Deck 10: Feeding and Eating Disorders; Elimination Disorders; Sleep-Wake Disorders; and Disruptive, Impulse- Control, and Conduct Disorders

Question 1

People who experience persistent disturbances in their everyday diet along with possible distress or concern about their body weight are most likely to be diagnosed with _____ disorders.

A) dissociative
B) eating
C) panic
D) pervasive developmental

Answer 1

B

Question 2

Melissa has a constant, ever-present concern about her weight. She restricts her food intake, exercises endlessly, and feels ashamed when she consumes more than 400 calories in a day. Which of the following disorders categorize Melissa's condition?

A) Eating disorder
B) Pervasive developmental disorder
C) Cephalic disorder
D) Dissociative disorder

Answer 2

A

Question 3

The eating disorder characterized by an unwillingness to maintain normal weight, an intense fear of gaining weight, and distorted body perception is known as

A) depersonalization disorder.
B) bulimia nervosa.
C) anorexia nervosa.
D) obsessive-compulsive disorder.

Answer 3

C

Question 4

Isabel is afraid of gaining weight. In order to avoid becoming obese, she eats very little. Her restrictive eating behavior has resulted in her being severely underweight. Furthermore, she is overly conscious about the shape of her body and this makes up a large portion of her self-image and self-esteem. Which of the following best explains Isabel's condition?

A) Dissociative fugue
B) Bulimia nervosa
C) Panic disorder
D) Anorexia nervosa

Question 5

Which of the following is considered to be the core feature of anorexia nervosa?

A) Frequent binging
B) Normal body weight
C) Consumption of nonnutritive substances
D) Body image disturbance

Question 6

Although the majority of deaths from anorexia nervosa (AN) occur in young adults, a Norwegian study of anorexia nervosa related deaths found that 43 percent of the deaths occurred in

A) men under the age of 45.
B) men aged 65 and older.
C) women under the age of 45.
D) women aged 65 and older.

Question 7

Which of the following statements with regard to anorexia nervosa (AN) is true?

A) Women with the restrictive form of AN appear not to value thinness so much as they are repelled by the idea of being overweight.
B) The depletion of nutrients that occurs in people with anorexia nervosa rarely leads them to develop health changes that are life threatening.
C) The lifetime prevalence of AN is 0.9 percent for men and 0.3 percent for women.
D) Women with AN rarely engage in social comparison processes.

Question 8

Which of the following involves alternation between the extremes of eating large amounts of food in a short time, and then compensating for the added calories through extreme actions to avoid gaining weight?

A) Primary hypersomnia
B) Dissociative identity disorder
C) Anorexia nervosa
D) Bulimia nervosa

Question 9

Dorothy is in her early 20s. She is extremely fond of fried foods and binges regularly at mealtimes. Later, she compensates for the high calories by vomiting in order to stay in shape. Dorothy is most likely to be suffering from

A) anorexia nervosa.
B) body dysmorphic disorder.
C) bulimia nervosa.
D) rumination disorder.

Question 10

Maeve is majoring in dance at a local college. Although her weight falls into the normal range, some nights she often goes out and eats large amounts of food at each of the five dining halls on campus. After she is through, she feels very guilty and worries about her weekly "weigh-in" at her ballet class and so returns to her dorm where she vomits. Maeve is suffering from

A) rumination disorder.
B) anorexia nervosa.
C) bulimia nervosa.
D) body dysmorphic disorder.

Question 11

Pamela loves cakes and pastries. She frequently binges on high-calorie confectionaries and then induces vomiting to avoid gaining weight. Pamela is most likely to receive a diagnosis for

A) rumination disorder.
B) anorexia nervosa.
C) bulimia nervosa.
D) depersonalization disorder.

Question 12

The eating disorder that involves alternating between the extremes of binging and purging is referred to as

A) bulimia nervosa.
B) anorexia nervosa.
C) rumination disorder.
D) compulsive eating.

Question 13

Which of the following refers to the ingestion of large amounts of food during a short period of time, often with a feeling of loss of control?

