Test Bank Docx Ch.11 Eating Disorders

CHAPTER 11

Eating Disorders

Question Type: Multiple Choice

1. In the chapter-opening Clinical Case, Lynne, a 24-year-old woman who weighed only 78 pounds, was admitted to the psychiatric ward of a general hospital for the treatment of

a) anorexia nervosa.

b) bulimia nervosa.

c) orthorexia.

d) binge eating disorder.

Section Reference: Introduction

Difficulty: Medium

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Application

2. A preoccupation with food

a) is universal and found in all cultures.

b) is found in the United States but not in other Westernized nations.

c) is uncommon, except among those with severe eating disorders.

d) is seen in many cultures, including the United States.

Section Reference: Introduction

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

3. In one research study, participants read either a vignette about a woman with an eating disorder or one about a woman with depression. Compared to the woman with depression, the woman with an eating disorder was viewed as

a) more responsible for her condition.

b) less fragile.

c) less likely to be trying to get attention with her disorder.

d) more likely to be experiencing a “real” disorder.

Section Reference: Introduction

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

4. The validity of the subtypes and severity indicators for DSM-5 eating disorders is

a) excellent.

b) good.

c) fair.

d) poor.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

5. Which eating disorder involves eating nonfood substances for an extended period?

a) pica

b) rumination

c) food aversion

d) orthorexia

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

6. Which eating disorder involves repeated regurgitation of foods?

a) pica

b) rumination

c) avoidant intake

d) orthorexia

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

7. Which of the following was first included as a disorder in DSM-5?

a) binge eating disorder

b) obsessive eating disorder

c) pica

d) rumination disorder

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

8. Most people with anorexia nervosa

a) lose their appetite.

b) lose their interest in food.

c) lose both their appetite and their interest in food.

d) do not lose their appetite or their interest in food.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

9. __________ refers to a loss of appetite, while __________ indicates that this loss is due to emotional reasons.

a) Bulimia; anorexia

b) Anorexia; nervosa

c) Nervosa; anorexia

d) Anorexia; bulimia

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

10. People with anorexia nervosa

a) stop eating because of an abnormal increase in blood sugar.

b) fear gaining weight so much that they stop eating.

c) have lost their appetite, leading them to stop eating.

d) lose weight despite eating normal amounts of food.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

11. The name anorexia nervosa implies that those with the disorder become uninterested in food. The reality is that

a) they are preoccupied with food.

b) they are repulsed by food.

c) they like to watch other people eat food.

d) they truly are not interested in food.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder and distinguish among the different eating disorders.

Bloomcode: Knowledge

12. Which of the following is a defining symptom of anorexia?

a) repeated compensatory behaviors

b) rapid eating when not hungry

c) distorted body image

d) feeling relieved when eating

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

13. Death rates for people with bulimia nervosa are

a) higher than those for people with other eating disorders, except anorexia.

b) the highest of any eating disorder.

c) relatively low for psychological disorders.

d) higher than those for people with other eating disorders, except binge eating disorder.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

14. The Eating Disorders Inventory includes which of the following subscales?

a) body dissatisfaction

b) familial dysfunctions

c) personality dysfunctions

d) mood symptoms

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

15. A diagnosis of bulimia nervosa requires that the episodes of bingeing and compensatory behavior occur

a) once a week for at least 2 months.

b) once a week for at least 3 months.

c) twice a week for at least 2 months.

d) twice a week for at least 3 months.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

16. Cathy stopped eating meals with her roommates over 3 months ago. Now she eats very little, and only when under considerable pressure. She has lost over 25 pounds and is about 15% below normal body weight for her height. She might be diagnosed with

a) anorexia nervosa.

b) orthorexia.

c) bulimia nervosa.

d) binge eating disorder.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Medium

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Application

17. Betsy is excessively concerned that she is becoming fat and restricts her eating to avoid such a consequence. She weighs approximately 20% less than normal body weight for her height. At times, she will sit down with her family and eat a full meal, but immediately afterwards she takes several laxatives. Betsy might be diagnosed with

a) anorexia nervosa.

b) orthorexia.

c) bulimia nervosa.

d) binge eating disorder.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Medium

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Application

18. The severity ratings for anorexia nervosa are based on

a) subjective distress.

