Deck 11: Eating Disorders: Anorexia Nervosa, and Bulimia Nervosa

Question 1

A disorder characterized by extreme weight loss, poor and distorted body image, and an extreme fear of obesity and weight gain is _______________

Answer 1

anorexia nervosa anorexia

Question 2

A disorder characterized by frequent secretive bingeing, often followed by purging is _______________

Answer 2

bulimia nervosa bulimia

Question 3

As metabolism slows, _______________ decreases, leading to fatigue, fainting, and an overwhelming need for sleep

Answer 3

heart rate the heart rate pulse rate the pulse rate

Question 4

For one to be diagnosed as bulimic, he or she must average _______________ binges per week for at least three months

Question 5

Anorexics and bulimics often come from dysfunctional families. Individuals with ____________ tend to come from families that are overprotective and rigid

Question 6

_______________ factors appear to play a role in anorexia nervosa as can be seen from identical twin studies

Question 7

Those with anorexia nervosa or bulimia need to seek _______________ help. Friends and family members should avoid trying to diagnose an eating disorder.

Question 8

Many signs and symptoms of anorexia nervosa, such as cold intolerance and decreased metabolic rate, are the result of ____________

Question 9

Anorexics and bulimics often come from dysfunctional families. Individuals with ____________ tend to come from disengaged, loosely organized families

Question 10

The slower basal metabolism that occurs as a consequence of anorexia nervosa is caused by decreased synthesis of _______________ hormone.

Question 11

As anorexia nervosa progresses, _______________ appears, which is the development of downy hairs on the body.

Question 12

Anorexia nervosa and bulimia overlap in some ways. In fact studies suggest that approximately _______________ percent of women diagnosed as having anorexia nervosa eventually develop bulimic symptoms

Question 13

The first goal of nutritional therapy for the anorexic person is to increase _______________ intake

Question 14

A(n) ____________ often consists of high-carbohydrate, convenience foods and may be triggered by stress, boredom, loneliness, or depression.

Question 15

One leading cause of death in anorexics is a disturbance in heart rhythm resulting from low blood _______________ because of poor nutrient intake and vomiting

Question 16

Some common methods of ____________ include vomiting, laxatives, diuretics, and excessive exercise.

Question 17

The hormonal changes associated with cessation of menstruation increase the risk of ____________ among women with eating disorders

Question 18

_______________ is a condition characterized by disordered eating, lack of menstrual periods, and osteoporosis

Question 19

One of the biggest barriers to the treatment of anorexia is _______________ of the problem by the anorexic person and the family. With this lack of insight it is hard to get them into treatment.

Question 20

The most important predictor of an eating disorder is _______________.

Question 21

All of the following are true of anorexia nervosa except

A) distorted body image.
B) decreased heart rate.
C) denial of appetite.
D) increased body temperature.

Question 22

Most health problems in bulimia (e.g., tooth decay, stomach ulcers, and esophageal tears) arise as a result of _______________ to purge excess calories

Question 23

Which of the following is not a sign or symptom of night eating syndrome?

A) Not feeling hungry in the morning and delaying the first meal until several hours after waking
B) Overeating in the evening with more than one-third of daily food intake after dinner
C) Difficulty staying awake and not feeling hungry before falling asleep at night
D) Feeling depressed, especially at night

Question 24

Criteria for diagnosing bulimia nervosa includes all the following except

A) overconcern with body shape and weight.
B) purposely eats large quantities of food and feels tremendous control in doing it.
C) uses purging techniques like self-induced vomiting.
D) two binge eating episodes per week for at least 3 months.

Question 25

A condition of self-induced severe weight loss, particularly common in adolescent girls, is called

A) malnutrition.
B) anorexia nervosa.
C) bulimia nervosa.
D) binge-eating disorder.

Question 26

Criteria for diagnosing anorexia nervosa include all the following except

A) body weight 15 percent below expected.
B) intense fear of becoming too thin.
C) feels fat even when emaciated.
D) amenorrhea.

Question 27

All of the following are true of an anorexic person who falls below 75 percent of normal body weight except

A) hospitalization is almost always necessary.
B) cure becomes very difficult.
C) premature death is likely.
D) loss of menstrual period becomes irreversible.

Question 28

A person with anorexia nervosa is likely to

A) come from a low socioeconomic class.
B) come from a loose, flexible home.
C) grow up in a perfectionistic home with very high expectations.
D) have a mother with a healthy view of the body and food habits.

Question 29

Consuming more than one-third of one's daily caloric intake after the evening meal is characteristic of _______________

Question 30

Anorexia nervosa is defined as

A) hyperactivity.
B) compulsive eating.
C) purging, including laxatives and diuretics.
D) psychological denial of appetite.

Question 31

Which of the following is characteristic of bulimics?