A) Purging
B) Binge eating
C) Ruminating
D) Gormandizing

Question 14

The elimination of food through unnatural methods such as vomiting or excessive use of laxatives is referred to as

A) binging.
B) masking.
C) ruminating.
D) purging.

Question 15

Charlie, a teenager from Fremont, Ohio, usually eats excessive amounts of food whenever he goes out for a meal with his friends or family. In such occasions, he usually feels a lack of control over himself and is unable to regulate the quantity he eats or stop eating altogether. In this instance, Charlie is engaged in

A) purging.
B) masking.
C) malingering.
D) binge eating.

Question 16

Which of the following is an example of purging?

A) Andrew fasts once every month in order to stay healthy.
B) Martha uses laxatives whenever she has constipation.
C) Jeffery regularly takes tranquilizers to combat stress and anxiety.
D) Sherry compensates for the extra calories by vomiting after heavy meals.

Question 17

Individuals with bulimia nervosa are most likely to engage in which of the following harmful behaviors?

A) Overly depending on sleeping pills to stay calm
B) Regurgitating and then rechewing food
C) Stealing
D) Being unpredictably violent in social situations

Question 18

Individuals with bulimia nervosa who regularly engage in self-induced vomiting may also suffer from

A) skin cancer.
B) multiple personality disorder.
C) dental decay.
D) amnesia.

Question 19

Researchers estimate the prevalence of bulimia nervosa among college women to be approximately _____.

A) 2.5
B) 1.3
C) 8.5
D) 8.1

Question 20

According to clinicians, which of the following approaches has yielded better results in treating individuals with eating disorders?

A) Psychotherapeutic methods
B) Pharmacological interventions
C) Invasive surgery
D) Hypnosis

Question 21

The cognitive-affective component of body image includes

A) evaluation of one's own appearance (satisfaction or dissatisfaction) and the importance of weight and shape for an individual's self-esteem.
B) compulsive comparison with the body image of others.
C) the way individuals mentally represent their bodies.
D) body checking, such as frequent weighing or measuring body parts, and avoidance, which is the wearing of baggy clothing or social situations that expose the individual's body to viewing by others.

Question 22

The _____ component of body image includes body checking, such as frequent weighing or measuring of body parts.

A) pharmacological
B) cognitive-affective
C) perceptual
D) behavioral

Question 23

A condition of recurrent eating of inedible substances such as paint, string, hair, animal droppings, or paper is called

A) pica.
B) rumination.
C) bulimia.
D) encopresis.

Question 24

Don has intellectual deficits and has an IQ of 40. He often eats papers and strings kept on his father's desk. He was also seen eating paint when the fences of the garden were getting painted. This indicates that Don is exhibiting symptoms of

A) pica.
B) rumination disorder.
C) bulimia.
D) ADHD.

Question 25

Annie, who is five years old, has lost a substantial amount of weight because she refuses to eat. She refuses food as a result of a choking experience. Which of the following childhood eating disorders might Annie be diagnosed with?

A) Pica
B) Avoidant/restrictive food intake disorder
C) Rumination disorder
D) Anorexia nervosa

Question 26

In which disorder does the child regurgitate food after it has been swallowed and either spit it out or reswallow it?

A) Pica
B) Rumination disorder
C) bulimia
D) Encopresis

Question 27

Leslie is a nine-year-old girl. Once she has swallowed her food, Leslie brings the food up to her mouth and chews it again. She does this frequently and it has resulted in a lack of appetite. Leslie has also lost all interest in food. She would most likely be diagnosed withpica.

A) pica.
B) feeding disorder of infancy or early childhood.
C) rumination disorder.
D) ADHD.

Question 28

Which of the following is an elimination disorder?

A) Dyslexia
B) Aphasia
C) Anorexia
D) Encopresis

Question 29

_____ is an elimination disorder in which the child is incontinent of urine and urinates in clothes or in bed after the age when the child is expected to be continent.

A) Enuresis
B) Rumination disorder
C) Stereotypic movement disorder
D) Encopresis

Question 30

A urine alarm is the best intervention for

A) rumination disorder.
B) enuresis.
C) stereotypic movement disorder.
D) encopresis.

