tube. a multidisciplinary team of health care providers. scare tactics. outpatient treatment.

a multidisciplinary team of health care providers.

The incidence of anorexia nervosa is highest in adolescent males from middle and high socioeconomic classes. adolescent females from middle and upper socioeconomic classes. adolescent males from low-income classes. preteen females from low-income classes.

adolescent females from middle and upper socioeconomic classes.

Studies have shown that night eating syndrome symptoms, including nocturnal ingestion of food and evening hyperphagia, are significantly improved with use of an antibiotic. an antidepressant. a sleeping pill. amphetamines.

an antidepressant.

Patients with ____________ may present with clinical signs of semistarvation, such as decreased metabolic rate. anorexia nervosa bulimia nervosa binge-eating disorder night eating syndrome

anorexia nervosa

A condition of self-induced severe weight loss, particularly common in adolescent girls, is called malnutrition. anorexia nervosa. bulimia nervosa. binge-eating disorder.

anorexia nervosa.

Cessation of menstruation is most likely associated with anorexia nervosa. bulimia nervosa. binge-eating disorder. night eating syndrome.

anorexia nervosa.

Coping with stress by not eating is a characteristic of anorexia nervosa bulimia nervosa binge-eating disorder. night eating syndrome.

anorexia nervosa.

Slowly increasing body weight to achieve a BMI of 20 or more is a goal in the treatment of anorexia nervosa. bulimia nervosa. binge-eating disorder. night eating syndrome.

anorexia nervosa.

A difference between anorexics and bulimics is that anorexics turn away from food during a crisis, whereas bulimics turn toward food. bulimics exhibit denial of the disorder, whereas anorexics know their behavior is abnormal. anorexics come from loosely organized families, whereas bulimics come from overly-organized families. bulimics tend to be methodical, whereas anorexics tend to be impulsive.

anorexics turn away from food during a crisis, whereas bulimics turn toward food.

A disorder in which frequent bingeing and possibly purging occurs is called hypoglycemia. bulimia. anorexia nervosa. compulsive overeating.

bulimia

Approximately half of the people with ____________ also suffer from chronic depression. anorexia nervosa bulimia nervosa female athlete triad

bulimia nervosa

Coping with stress by eating is a characteristic of anorexia nervosa. bulimia nervosa. female athlete triad.

bulimia nervosa.

Food diaries and a regular meal plan are commonly part of the treatment for anorexia nervosa. bulimia nervosa. female athlete triad. night eating syndrome.

bulimia nervosa.

Understanding the abnormality of the behavior is most common among people with bulimia nervosa. anorexia nervosa.

bulimia nervosa.

All of the following can initiate the problem of anorexia nervosa except comments from significant others about being too fat. a job or profession that demands maintaining a certain weight. coming from a supportive family. leaving home and family for college.

coming from a supportive family.

The slower basal metabolism that accompanies anorexia nervosa is caused by decreased synthesis of growth hormone. decreased synthesis of thyroid hormone. low intake of iron. hypoglycemia.

decreased synthesis of thyroid hormone.

A major characteristic of an anorexic person that significantly inhibits successful treatment is suppression of feelings. denial of the problem. rationalization of the problem. high self-esteem.

denial of the problem.

A food typically chosen for a bulimic binge is chicken. milk. donuts. pizza.

donuts.

At later stages in anorexia development, anorexics do not feel hungry. abstain from beverages and food. eat 1,200 to 1,500 kilocalories per day. eat 300 to 600 kilocalories per day.

eat 300 to 600 kilocalories per day.

Night eating syndrome is characterized by evening hyperphagia, which is defined as eating all of total daily calories after the evening meal. eating one-half of total daily calories after the evening meal. eating one-half of total daily calories at the evening meal. eating more than one-third of total daily calories after the evening meal.

eating more than one-third of total daily calories after the evening meal.

A person with anorexia nervosa is likely to come from a low socioeconomic class. come from a loose, flexible home. grow up in a perfectionistic home with very high expectations. have a mother with a healthy view of the body and food habits

grow up in a perfectionistic home with very high expectations.

The family of a bulimic tends to have a great deal of conflict. have an overbearing father and mother. be overprotective. be rigid, with members over-involved with one another.

have a great deal of conflict.

One of the best ways to get anorexics into treatment is to threaten them. deny the disorder. keep offering them food. have a group intervention of friends and family to confront them with the problem.

have a group intervention of friends and family to confront them with the problem.