b) blood chemistry panels.

c) body mass index.

d) physical health complications.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

19. Anorexia nervosa typically begins in

a) early or middle childhood.

b) middle childhood or early adolescence.

c) early to middle adolescence.

d) early to middle adulthood.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

20. Anorexia nervosa is at least how many times more frequent among women than among men?

a) three

b) four

c) five

d) six

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

21. According to the text, which disorder is frequently comorbid with anorexia nervosa?

a) factitious disorder

b) acute stress disorder

c) illness anxiety disorder

d) obsessive-compulsive disorder

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

22. What percentage of individuals with anorexia nervosa attempt suicide?

a) about 5%

b) about 10%

c) about 15%

d) about 20%

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

23. Regina visits her family physician when her family insists that she do so. Her weight is 90 pounds, but she believes she is overweight. She “snacks” on laxatives and restricts her eating to one small meal a day, after which she exercises for 2 hours. Her physical exam is likely to reveal that she has

a) lowered heart rate and blood pressure.

b) calcium deposits.

c) improved muscle tone.

d) fibroid tumors.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Medium

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Application

24. What is the most likely prognosis for a woman with anorexia nervosa?

a) She will regain normal weight as she enters puberty.

b) She will never recover.

c) She will recover within a year and is unlikely to relapse.

d) She will eventually recover, but will likely relapse repeatedly.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

25. Bulimia comes from a Greek word meaning

a) “excessiveness.”

b) “expulsion.”

c) “ox hunger.”

d) “compensatory.”

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

26. DSM-5 categorizes bulimia nervosa as

a) an organic mental disorder.

b) a subtype of binge eating disorder.

c) a subtype of anorexia nervosa.

d) an eating disorder separate from anorexia nervosa.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

27. During binge episodes, many people with bulimia nervosa

a) feel sexually aroused.

b) experience a feeling of being out of control.

c) feel very satisfied.

d) experience a feeling of immense power.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

28. In bulimia nervosa, binge eating typically occurs after

a) a significant achievement.

b) a significant stressor.

c) a pleasurable experience.

d) a period of relaxation.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

29. The feature common to both anorexia nervosa and bulimia nervosa is

a) refusal to maintain normal body weight.

b) fear of gaining weight.

c) purging to prevent weight gain.

d) eating more than normal.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Medium

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Analysis

30. When bulimia nervosa and a substance use disorder are comorbid,

a) the symptoms usually surface at about the same time.

b) bulimia symptoms surface before substance use disorder symptoms.

c) substance use disorder symptoms surface before bulimia symptoms.

d) there is no systematic order in which symptoms surface.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

31. Suicide rates for people with bulimia are

a) higher than those for people with other eating disorders.

b) lower than those for people with anorexia.

c) equal to those for people with other eating disorders.

d) lower than those for the general population.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Medium

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Analysis

32. Binge eating disorder is characterized by bingeing

a) between periods of starvation.

b) and purging afterwards.

c) and a body weight under 85% of normal.

d) without compensatory behaviors.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

33. Beatrice has lost control of her eating. She gorges on huge amounts of high-fat fast foods, consuming as many as 2,000 calories in 30 minutes. She is gaining weight rapidly and weighs over 170 pounds. Which disorder best fits Beatrice’s symptoms?

a) bulimia nervosa

b) anorexia nervosa

c) orthorexia

d) binge eating disorder

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Medium

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Application

34. Individuals with binge eating disorder are

a) relatively confident about their body image.

b) more likely to be African American than European American.

c) more likely to be men than women.

d) often obese.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

35. Which of the following is defined, in part, by the absence of purging?

a) anorexia nervosa

b) bulimia nervosa

c) binge eating disorder

d) Purging occurs in all of these conditions.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Medium

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder and distinguish among the different eating disorders.