Question 31

The childhood disorder in which a child, who is at least four years of age, has bowel movements either in his or her clothes or in other inappropriate places is referred to as

A) enuresis.
B) rumination disorder.
C) stereotypic movement disorder.
D) encopresis.

Question 32

Lydia is unable to get enough sleep. She has difficulty initiating sleep. On an average day, she is able to sleep only for three hours and is awake early in the morning. Moreover, she is also dissatisfied with the quality of her sleep. Which of the following disorders is she most likely suffering from?

A) Illness anxiety disorder
B) Conversion disorder
C) Nightmare disorder
D) Insomnia

Question 33

Sharon has vivid and recurrent dreams of a man in a black hood trying to strangle her. These frightening dreams, which have persisted for a few months, really disturb her. Which of the following disorders is Sharon most likely to be suffering from?

A) Nightmare disorder
B) Insomnia
C) Circadian rhythm sleep disorder
D) Primary hypersomnia

Question 34

Which of the following is the predominant symptom of insomnia?

A) Difficulty initiating or maintaining sleep
B) Episodes of decreased breathing while asleep
C) Repeated episodes of arousal during sleep associated with speaking
D) Recurrent vivid dreams from which a person awakes and has detailed recollection of extended frightening dreams

Question 35

Which of the following is the predominant symptom of primary hypersomnolence disorder?

A) Repeated occurrences of dysphoric and well-remembered dreams that typically involve threats to one's life.
B) Recurrent periods of sleep or lapses into sleep during the day
C) Incomplete awakening from sleep, usually during first third of sleep
D) Frequent episodes of apnea while asleep

Question 36

Which of the following sleep disorders is characterized by misalignment in both sleep and daytime functioning involving disruptions in the normal sleep-wake schedule required by the person's environment, or work or social schedule?

A) Insomnia
B) Circadian rhythm sleep disorder
C) Hypersomnolence disorder
D) Nightmare disorder

Question 37

Snoring, snorting, gasping, or pauses in inhaling and exhaling air along with daytime sleepiness and fatigue; lack of sufficient ventilation of the lungs during sleep are the predominant symptoms of

A) rapid eye movement sleep behavior disorder.
B) insomnia
C) hypersomnolence disorder.
D) breathing-related sleep disorders.

Question 38

A disorder characterized by angry or irritable mood, argumentative or defiant behavior, and vindictiveness that results in significant family or school problems is known as _____ disorder.

A) conduct
B) hypersomnolence
C) oppositional defiant
D) attention-deficit/hyperactivity

Question 39

Nick seems to be like a typical teenager. However, of late, he has started arguing a lot with his parents. He deliberately disobeys his parents and teachers. He sometimes gets involved in brawls with children in the neighborhood. If his behavior pattern persists for long, then Nick may be diagnosed with _____ disorder.

A) hypersomnolence
B) attention-deficit/hyperactivity
C) rumination
D) oppositional defiant

Question 40

_____ are psychological disorders in which people repeatedly engage in behaviors that are potentially harmful, feeling unable to stop themselves.

A) Adjustment disorders
B) Impulse-control disorders
C) Anxiety disorders
D) Cognitive disorders

Question 41

People with impulse-control disorders

A) rarely engage in harmful behavior.
B) never regret the consequences of their impulsive actions.
C) are calm and composed before acting on their impulse.
D) experience a sense of pleasure or gratification after acting on their impulses.

Question 42

Which of the following is a distinguishing trait of an impulse-control disorder?

A) An enhanced ability to control impulse
B) A sense of being separated from one's own body
C) A sense of calm before acting on an impulse
D) A feeling of gratification after acting on an impulse

Question 43

Nancy often engages in behaviors she feels are way beyond her control. She is quick to respond to spontaneous urges that often makes her regret the consequences of her actions. However, she is filled with a deep feeling of gratification after acting on her whims. Nancy is most likely to receive a diagnosis for

A) impulse-control disorders.
B) dissociative personality disorders.
C) panic disorder.
D) adjustment disorder

Question 44

Which of the following disorders involves the persistent urge to steal?