A) Binge eating
B) Have obvious symptoms
C) Tend to be very thin
D) Are almost never male

Question 32

All of the following can initiate the problem of anorexia nervosa except

A) comments from significant others about being too fat.
B) a job or profession that demands maintaining a certain weight.
C) coming from a supportive family.
D) leaving home and family for college.

Question 33

Anorexia nervosa sufferers

A) tend to be between 25 and 35 years of age.
B) tend to be adolescent and early adult girls.
C) lack denial of their disease.
D) see themselves as thin even though they are fat.

Question 34

The family of a bulimic tends to

A) have a great deal of conflict.
B) have an overbearing father and mother.
C) be overprotective.
D) be rigid, with members over involved with one another.

Question 35

_______________ is a practice in which excessive amounts of food are eaten in response to emotions such as anxiety and anger. Therefore eating is used as an emotional outlet

Question 36

Which characteristic is more indicative of bulimia than anorexia nervosa?

A) Rigid, disciplined dieting
B) Feeling a sense of power because of strict discipline and self-denial
C) Fluctuating weight
D) Lack of menstruation

Question 37

Some psychotherapists will prescribe _______________ medications to deal with the mood disorder associated with bulimia

Question 38

Prevention of eating disorders might include any of the following except

A) discourage dieting.
B) teach normal, healthy approach to eating and nutrition.
C) encourage eating in relation to hunger and satiety cues.
D) weighing often.

Question 39

What is the name of the condition characterized by disordered eating, lack of menstrual periods, and osteoporosis?

A) Female anorexia
B) Female bulimia
C) Female athlete triad
D) Binge eating disorder

Question 40

Night eating syndrome is characterized by evening hyperphagia which is defined as

A) eating all of total daily calories after the evening meal.
B) eating one-half of total daily calories after the evening meal.
C) eating one-half of total daily calories at the evening meal.
D) eating more than one-third of total daily calories after the evening meal.

Question 41

A major characteristic of an anorexic person that significantly inhibits successful treatment is

A) suppression of feelings.
B) denial of the problem.
C) rationalization of the problem.
D) high self-esteem.

Question 42

The incidence of anorexia nervosa is highest in

A) adolescent males from middle and high socioeconomic classes.
B) adolescent females from middle and upper socioeconomic classes.
C) adolescent males from low-income classes.
D) preteen females from low-income classes.

Question 43

At later stages in anorexia development, anorexics

A) do not feel hungry.
B) abstain from beverages and food.
C) eat 1,200 to 1,500 kcalories per day.
D) eat 300 to 600 kcalories per day.

Question 44

A common characteristic of both bulimics and anorexics is that they are

A) male.
B) born underweight for height.
C) perfectionists.
D) able to recognize their behavior as abnormal.

Question 45

The typical characteristics for binge-eating disorder include binge-eating episodes

A) not accompanied by purging.
B) that do not cause distress.
C) no more than once per week.
D) that can be controlled or stopped at will.

Question 46

Which of the following is true about the bingeing behavior of the bulimic?

A) Violation of rigid food rules can initiate a binge.
B) Binges most often occur during the morning.
C) Binges usually last 15 to 30 minutes.
D) Accomplishing a personal goal usually initiates a binge.

Question 47

All of the following are true about bulimia except

A) the disordered behavior is secretive.
B) frequent bingeing and purging occurs.
C) it most commonly occurs in adolescent and college-age individuals.
D) the result is low body weight.

Question 48

In anorexia nervosa, low blood potassium levels are associated with all of the following except

A) poor nutrient intake.
B) diuretic use.
C) heart rhythm disturbances.
D) low protein intake.

Question 49

The most long-term success in anorexia nervosa treatment has been with

A) hospitalization and feeding via a tube.
B) a multidisciplinary team of health care providers.
C) scare tactics.
D) outpatient treatment.

Question 50

All of the following are goals for an anorexic person except

A) gain 2-3 pounds per week.
B) a slow rate of weight gain.
C) for weight to exceed 90 percent of pre-illness weight.
D) keep activity at a high level.

Question 51

Which of the following is not characteristic of individuals who develop eating disorders?

A) From middle- and upper-class families
B) Highly competitive
C) From families with unrealistic expectations
D) Have high self-esteem

Question 52

All of the following are helpful for the recovery of the anorexic person except

A) not pursuing family therapy.
B) using antidepressant medications.
C) joining a self-help group.
D) establishing a strong relationship with a supportive person.

Question 53

The first goal in nutrition therapy for anorexia nervosa is

A) to increase weight to return the basal metabolic rate to normal.
B) to stop further weight loss.
C) hospitalization and forced feeding.
D) rapid weight gain to reverse physical symptoms.

Question 54

Which of the following is not an early warning sign of anorexia nervosa?

A) Withdrawing from family and friends
B) Cooking a large meal and watching others eat, but not eating themselves
C) Sleeping often and having no interest in exercise
D) Becoming irritable and hostile

Question 55

The semistarvation of anorexia nervosa results in all the following physiological changes except

A) dry, scaly, cold skin.
B) lanugo hair.
C) increased heart rate.
D) iron-deficiency anemia.