Bloomcode: Analysis

36. Which of the following is most prevalent?

a) binge eating disorder

b) anorexia nervosa

c) orthorexia

d) bulimia nervosa

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Medium

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Analysis

37. When people with bulimia nervosa are bingeing, they

a) are fully aware of what they are doing and feel shame afterwards.

b) are not always fully aware of what they are doing and feel shame afterwards.

c) do not care what they are doing or whether their actions are positive or negative.

d) tend to feel as though they are in absolute control of every aspect of their lives.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

38. People with bulimia rely on which of the following for maintaining their self-esteem?

a) the amount they can eat at one time

b) maintaining a normal weight

c) their ability to purge quickly

d) hiding their binging and purging

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

39. Bulimia nervosa typically begins in

a) childhood.

b) early or middle adolescence.

c) late adolescence or early adulthood.

d) late adulthood.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

40. Heavy use of laxatives, such as may occur in bulimia, may lead to which of the following physical effects?

a) excess stomach acid production

b) loss of dental enamel

c) tearing of tissue in the stomach

d) electrolyte imbalances

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

41. A healthy BMI for a woman is

a) 15–19.

b) 20–25.

c) 26–30.

d) higher than 30.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

42. Most people with binge eating disorder have a BMI of

a) 15–19.

b) 20–25.

c) 26–30.

d) higher than 30.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

43. In 2014, about what proportion of American adults were considered obese?

a) about 10%

b) about a quarter

c) over a third

d) over two-thirds

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

44. The defining symptoms for binge eating disorder include

a) repeated binge eating episodes.

b) repeated compensatory behaviors.

c) intense fear of weight gain.

d) distorted body image.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

45. In an international study, the lifetime prevalence of binge eating disorder was found to be

a) less than 5%.

b) 5% to 10%.

c) 10% to 15%.

d) 15% to 20%.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

46. What percentage of the variance in obesity is due to genetics?

a) less than 25%

b) 25% to 40%

c) 40% to 60%

d) 60% to 75%

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

47. Risk factors associated with developing binge eating disorder include

a) having limited access to food as a child.

b) emotionally overinvolved parenting.

c) childhood physical or sexual abuse.

d) being a very picky eater as a child.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Easy

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Knowledge

48. Eating disorders are best described as

a) genetic disorders.

b) neurochemical imbalances.

c) sociocultural dysfunctions.

d) caused by multiple factors.

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

49. If your sister has anorexia nervosa and you are female,

a) you are over 10 times more likely than average to have anorexia nervosa.

b) you are over 20 times more likely than average to have anorexia nervosa.

c) you are over two times more likely than average to have anorexia nervosa.

d) you have no greater risk of developing anorexia nervosa than the average person.

Section Reference: Etiology of Eating Disorders

Difficulty: Medium

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Application

50. Twin studies of eating disorders have shown

a) that environmental factors have greater influence than genetic factors.

b) higher concordance among monozygotic (MZ) twins than among dizygotic (DZ) twins.

c) that genes do not affect personality characteristics associated with eating disorders.

d) that we have genes that protect from eating disorders but not genes that increase the risk of developing them.

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

51. Genetic influences on eating disorders are

a) a substantial factor.

b) a minor factor.

c) not important for anorexia nervosa or bulimia nervosa.

d) not important for obesity.

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

52. Research regarding the role of the hypothalamus in anorexia nervosa indicates that

a) the hypothalamus is damaged in most individuals with anorexia.

b) hypothalamus dysfunction is the most likely explanation for the lack of hunger in anorexia.

c) the hypothalamus appears to be overactive in people with anorexia, leading to binge eating.

d) dysfunction in the hypothalamus does not seem to be an important causal factor.

Section Reference: Etiology of Eating Disorders

Difficulty: Medium

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Analysis

53. Research suggests that which brain structure, associated with habitual choices and anxiety, may be involved in anorexia nervosa?

a) ventral striatum

b) ventromedial hypothalamus

c) dorsal hypothalamus

d) dorsal striatum

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

54. Which neurotransmitter, related to both eating and satiety, has been implicated in eating disorders?

a) serotonin

b) norepinephrine

c) dopamine

d) histamine

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

55. Which neurotransmitter has been implicated in the incentive-sensitization theory for eating disorders and substance use disorders?

a) serotonin

b) norepinephrine

c) dopamine

d) histamine

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

56. The antidepressant drugs known to be effective in the treatment of bulimia and binge eating disorder affect which neurotransmitter system?

a) epinephrine

b) norepinephrine

c) endogenous opioids

d) serotonin

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

57. Research on the role of neurotransmitters in the etiology of eating disorders

a) accounts for virtually all of the symptoms.

b) accounts for mood-related symptoms but not other symptoms.

c) accounts for some symptoms but not others, like the fear of getting fat.

d) accounts for some symptoms but not others, like those related to hunger.