A) Pyromania
B) Autism
C) Kleptomania
D) Dyslexia

Question 45

Anne has a persistent urge to steal things. She looks around the stores she visits slipping small items that attract her attention into her purse or pocket. However, her motivation for stealing is not based on need. She steals for the sake of fulfilling her impulse to do so. Which of the following disorders is she most likely to be diagnosed with?

A) Amnesia
B) Pyromania
C) Trichotillomania
D) Kleptomania

Question 46

Individuals with kleptomania are driven by a persistent urge to steal because

A) they seek excitement in performing the act.
B) they are motivated by the desire to obtain material possessions.
C) they want to attract attention to themselves.
D) they experience an uncontrollable urge to challenge authorities.

Question 47

Which of the following is true about people with kleptomania?

A) People with kleptomania need the items they steal.
B) People with kleptomania invariably suffer from dissociative amnesia.
C) Unlike people who are dependent on substance, people with kleptomania rarely experience a state of craving.
D) Unlike shoplifters or thieves, people with kleptomania don't actually care much about having the object they steal.

Question 48

Cognitive behavioral treatments for kleptomania include

A) covert sensitization.
B) hypnosis.
C) psychoanalysis.
D) graded in vivo.

Question 49

_____, a therapeutic medication that clinicians use in substance dependence treatment, appears to have value in treating people with kleptomania clinicians.

A) Milk of magnesia
B) Naltrexone
C) Insulin
D) Statin

Question 50

The impulse-control disorder involving the persistent and compelling urge to start fires is called

A) kleptomania.
B) hypomania.
C) trichotillomania.
D) pyromania.

Question 51

As a child, Ryan was fascinated with fire and loved watching the flames coming from a lighter. As an adolescent, he not only enjoyed witnessing fires but also frequently set small objects on fire. This gave him lot of pleasure and he derived gratification and relief after this act. Which of the following disorder is Ryan most likely to be suffering from?

A) Kleptomania
B) Hypomania
C) Pyromania
D) Trichotillomania

Question 52

Which of the following, if true, suggests that an individual is likely to be diagnosed with pyromania?

A) If that individual sets fires to private property in order to seek revenge on someone
B) If that individual sets fire to buildings for personal relief and gratification
C) If that individual sets fire for monetary reasons
D) If that individual sets fires to private property after being diagnosed with multiple personality disorder

Question 53

_____ is deliberate firesetting for a purpose such as financial gain. It does not bring psychological relief to the person setting the fire.

A) Arson
B) Mayhem
C) Larceny
D) Battery

Question 54

Which of the following conditions involves an inability to hold back urges to express strong angry feelings and associated violent behaviors?

A) Pyromania
B) Intermittent-explosive disorder
C) Trichotillomania
D) Pathological gambling disorder

Question 55

The primary features of _____ are aggressive outbursts in which individuals become assaultive or destructive in ways that are out of proportion to any stress or provocation.

A) kleptomania
B) pyromania
C) intermittent-explosive disorder
D) depersonalization disorder

Question 56

People with _____ often have co-occurring bipolar disorder, personality disorder such as antisocial or borderline, substance use disorder (particularly alcohol), and cognitive disorders.

A) cancer
B) diabetes
C) gastrointestinal disorder
D) intermittent-explosive disorder

Question 57

Graham finds it inordinately difficult to hold back his anger when stuck in heavy traffic. In such occasions, he often experiences an uncontrollable urge to get out of his car and smash the windshields of the cars lined up ahead of him. In the past, he had been arrested several times for acting on such violent impulses. Graham most likely suffers from

A) trichotillomania.
B) depersonalization disorder.
C) intermittent-explosive disorder
D) anorexia nervosa.

Question 58

Researchers believe that intermittent-explosive disorder may result from abnormalities in the _____ system causing a loss of the ability to inhibit movement.

A) serotonin
B) testosterone
C) androgen
D) adrenaline

Question 59

Which of the following justifications are people with intermittent-explosive disorder most likely to use in support of their violent behaviors?

A) That people are inherently dishonest and deserve to be punished
B) That people wish to harm them
C) That people must be punished for their violent behaviors
D) That people are inherently selfish

Question 60

Which of the following is true with regard to intermittent explosive disorder?

