Deck 42: Medical and Nutrition Therapy for Psychiatric Conditions

Question 1

Which of the following mental health conditions could lead to the development of an eating disorder?

A)Conduct disorder
B)Oppositional defiant disorder
C)Impulse control disorder
D)Body dysmorphic disorder

Answer 1

D
Body dysmorphic disorder involves a normal-looking person being overly concerned about some imagined defect or slight physical anomaly that could cause the affected person to develop an eating disorder.Conduct disorders involve behavioral problems but generally are not associated with eating disorder development.Oppositional defiant disorder is another type of disruptive behavioral disorder that involves negative behaviors directed toward authority figures.Impulse control disorder involves inability to resist impulses.

Question 2

Which of the following are sources of alpha-linolenic acid?

A)Almonds
B)Spinach
C)Walnuts
D)Broccoli

Answer 2

C
ALA is found in the oil of seeds and some nuts.Walnuts are the best source.

Question 3

What is the most efficient way to improve the omega-6:omega-3 ratio in the diet?

A)Supplement the diet with fish oil supplements.
B)Decrease the intake of meat and poultry.
C)Increase the intake of fish and seafood.
D)Increase the intake of vegetables.

Answer 3

C
To bring the omega-6:omega-3 ratio closer to the recommendation of 2:1, increasing the intake of fish and seafood will increase the intake of omega-3 fatty acids while still providing omega-6 fatty acids.Simply supplementing the diet with fish oil supplements does not bring the omega-6 fatty acid level down.Instead, it requires higher intakes of fish oil supplements to bring down the ratio.Part of the problem with the omega-6:omega-3 ratio that is consumed now is because of the decrease in saturated fat intake and increased vegetable intake.This trend in dietary intake increases the omega-6 intake while not providing omega-3 fatty acids.

Question 4

What is the recommendation of the International Society for the Study of Fatty Acids and Lipids (ISSFAL) for the daily intake of DHA and EPA?

A)220 mg of each daily
B)500 mg combined daily
C)Total of 1100 mg daily
D)Total of 1600 mg daily

Question 5

Flavonoid-rich foods include

A)peaches, apricots, and sweet potatoes.
B)fish and seafood.
C)kale, broccoli, and spinach.
D)apples, oranges, berries, and chocolate.

Question 6

Which of the following disorders is likely to result in obesity?

A)Motor skills disorder
B)Impulse control disorders
C)Rumination disorder
D)Catatonia

Question 7

Which of the following is an axis I disorder?

A)Depression
B)Narcissism
C)Dependence
D)Borderline personality disorder

Question 8

Which of the following disorders may NOT necessarily affect appetite?

A)Catatonic disorder
B)Conduct disorder
C)Conversion disorder
D)Delusional disorder

Question 9

What is usually a first indicator that a person has an axis I disorder?

A)Changes in blood values
B)Headaches
C)Food behaviors
D)Results of psychological testing

Question 10

What mental health disorder is characterized by the development of anxiety or dissociation within 1 month after a traumatic event?

A)Acute stress disorder
B)Adjustment disorder
C)Anxiety disorder
D)Dissociative disorder

Question 11

Which of the following mental health conditions may benefit from the use of a gluten-free, casein-free diet?

A)Autistic disorder
B)Childhood disintegrative disorder
C)Motor skills disorder
D)Rett syndrome

Question 12

Which of the following groups is at high risk for deficiency of DHA?

A)Formula-fed infants
B)Pregnant women
C)Elderly women
D)Adolescent girls

Question 13

Vitamin D deficiency has been associated with

A)bipolar disorder.
B)delusional disorder.
C)active mood disorder.
D)generalized anxiety.

Question 14

The primary responsibility of the RD working with patients with mental health diagnoses is to

A)minimize food-nutrient interactions in patients with axis II disorders.
B)provide information and support for eating choices that minimize negative impacts of the disorder.
C)prevent malnutrition.
D)promote changes and improvements in eating behaviors.

Question 15

When omega-3 or LCFA supplementation is used, what else should be provided with the supplement?

A)Increased fiber
B)Increased fluid
C)Vitamin E
D)Vitamin C

Question 16

Folic acid supplementation in the methylated form is useful in some psychiatric disorders because of its role in

A)production of serotonin and dopamine.
B)macrocytic anemia.
C)histamine metabolism.
D)preventing neural tube defects.

Question 17

Which of the following mental health conditions does NOT include depression as a characteristic?

A)Bipolar disorder
B)Dysthymic disorder
C)Obsessive-compulsive disorder
D)Schizoaffective disorder

Question 18

Which of the following statements about Axis II disorders is FALSE?

A)Psychotherapy is necessary to relieve symptoms of Axis II disorders.
B)An Axis II disorder may develop as a coping mechanism for an Axis I disorder.
C)Initial treatment of an Axis II disorder can provide relief and improved well-being.
D)Axis II disorders do not respond to medications.

Question 19

Which of the following may NOT be an adequate source of omega-3 fatty acids?

A)Fish oil-supplemented margarine
B)Omega-3 eggs
C)Foods supplemented with flax
D)Foods supplemented with menhaden

Question 20

Which of the following conditions may be improved by supplementation of long-chain fatty acids?

A)Anxiety disorder
B)Eating disorders
C)Depression
D)Attention-deficit hyperactivity disorder