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Comprehension

58. What is the nature of the relationship between dietary restraint and negative emotions?

a) Restricting eating is unrelated to negative emotions in individuals with eating disorders.

b) Restricting eating is associated with higher subsequent negative emotions, but higher negative emotions are not associated with subsequent restriction of eating.

c) Higher negative emotions predict subsequent restriction of eating, but restriction of eating does not predict subsequent higher negative emotions.

d) Restricting eating is associated with higher subsequent negative emotions, and higher negative emotions predict subsequent restriction of eating.

Section Reference: Etiology of Eating Disorders

Difficulty: Medium

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Application

59. Studies of perfectionism in anorexia nervosa indicate that which of the following statements would be most typical of a person with this disorder?

a) “I must complete my work reasonably well before I can enjoy a night out.”

b) “I’m disappointed when my boyfriend doesn’t buy me flowers, but it’s not a big deal.”

c) “I’ve got to win the debate championship with the highest possible scores.”

d) “I can’t possibly be expected to meet the unrealistically high standards that my parents have set for me.”

Section Reference: Etiology of Eating Disorders

Difficulty: Medium

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Application

60. In the cognitive behavioral view, the avoidance of eating by people with anorexia is reinforced by

a) reduced anxiety about being fat.

b) reduced sexual demands from males.

c) attention of overly concerned family members.

d) increased time and energy for studies.

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Comprehension

61. In a person with bulimia, binging is most likely to happen

a) after a compliment on appearance.

b) after a stressor of some sort.

c) after struggling with the disorder for at least 1 year.

d) randomly.

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

62. The cognitive behavioral view of bulimia suggests that binges result from

a) breaking self-imposed rules about dieting.

b) ambivalence over social pressure to be thin.

c) excessive desire for peer approval.

d) not accepting responsibility for one’s actions.

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

63. The cognitive behavioral model of the etiology of bulimia begins with

a) dieting to feel better about one’s self.

b) low self-esteem and high negative affect.

c) compensatory behaviors to reduce fear of weight gain.

d) severe restriction of food intake.

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

64. Recent studies on cognitive behavioral factors involved in bulimia nervosa have shown that bingeing and purging may function as means of

a) relieving stress and negative affect.

b) increasing energy and thus mood.

c) taking control of the situation.

d) distracting oneself from inner pain.

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

65. In results from a survey of over 4,000 women aged 25 to 45, what proportion reported spending more than half of their lifetime trying to lose weight?

a) one-quarter

b) one-third

c) one-half

d) two-thirds

Section Reference: Etiology of Eating Disorders

Difficulty: Medium

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Application

66. After looking through a fashion magazine, Daisy feels fat and is ashamed of her body. She doubts that she will ever be as thin as the beautiful and desirable models she sees in the magazine. Which theory explains Daisy’s reactions to the magazine?

a) biosocial theory

b) expectancy theory

c) objectification theory

d) self-deprecating theory

Section Reference: Etiology of Eating Disorders

Difficulty: Medium

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Application

67. Which symptom of anorexia is sometimes not observed in less Westernized cultures?

a) extreme weight loss

b) restriction of food intake

c) intense fear of gaining weight

d) compensatory behaviors

Section Reference: Etiology of Eating Disorders

Difficulty: Medium

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Application

68. Research suggests that visits to “pro-eating disorder” websites

a) have the potential to increase unhealthy eating behaviors.

b) are an increasingly common cause of eating disorders.

c) are effective in scaring young women out of disordered eating.

d) have no significant effect on eating behaviors.

Section Reference: Etiology of Eating Disorders

Difficulty: Medium

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Application

69. Which disorder(s) may be more prevalent among White women than among Black or Hispanic women?

a) anorexia nervosa

b) binge eating disorder

c) bulimia and binge eating disorder

d) all eating disorders

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Comprehension

70. Current evidence about racial and ethnic differences in eating disorder prevalence in the United States indicates that

a) eating disorders are vanishingly rare among Hispanics.

b) acculturation is associated with decreased prevalence of eating disorders.

c) there are more similarities than differences in symptom presentation.

d) African American women consistently have the highest rates of eating disorders.

