Chapter 9 Questions Answers – Flashcards
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Which statement best describes trends in actual and ideal weight in American young women?
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While the weight of the average woman is increasing, the average weight of the ideal woman is decreasing.
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What is the most serious challenge in treating eating disorders?
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overcoming the patient's ambivalence toward treatment
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Someone who binges and purges and is severely underweight is diagnosed as anorexic, not bulimic. Treating physicians must be precise with this diagnosis because
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anorexia has a much higher death rate than bulimia
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Which of the following statements about obesity and health is true?
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The heavier the person, the greater the health risks.
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After her dentist commented on the damage her practice of vomiting had caused to her teeth, Hilda realized that she had a problem. After seeing a psychiatrist, Hilda was diagnosed with anorexia, binge-eating/purging sub-type. Due to the severity of her condition, her doctor suggested that she be hospitalized. Hilda immediately entered an inpatient treatment program and embraced all aspects of the treatment regimen. What is unique about Hilda's case?
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Hilda's lack of ambivalence about treatment.
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Set-point theory explains why
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binge eating is likely after a period of caloric restriction.
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Which of the following is not a condition found in the DSM?
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Obesity
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Why are family attitudes about obesity important?
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because the consequences are likely to remain with us
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In which of the following countries are at least one-third of adults obese?
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United States
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Delilah is overweight. She likes to eat cookies and other sugary snacks, and often eats an entire package at one sitting. She is upset by this because she knows how important weight is to health, but she does not engage in any compensatory behaviors. Which of the following would be a likely diagnosis?
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binge eating disorder
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Lanugo
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is a soft hair that grows on the body of people with anorexia.
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Which of the following is most commonly found in families of girls with anorexia?
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Parents who emphasize rules, control, and good physical appearance
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Which of the following is characteristic of the binge-eating/purging type of anorexia?
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the use of laxatives
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Our current knowledge of the efficacy of treating eating disorders
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suggests that cognitive-behavioral therapy is the treatment of choice
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One of the reasons it is difficult to know if a disruption in the serotonin system causes eating disorders is
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people with eating disorders often have depression as well
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Which of the following appears to be an enduring personality trait of people who are susceptible to developing an eating disorder?
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perfectionism
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Family therapy for anorexia appears to be most effective when it is used to treat
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adolescents
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After bariatric surgery,
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some patients regain their weight, but most lose a great deal of weight
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Comfort food
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may help reduce activation in the stress response system
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Which statement about the diagnosis of eating disorders is accurate?
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There is quite a lot of diagnostic crossover in eating disorders
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Binge-eating disorder
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involves binges comparable to those in bulimia but without any inappropriate "compensatory" behavior to limit weight gain
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Which of the following best explains why cognitive-behavioral therapy is a logical approach to the treatment of eating disorders?
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Both thoughts and behaviors need to be altered to achieve a lasting outcome
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Sibutramine acts to reduce appetite by
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increasing the activity of serotonin and norepinephrine
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Ellen is underweight but not less than 85 percent of normal body weight. She often restricts her eating because she is intensely fearful of becoming fat. She purges at least twice a week, even though she does not eat large amounts of food at any sitting. According to the DSM-5 she should be diagnosed
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with purging disorder.
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Which of the following is a medication currently approved by the FDA for use in the treatment of obesity?
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sibutramine
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The most common quality of parents' interactions with their daughters who have eating disorders is
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criticism
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Binge-eating disorder
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is an eating disorder diagnosis most recently added to the DSM-5
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Elena binges on high calorie foods and then makes herself throw up. She feels terribly ashamed and horrified by what she does. You would predict
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she will not stop because her vomiting is reinforced by reducing her fear of gaining weight.
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A lack of body distortions among the Amish
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suggests that there should be a low prevalence of eating disorders among these peoples
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Families of people with anorexia
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exhibit tendencies towards perfectionism
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Which of the following statements about the prevalence of eating disorders in the 20th century is true?
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While the incidence of anorexia has been increasing, the incidence of bulimia seems to be declining
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Which of the following is an effect of antidepressants on symptoms of bulimia nervosa ?
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Lessened preoccupation with physical appearance
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Grehlin
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is a hormone that is an appetite stimulator
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What disorders are often comorbid with eating disorders?
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depression and personality disorders
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How do you distinguish between the binge-eating/purging type of anorexia nervosa and bulimia nervosa, purging type?
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People with the bulimic type are normal weight, people with the anorexic type are underweight.
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Which of the following factors is associated with an increased risk for obesity?
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Low parental education
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Andrea has anorexia nervosa, restricting type. Which of the following behaviors would you expect her to have?
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cutting up her food into little pieces when she eats
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Orlistat, which works by interfering with the absorption of fat,
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works modestly well for obesity
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Which of the following complicates the study of personality traits and eating disorders?
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Personality may be altered by malnourishment
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Callie and Raquel both have problems with binging and purging. They both eat large evening meals and both then purge what they have eaten. Callie engages in this three to four times a week, and Raquel does so once a week on Sundays. What would be the diagnosis for each of these individuals
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Callie's diagnosis would be bulimia nervosa; Raquel's diagnosis would be bulimia nervosa
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What cyclical pathway can develop that eventually leads to obesity?
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A child eats because of feelings of depression and low self-esteem, gains weight, is rejected by peers, binges, and continues to gain weight
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According to set-point theory
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hunger serves to maintain the body at its established set-point
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Which of the following has been indicated as the best approach in the treatment of binge eating disorder?
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interpersonal psychotherapy
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What is the relationship between obesity and social class?
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Obesity occurs much more frequently in lower social class adults and children
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Obesity
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has been increasing in many countries, including the United States.
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A dysfunction in which of the following neurotransmitters has been observed in both anorexics and bulimics?
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serotonin
