Diagnostic and Clinical Features of Eating Disorders

University:
California State University, San Marcos
Course:
NURS 260 | Psychiatric and Mental Health Nursing
Academic year:

2023
Views:

355

Pages:

4
Author:

Shyanne Johnson

PRACTICE QUIZ ANSWERS: OVERVIEW OF EATING DISORDERS 1. Rumination disorder is the persistent eating of non-nutritive or non-food substances that are not part of a culturally supported practice over a period of at least one-month. a. True b. False 2. In patients with anorexia, which is true regarding co-occuring psychiatric illnesses? a. Anxiety disorder are the most common co-occuring psychiatric disorders b. Patients with anorexia typically do not have a co-occuring psychiatric disorder c. Approximately 80% have at least one co-occuring disorder d. Major depressive disorder is experienced in 15% of patients 3. Factors that appear to positively influence self-injury include previous suicide attempt and what additional factor? a. Depression b. Impulsivity c. OCD d. All of the above 4. After full criteria has been met, a client with anorexia is considered in partial remission if low body weight criteria has not been met for a sustained period of time but either intense fear of gaining weight or disturbance in self-perception of weight or shape criteria is met. a. False b. True 5. ARFID is an eating or feeding disturbance associated with all but one of the following: a. Avoidance of foods based on fear of weight gain or caloric intake b. Interference with psychosocial functioning c. Significant weight loss or failure to achieve expected weight gain d. Dependence on enteral feeding or oral nutrition substances 6. Which of the following are traits common in AN? a. difficulties in experiencing pleasure b. high harm avoidance c. low impulsivity d. A and B only e. All of the above 7. All of the following are signs or symptoms of anorexia nervosa except: a. Peripheral edema b. All are signs or symptoms of AN c. Hypothermia d. Tachycardia 8. Which two neurotransmitters play a significant role in the etiology of an eating disorder? a. Serotonin and dopamine b. Dopamine and epinephrine c. Serotonin and norepinephrine d. Dopamine and ghrelin 9. A self-report 26 item questionnaire of symptoms, causes, characteristics of eating disorders useful in screening for eating disorder risks and most appropriate for individuals >16 old is known as: a. EAT b. EDE c. EDE=Q d. EDI 10.One of the diagnostic criteria for BED is binge eating occurring on average at least once a week for 3 months of which only one out of every 4 episodes are associated with inappropriate compensatory behaviors a. True b. False 11.In individuals with binge eating disorder, the binge eating episodes may NOT be associated with eating when hungry. a. True b. False 12.Which statement about comorbidities associated with eating disorders is inaccurate: a. Obsessive compulsive disorder is twice as likely in clients with binge eating disorder 13.Which two neurotransmitters play a significant role in the etiology of an eating disorder? a. Serotonin and dopamine 14.According to the DSM-5, which of the following does NOT belong when describing Binge Eating Disorder? a. The binge eating, on average, at least twice a week for 6 months 15.An environmental risk factor for binge eating disorder is: a. Low socioeconomic group 16.A client comes to John for therapy. In the third session, the client discloses that she is also working with another IT in town that her mother used to see and she wants to stop seeing them to work with John, but is worried that her mother will be upset. John should consider a. A, C and D are all correct i. Providing therapy to those served by others, disclosures, cooperation with other professionals 17.The most common type of compensatory behavior in bulimia nervosa is laxative abuse a. True b. False 18.Self-help forms of CBT are not considered effective in treating binge eating disorder: a. True b. False 19.According to DSM-5, which of the following is NOT true of BN? a. The binge eating and compensatory behaviors both occur on average at least once a month for three months 20.Mike is just starting out in a private practice and has the opportunity to office share with another provider. Because he does not want to infringe on the other providers space, he transports his patient charts in his brief case each week. Mike is violating which Standards of Ethics? a. Privacy and confidentiality b. Record keeping and fees c. Assessment d. A and B e. B and C 21.Many clinical features of depression are not related to the results of starvation. a. True b. False 22.Norepinephrine, dopamine and serotonin are neurotransmitters systems involved in the regulation of feeding behavior and weight control a. True b. False 23.Excessive exercise, alexithymia and BPD are considered suicide risk factors in clients with eating disorders a. True b. False 24.______________ is the only medication that has regulatory approval for use in ED treatment a. Prozac b. Zoloft c. Lexapro d. None of the above 25.The highest risk of relapse in a patient with AN is at % of ideal body weight? a. Any weight over 100 pounds b. 90% IBW c. 100% IBW d. 105% IBW 26.High impulsivity is a trait that is more strongly linked to AN a. True b. False 27.One diagnostic criteria of bulimia includes binge eating and inappropriate compensatory behaviors both occurring, on average, at least twice a week for two months a. False PRACTICE QUIZ ANSWERS: Therapeutic Treatments for Eating Disorders 1. Among eating disorders, mortality is most often due to suicide although complication of starvation occur as well. a. True b. False 2. IPT was developed in the late 1950s and is most effective in treating both bulimia nervosa and binge eating disorder a. True b. False 3. Which is NOT the most effective treatment for BN and BED? a. None of the above b. CBT c. DBT d. IPT 4. Assessing pre-morbid personality features is critical when ruling out personality disorders in patients with AN because: a. AN can cause personality disorders b. Personality changes cannot be reversed once a patient has become nutritionally stable c. People with primary personality disorders are not appropriate for inpatient or residential levels of care d. Prolonged under-nutrition may mimic primary personality disorders 5. The SCOFFquestionnaire is a good diagnostic tool for eating disorders a. True b. False 6. Music therapy techniques, such as improvisation and song writing, often incorporate principles from the following psychotherapeutic approaches to address the ED symptoms and overall tx of the pt: a. CBT b. IPT c. DBT d. All of the above e. A and C only f. B and C only 7. CBT is based on an affect regulation model where anxiety is a precursor to binge eating vs dietary restraint and weight consciousness a. True b. False 8. The fastest growing evidence based treatment developed in the 1990s to treat BPD is a. DBT b. ACT c. CBT d. EMDR 9. IPT is a therapy focusing on improving interpersonal functioning and therefore psychiatric symptoms a. True b. False 10.Creative art therapy offers a right-brain approach, instructing a patient to explain his or her feelings with an intellectual understanding a. True b. False 11.CBT via telemedicine is rated favorable; and is comparable in efficacy to traditional CBT delivered face-to-face a. True b. False 12.Traditional face-to-face interventions are far superior to guided self-help modalities a. True