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

71. The difference in prevalence of eating disorders between White women and Black women appears to be most pronounced

a) in college student samples.

b) in high school student samples.

c) in nonclinical samples.

d) in working adult samples.

Section Reference: Etiology of Eating Disorders

Difficulty: Medium

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Application

72. Who, among the following, is likely to endorse more thin-ideal beliefs?

a) an African American woman

b) a European American woman

c) a Hispanic American woman

d) an Asian American woman

Section Reference: Etiology of Eating Disorders

Difficulty: Medium

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Application

73. According to the text, which of the following do psychologists need to consider when evaluating the personalities of people with anorexia and bulimia?

a) It is inevitable that individuals with eating disorders will develop personality disorders.

b) Severe restriction of food intake can have powerful effects on personality and behavior.

c) Personality shouldn’t be important in understanding an eating disorder.

d) Psychosocial stressors are more important to assess than personality.

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

74. Research suggests that which of the following personality characteristics predicts the onset of eating disorders?

a) neuroticism

b) introversion

c) constraint

d) perfectionism

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Comprehension

75. Self-reports of people with eating disorders reveal

a) low levels of familial conflict, confirmed by reports of parents.

b) low levels of familial conflict, although reports of parents are not necessarily the same.

c) high levels of familial conflict, confirmed by reports of parents.

d) high levels of familial conflict, although reports of parents are not necessarily the same.

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

76. A weakness of many of the family studies of eating disorders is

a) their reliance on self-report and not direct observation.

b) the inadequate level of attention paid to third-variable causes.

c) their limited generalizability, given the laboratory setting of the research.

d) their overreliance on a single theoretical paradigm.

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Comprehension

77. What form of perfectionism is associated with anorexia?

a) self-oriented perfectionism

b) other-oriented perfectionism

c) socially oriented perfectionism

d) All forms of perfectionism are associated with anorexia.

Section Reference: Etiology of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Knowledge

78. The main neurobiological treatment for eating disorders is

a) anti-psychotic medications.

b) anti-seizure medications.

c) antidepressant medications.

d) electroconvulsive therapy.

Section Reference: Treatment of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Knowledge

79. When antidepressants are used in the treatment of bulimia, they

a) reduce binge eating but not purging.

b) reduce purging but not binge eating.

c) reduce both binge eating and purging.

d) help with depressive symptoms but do not impact binging or purging.

Section Reference: Treatment of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Knowledge

80. Studies have shown drug treatment to be

a) effective for bulimia but not anorexia.

b) effective for anorexia but not bulimia.

c) effective for both bulimia and anorexia.

d) ineffective for both bulimia and anorexia.

Section Reference: Treatment of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Comprehension

81. Research on binge eating disorder suggests that antidepressants

a) are ineffective in reducing binging and ineffective in reducing weight loss.

b) are ineffective in reducing binging but effective in reducing weight loss.

c) are effective in reducing binging but ineffective in reducing weight loss.

d) are effective in reducing binging and effective in reducing weight loss.

Section Reference: Treatment of Eating Disorders

Difficulty: Medium

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Application

82. The first step in treating severe cases of anorexia nervosa is often

a) medication to reduce anxiety about eating.

b) education on the importance of a well-balanced diet.

c) hospitalization to promote and monitor eating.

d) assessment to identify causes and plan individualized treatment.

Section Reference: Treatment of Eating Disorders

Difficulty: Hard

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Evaluation

83. Research suggests that hospitalization plus which form of psychological therapy can maintain improvement in symptoms of anorexia for a year after discharge?

a) behavior activation therapy

b) cognitive behavior therapy

c) psychodynamic therapy

d) dialectical behavior therapy

Section Reference: Treatment of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Knowledge

84. Compared to individual therapy, family-based therapy for eating disorders

a) results in a poorer prognosis.

b) is associated with a greater risk of subsequent relapse.

c) produces less marked relief from symptoms.

d) results in higher rates of remission.

