DHN 101 Chapter 14
Choose the types of medications that may be used for treating eating disorders.
- antipsychotics - antidepressants - mood stabilizers
Which psychological factors often accompany eating disorders?
- anxiety disorders - mood disorders
People with muscle dysmorphia
- are often bodybuilders - are usually male - exercise obsessively
Which of the following is associated with disordered eating?
- concerns about body image - skipping meals or following fad diets
An intense fear of gaining weight compels people with anorexia nervosa to
- fast frequently - diet frequently - exercise excessively
Choose signs and symptoms of bulimia nervosa.
- worn tooth enamel - frequent heartburn - chronic sore throat
People with binge eating disorder often suffer from psychological illnesses such as depression.
true
Choose the statements that are true about bulimia nervosa (BN).
- a person with BN can be slightly underweight, normal weight, or overweight. - a person with BN often feels ashamed about their behavior and tries to hide it. - a person with BN is difficult to identify by appearance.
Individuals who are involved in occupations that focus on thinness such as __________ have an increased risk of developing an eating disorder.
- acting - fashion modeling - ballet dancing
Identify the athletes who are at higher risk for eating disorders because of their participation in certain sports.
- bodybuilder - dancer - wrestler - gymnast
Kume is a 17-year-old world class endurance runner who suffers from the female athlete triad. Based on this information, she has ________.
abnormal menstrual cycles
People with anorexia nervosa have a high risk of dying from ________.
suicide
Choose the best definition for emaciation.
very low body weight
unhealthy preoccupation with the body being too small or not muscular enough
muscle dysmorphia
To optimize the effectiveness of prescription medications, ______ should accompany their use.
psychological counseling
Bulimia nervosa is characterized by
- binge eating - purging
Treatments for eating disorders can occur in which settings?
- inpatient hospitalization - outpatient care with counseling
Supportive activities used in the treatment of patients with eating disorders are
- yoga - massage - movement therapy
Click and drag each physical effect to indicate whether it is more likely to occur in people with anorexia nervosa, bulimia nervosa, or the effect occurs to about the same extent in both eating disorders.
AN: - lanugo - cold intolerance - low bone mineral density Both Disorders: - cardiac dysfunction - electrolyte imbalances BN: - esophageal tears - swollen salivary glands
In order to diagnose a patient with anorexia nervosa, the doctor needs to determine if the patient's weight is
less than "minimally normal"
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
night eating syndrome
A stressful life event that can lead to the development of an eating disorder is called a
trigger
Treatment of eating disorders requires a multidisciplinary approach involving psychologists, registered dietitian nutritionists, and sometimes prescribing FDA-approved medications.
true
To help in the treatment of patients with eating disorders, registered dietitians can
- help patients in recovery to avoid relapse - answer questions about food and nutrition - provide medical nutrition therapy
Females exhibiting the female athlete triad may intentionally restrict their calorie intake to
- lose weight - maintain a lean physique - improve athletic performance
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.
sores on her knuckles
True or false: Genetic factors may play a role in a person's risk of developing eating disorder.
true
Treatments for eating disorders should include
- medical nutrition therapy - psychotherapy
Physiological consequences of low estrogen levels include
- reduced bone mass - menstrual disturbances
The hypokalemia observed in people suffering from bulimia nervosa can be caused by
- self induced vomiting - abuse of diuretics
Frances is a 16-year-old female dancer who does ballet training six days per week for at least two hours. France's' current BMI is 16.5; she exercises excessively, avoids many foods, and thinks she needs to lose more weight. Failure to menstruate is one of the female body's responses to reduced estrogen levels. What is an additional side effect of reduced estrogen levels commonly seen in patients with anorexia nervosa?
accelerated bone loss
people with type 1 diabetes who manipulate their body weight by skipping insulin injections
diabulimia
Genetic factors _____ play a role in a person's risk of developing an eating disorder.
may
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 the 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 show how advertisers use very thin females to portray thinness as the ideal for beauty rather than show females who have healthy body weights.
Click to select the roles of the registered dietitian nutritionist (RDN) in the treatment of eating disorders.
- educating the patient on food sources of calcium and vitamin D to address problems with low bone mineral density - helping the patient to create a nutritionally balanced meal plan to avoid binge-eating patterns -performing a nutrition-focused physical assessment to check for clinical signs of nutrient deficiencies.
Florencia is a college student suffering from bulimia nervosa. When her roommate is at class, Florencia regularly binges on large quantities of food, sometimes up to 3000 kilocalories in an hour. She then feels so guilty, she feels an overwhelming need to purge. What types of compensatory behaviors are used by people with bulimia nervosa to rid the body of excess calories? Check all that apply.
- excessive exercising - self-induced vomiting - laxative abuse
Examples of stressful events or situations that can lead to the development of an eating disorder are
- going away to college - dealing with a dysfunctional family - moving to a new location
Athletes that participate in a sport that emphasize small, lean bodies or requires "making weight" such as _______ are at increased risk of developing an eating disorder.
- gymnastics - wrestling
Which of the following are risk factors for eating disorders? Check all that apply.