Joni uses ipecac syrup to promote vomiting after her binges. All of the following are negative effects of vomiting except tooth decay. swelling of salivary glands. stomach ulcers. high blood potassium levels, which disturb heart rhythm.

high blood potassium levels, which disturb heart rhythm.

All of the following are true of anorexia nervosa except distorted body image. decreased heart rate. denial of appetite. increased body temperature.

increased body temperature.

The semistarvation of anorexia nervosa results in all the following physiological changes except dry, scaly, cold skin. lanugo hair. increased heart rate. iron-deficiency anemia.

increased heart rate.

Criteria for diagnosing anorexia nervosa include all the following except body weight 15 percent below expected. intense fear of becoming too thin. feels fat even when emaciated. amenorrhea.

intense fear of becoming too thin.

All of the following are goals for an anorexic person except gain 2-3 pounds per week. a slow rate of weight gain. for weight to exceed 90 percent of pre-illness weight. keep activity at a high level.

keep activity at a high level.

Downy hair that grows on the body to counteract the heat loss associated with a lack of insulating subcutaneous fat is/are called lanugo. endorphins. hypothyroidism. amenorrhea.

lanugo.

All of the following are associated with bulimia except less sexual activity than the general population. compulsive lying. drug abuse. shoplifting.

less sexual activity than the general population.

All of the following are true of an anorexic person who falls below 75 percent of normal body weight except hospitalization is almost always necessary. cure becomes very difficult. premature death is likely. loss of menstrual period becomes irreversible.

loss of menstrual period becomes irreversible.

Loss of menstrual periods associated with anorexia nervosa is caused by low body fat content. loss of lean body mass. low thyroid hormone synthesis. lanugo.

low body fat content.

In anorexia nervosa, low blood potassium levels are associated with all of the following except poor nutrient intake. diuretic use. heart rhythm disturbances. low protein intake.

low protein intake.

The typical characteristics for binge-eating disorder include binge-eating episodes not accompanied by purging. that do not cause distress. no more than once per week. that can be controlled or stopped at will.

not accompanied by purging.

A common characteristic of both bulimics and anorexics is that they are male. born underweight for height. perfectionists. able to recognize their behavior as abnormal.

perfectionists.

Anorexia nervosa is defined as hyperactivity. compulsive eating. purging, including laxatives and diuretics. psychological denial of appetite.

psychological denial of appetite.

Criteria for diagnosing bulimia nervosa includes all the following except overconcern with body shape and weight. purposely eats large quantities of food and feels tremendous control in doing it. uses purging techniques like self-induced vomiting. two binge-eating episodes per week for at least 3 months.

purposely eats large quantities of food and feels tremendous control in doing it.

All of the following are helpful for the recovery of the anorexic person except separation from the family. using antidepressant medications. joining a self-help group. establishing a strong relationship with a supportive person.

separation from the family.

The most significant factor promoting eating disorders in North American culture is food availability. the current focus on physical fitness. societal emphasis on being thin and the link between thinness and social value. the fatty foods emphasized in our culture.

societal emphasis on being thin and the link between thinness and social value.

An effective nutritional counseling approach to bulimia involves all the following except a daily meal plan. keeping a daily food diary. helping the person correct misconceptions about food. suggesting that the person follow strict food rules to control eating.

suggesting that the person follow strict food rules to control eating.

Anorexia nervosa sufferers tend to be between 25 and 35 years of age. tend to be adolescent and early adult girls. lack denial of their disease. see themselves as thin even though they are fat.

tend to be adolescent and early adult girls.

All of the following are true about bulimia except the disordered behavior is secretive. frequent bingeing and purging occurs. it most commonly occurs in adolescent and college-age individuals. the result is low body weight.

the result is low body weight.

The first goal in nutrition therapy for anorexia nervosa is to increase weight to return the basal metabolic rate to normal. to stop further weight loss. hospitalization and forced feeding. rapid weight gain to reverse physical symptoms.

to stop further weight loss.

Most of the health problems in bulimia arise from binge eating. vomiting. using laxatives. eating sweets.

vomiting.

Prevention of eating disorders might include any of the following except discourage dieting. teach normal, healthy approach to eating and nutrition. encourage eating in relation to hunger and satiety cues. weighing often.

weighing often.