Question 56

A difference between anorexics and bulimics is that

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

Question 57

The slower basal metabolism that accompanies anorexia nervosa is caused by

A) decreased synthesis of growth hormone.
B) decreased synthesis of thyroid hormone.
C) low intake of iron.
D) hypoglycemia.

Question 58

Loss of menstrual periods associated with anorexia nervosa is caused by

A) low body fat content.
B) loss of lean body mass.
C) low thyroid hormone synthesis.
D) lanugo.

Question 59

A disorder in which frequent bingeing and possibly purging occurs is called

A) hypoglycemia.
B) bulimia.
C) anorexia nervosa.
D) compulsive overeating.

Question 60

One of the best ways to get anorexics into treatment is to

A) threaten them.
B) deny the disorder.
C) keep offering them food.
D) have group intervention of friends and family to confront them with the problem.

Question 61

The most significant factor promoting eating disorders in North American culture is

A) food availability.
B) the current focus on physical fitness.
C) societal emphasis on being thin and the link between thinness and social value.
D) the fatty foods emphasized in our culture.

Question 62

An effective nutritional counseling approach to bulimia involves all the following except

A) a daily meal plan.
B) keeping a daily food diary.
C) helping the person correct misconceptions about food.
D) suggesting that the person follow strict food rules to control eating.

Question 63

Which of the following is true about purging behavior related to bulimia?

A) There are no medical risks to purging.
B) After many months of purging, it gets harder and harder to do.
C) After vomiting, many kcalories from the food eaten are still absorbed.
D) Few kcalories are absorbed when laxatives are used as a purging technique.

Question 64

Cessation of menstruation is most likely associated with

A) anorexia nervosa.
B) bulimia nervosa.
C) binge-eating disorder.
D) night eating syndrome.

Question 65

Treatment for bulimia should last at least how many weeks?

A) 4
B) 8
C) 16
D) 32

Question 66

Patients with ____________ may present with clinical signs of semistarvation, such as decreased metabolic rate.

A) anorexia nervosa
B) bulimia nervosa
C) binge-eating disorder
D) night eating syndrome

Question 67

Food diaries and a regular meal plan are commonly part of the treatment for

A) night eating syndrome.
B) female athlete triad.
C) bulimia nervosa.
D) anorexia nervosa.

Question 68

Coping with stress by eating is a characteristic of

A) bulimia nervosa.
B) anorexia nervosa.
C) female athlete triad.

Question 69

A food typically chosen for a bulimic binge is

A) chicken.
B) milk.
C) donuts.
D) pizza.

Question 70

Approximately half of the people with ____________ also suffer from chronic depression.

A) female athlete triad
B) anorexia nervosa
C) bulimia nervosa

Question 71

Jane is a binge eater. Which of the following is probably not true about her?

A) There is a high probability that she comes from an alcoholic family and may have been sexually abused.
B) She uses food to numb herself in response to disruptive emotions such as anger and hurt.
C) She binges on large quantities of food and purges.
D) She most likely does not have the persistent preoccupation with body shape, weight, and thinness that anorexics and bulimics have.

Question 72

Joni uses ipecac syrup to promote vomiting after her binges. All of the following are negative effects of vomiting except

A) tooth decay.
B) swelling of salivary glands.
C) stomach ulcers.
D) high blood potassium levels, which disturb heart rhythm.

Question 73

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

A) lanugo.
B) hypothyroidism.
C) amenorrhea.
D) endorphins.

Question 74

All of the following are associated with bulimia except

A) less sexual activity than the general population.
B) compulsive lying.
C) drug abuse.
D) shoplifting.

Question 75

Most of the health problems in bulimia arise from

A) binge eating.
B) vomiting.
C) using laxatives.
D) eating sweets.

Question 76

Studies have shown that night eating syndrome symptoms, including nocturnal ingestion and evening hyperphagia, are significantly improved with use of

A) an antibiotic.
B) an antidepressant.
C) a sleeping pill.
D) amphetamines.

Question 77

Which of the following is the best treatment approach for binge eating disorder?

A) A diet that lists foods to be eaten and others to be avoided.
B) A structured eating plan that the person eats without regard to his or her hunger signals.
C) Teaching them not to be selfish and work at nurturing others.
D) An eating plan that does not restrict particular foods, in which the person eats in response to hunger signals.

Question 78

Coping with stress by not eating is a characteristic of

A) anorexia nervosa.
B) bulimia nervosa.
C) binge-eating disorder.
D) night eating syndrome.

Question 79

Slowly increasing body weight to achieve a BMI of 20 or more is a goal in the treatment of

A) bulimia nervosa.
B) anorexia nervosa.
C) binge-eating disorder.
D) night eating syndrome.

Question 80

Understanding the abnormality of the behavior is most common among people with

A) anorexia nervosa.
B) bulimia nervosa.