- 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 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 - damaged walls of the esophagus - swelling of salivary glands - demineralization of teeth
A professional that plays a critical role in the treatment of eating disorders is a ______.
- medical doctor - psychologist - registered dietitian
The optimal treatment of eating disorders requires a multidisciplinary team of experts in the following fields:
- medicine - nutrition - mental health
Choose the disordered eating patterns that are described in DSM-5 as unspecified feeding or eating disorders.
- orthorexia - diabulimia - muscle dysmorphia
People with anorexia nervosa
- severely restrict their food intake - have distorted body images
Night eating syndrome is characterized by
- sleep disturbances - the belief that one can only fall asleep after a large meal - waking during the night to binge eat
Which factors can contribute to the development of an eating disorder?
- social - genetic -psychological
Choose appropriate alternative therapies that may be helpful in reducing stress and anxiety.
- yoga and massage therapy - acupuncture - meditation
Frances is a 16-year-old female dancer who does ballet training six days per week for at least two hours. France's' current BMI is 16.5; she exercises excessively, avoids many foods, and thinks she needs to lose more weight. Based on this information, Frances probably has _______.
anorexia nervosa
The psychological disorder characterized by self-imposed starvation that results in malnutrition and severe weight loss is called
anorexia nervosa
Which eating disorder has the highest mortality?
anorexia nervosa
The eating disorder that features recurrent episodes of overeating without purging is called
binge eating disorder
use of heart rate monitoring and neurofeedback to decrease anxiety
biofeedback
People with eating disorders typically have a distorted view of their
body image
The psychological condition characterized by binge eating followed by purging behaviors is called
bulimia nervosa
________ 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
Classify each of the following individuals as having disordered eating practices or an eating disorder. After his girlfriend was involved in a tragic car accident, Steven felt so much grief that he couldn't bring himself to make or eat food. After 3 months of poor food intake, he had lost about 14 pounds. Steven's friends and family lent him emotional support, and within 6 months, he was eating normally again.
disordered eating
Classify each of the following individuals as having disordered eating practices or an eating disorder. Monique wanted to lose some weight to fit into a cute dress for her 20th high school reunion. She went on a crash diet that limited starchy, processed foods and provided only 800 kcal per day. She lost 10 pounds in 2 months, but resumed her normal eating behavior after the reunion.
disordered eating
Binge-eating disorder is different than bulimia nervosa in that patients with binge-eating disorder
do not purge after overeating
Classify each of the following individuals as having disordered eating practices or an eating disorder. Caroline recently joined a weight-loss group. She has been obese since adolescence and has tried many times to lose weight. When the group facilitator asked her if she ever felt out of control over how much she eats, she broke down in tears, and described her frequent pattern of late-night bingeing.
eating disorder
Classify each of the following individuals as having disordered eating practices or an eating disorder. Dennis is a winning horse jockey who is preparing for the Kentucky Derby. The weight limit for jockeys (including equipment) is 126 lbs. Dennis regularly uses laxatives and diuretics after he eats to keep his weight down. If that is not enough, just before races, he sits in a sauna and sweats off water weight.
eating disorder
Binge-eating disorder, Bulimia nervosa and Anorexia nervosa are all examples of
eating disorders
patient engages with horses to support self-discovery, self-relations, and fun
equine therapy
Low energy availability is associated with a(an) Multiple choice question.
estrogen deficiency
Frances is a 16-year-old female dancer who does ballet training six days per week for at least two hours. France's' current BMI is 16.5; she exercises excessively, avoids many foods, and thinks she needs to lose more weight. Based on your knowledge of Frances' eating disorder, which additional signs or symptoms of the illness is she likely to experience?
failure to menstruate
Adolescents who spend less time on social media each day are more likely to develop an eating disorder.
false
People with binge eating disorder are usually able to control their eating behavior and do not need professional help.
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.
false
Which of the following is a common sign or symptom of bulimia nervosa?
frequent heartburn
Female athletes have a _______ risk of disordered eating practices compared to males and females who do not participate in sports.
higher
The rapid loss of electrolytes and fluids due to purging in bulimia nervosa can cause low blood levels of potassium, a condition known as
hypokalemia
A girl will not experience _____ until she has about 17% body fat.
menarche
The onset of the first menstrual cycle for female adolescents is called
menarche
Binge-eating disorder may be ________ common than anorexia nervosa or bulimia nervosa.
more
A disordered eating pattern that is characterized by an unhealthy preoccupation with the body being too thin or not muscular enough is called
muscle dysmorphia
Because people with binge-eating disorder do not purge, their risk for _______ increases.
obesity
extreme obsession with eating healthy foods
orthorexia
exposure to certain wavelengths of light with a specific lamp for prescribed amounts of time
phototherapy
Bulimia nervosa is characterized by a cycle of bingeing and behaviors to limit calorie intake or increase calorie output. Self-induced vomiting is an example of one such _______ activity.
purging
Unlike people with anorexia nervosa, people with binge eating disorder can be normal weight, overweight, or have obesity.
true