Section Reference: Treatment of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Knowledge

85. Which group of women most benefits from the use of cognitive behavior therapy for anorexia?

a) younger women with more severe symptoms

b) younger women with less severe symptoms

c) older women with less severe symptoms

d) older women with more severe initial symptoms

Section Reference: Treatment of Eating Disorders

Difficulty: Hard

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Evaluation

86. In treating bulimia nervosa with cognitive behavior therapy, an important goal is to

a) encourage the individual to accept her or his natural shape.

b) teach healthy ways of closely monitoring food intake.

c) develop more healthy eating patterns.

d) establish exercise routines that preclude weight gain.

Section Reference: Treatment of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Knowledge

87. Evaluations of cognitive behavior therapy for the treatment of bulimia indicate that

a) it is less effective than antidepressant medication.

b) at least half of those treated experience very little improvement.

c) it reduces binging and purging in 70% to 90% of clients.

d) nearly all clients experience nearly complete remission.

Section Reference: Treatment of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Knowledge

88. Research suggests that, in the treatment of bulimia, guided self-help CBT

a) is more effective than traditional individual CBT.

b) is less effective than being wait-listed for treatment.

c) requires concomitant use of antianxiety medication.

d) is largely ineffective.

Section Reference: Treatment of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Knowledge

89. When used in the treatment of bulimia, interpersonal therapy is

a) somewhat less effective than cognitive behavior therapy.

b) markedly less effective than cognitive behavior therapy.

c) somewhat more effective than cognitive behavior therapy.

d) markedly more effective than cognitive behavior therapy.

Section Reference: Treatment of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Comprehension

90. When used in the treatment of adolescents with bulimia, family-based therapy

a) reduces binging and purging.

b) reduces binging but not purging.

c) reduces purging but not binging.

d) reduces neither binging nor purging.

Section Reference: Treatment of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Knowledge

91. The goal of the Body Project is

a) teaching healthy eating habits.

b) deemphasizing sociocultural influences.

c) banning junk foods from schools.

d) establishing reasonable exercise programs.

Section Reference: Treatment of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Knowledge

92. When used in the treatment of binge eating disorder, behavioral weight loss programs

a) promote weight loss and decrease binging.

b) paradoxically increase binging and thus increase weight as well.

c) promote weight loss but do not change binging behavior.

d) fail to promote weight loss because they do not impact binging.

Section Reference: Treatment of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Comprehension

93. Which type of cognitive behavior therapy appears to be the most effective in treating binge eating disorder?

a) structured self-help group CBT with no therapist

b) therapist-led group CBT

c) therapist-assisted group CBT

d) All types are equally effective.

Section Reference: Treatment of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Knowledge

94. CBT for binge eating emphasizes

a) self-monitoring and self-control.

b) addressing interpersonal problems.

c) identifying underlying conflicts.

d) reducing depression and anxiety.

Section Reference: Treatment of Eating Disorders

Difficulty: Easy

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Knowledge

Question Type: Essay

95. Compare and contrast the primary symptoms of anorexia nervosa and bulimia nervosa.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Hard

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Synthesis

96. Discuss the approaches to evaluating body image distortions in anorexia nervosa.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Hard

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Synthesis

97. Compare and contrast bulimia nervosa and binge eating disorder.

Section Reference: Clinical Descriptions of Eating Disorders

Difficulty: Hard

Learning Objective: Distinguish the symptoms associated with anorexia, bulimia, and binge eating disorder, and distinguish among the different eating disorders.

Bloomcode: Evaluation

98. Describe the contributions of genetic and biological theories to our understanding of eating disorders.

Section Reference: Etiology of Eating Disorders

Difficulty: Hard

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Evaluation

99. Discuss the role of culture in our understanding of eating disorders.

Section Reference: Etiology of Eating Disorders

Difficulty: Hard

Learning Objective: Describe the neurobiological, sociocultural, and psychological influences implicated in the etiology of eating disorders.

Bloomcode: Synthesis

100. Compare medication and cognitive behavioral approaches to treating eating disorders, making sure you distinguish among the disorders.

Section Reference: Treatment of Eating Disorders

Difficulty: Hard

Learning Objective: Describe the treatments for eating disorders and the evidence supporting their effectiveness.

Bloomcode: Synthesis