A) People with intermittent explosive disorder are least likely to be genuinely upset by their loss of control.
B) People with intermittent explosive disorder feel justified for their anger or violence during an outburst.
C) Intermittent explosive disorder is a panic disorder that matures into an impulse-control disorder.
D) Cognitive behavioral therapy is largely ineffective for treating individuals with intermittent explosive disorder.

Question 61

Within the anorexia nervosa (AN) category, clinicians may classify individuals as "restricting type," and "bingeeating/purging type."

Question 62

The laxatives, diuretics, and diet pills that people with bulimia nervosa use can have toxic effects.

Question 63

Given the mixed evidence for psychotherapeutic methods for eating disorders, clinicians regard pharmacological interventions as the methods of choice.

Question 64

Individuals with eating disorders typically overestimate their own body size.

Question 65

Impulse-control disorders involve difficulties that individuals have regarding food and control over their eating, dieting, or elimination of food.

Question 66

One reason kleptomania fits into the impulse control disorders is that people with this disorder feel an urge or state of craving prior to stealing and a sense of gratification after they steal.

Question 67

To be diagnosed with pyromania, the individual must set fires for monetary reasons.

Question 68

Intermittent explosive disorder appears to have a strong familial component not accounted for by any comorbid conditions associated with the disorder.

Question 69

Clinicians do not differentiate between conduct disorder with childhood onset and conduct disorder with adolescent onset.

Question 70

Oppositional defiant disorder typically becomes evident between ages 13 and 17.

Question 71

Match the term to the appropriate definition or description.
-Impulse-control disorders

A) an impulse-control disorder that involves the persistent urge to steal
B)an eating disorder involving alternation between the extremes of eating large amounts of food in a short time, and then compensating for the added calories either by vomiting or other extreme actions to avoid gaining weight
C) an impulse-control disorder involving an inability to hold back urges to express strong angry feelings and associated violent behaviors
D)an eating disorder characterized by an inability to maintain normal weight, an intense fear of gaining weight, and distorted body perception
E) psychological disorders in which people repeatedly engage in behaviors that are potentially harmful, feeling unable to stop themselves and experiencing a sense of desperation if their attempts to carry out the behaviors are thwarted
F)an impulse-control disorder involving the persistent and compelling urge to start fires

Question 72

Match the term to the appropriate definition or description.
-Anorexia nervosa

A) an impulse-control disorder that involves the persistent urge to steal
B)an eating disorder involving alternation between the extremes of eating large amounts of food in a short time, and then compensating for the added calories either by vomiting or other extreme actions to avoid gaining weight
C) an impulse-control disorder involving an inability to hold back urges to express strong angry feelings and associated violent behaviors
D)an eating disorder characterized by an inability to maintain normal weight, an intense fear of gaining weight, and distorted body perception
E) psychological disorders in which people repeatedly engage in behaviors that are potentially harmful, feeling unable to stop themselves and experiencing a sense of desperation if their attempts to carry out the behaviors are thwarted
F)an impulse-control disorder involving the persistent and compelling urge to start fires

Question 73

Match the term to the appropriate definition or description.
-Bulimia nervosa

A) an impulse-control disorder that involves the persistent urge to steal
B)an eating disorder involving alternation between the extremes of eating large amounts of food in a short time, and then compensating for the added calories either by vomiting or other extreme actions to avoid gaining weight
C) an impulse-control disorder involving an inability to hold back urges to express strong angry feelings and associated violent behaviors
D)an eating disorder characterized by an inability to maintain normal weight, an intense fear of gaining weight, and distorted body perception
E) psychological disorders in which people repeatedly engage in behaviors that are potentially harmful, feeling unable to stop themselves and experiencing a sense of desperation if their attempts to carry out the behaviors are thwarted
F)an impulse-control disorder involving the persistent and compelling urge to start fires

Question 74

Match the term to the appropriate definition or description.
-Intermittent explosive disorder

A) an impulse-control disorder that involves the persistent urge to steal
B)an eating disorder involving alternation between the extremes of eating large amounts of food in a short time, and then compensating for the added calories either by vomiting or other extreme actions to avoid gaining weight
C) an impulse-control disorder involving an inability to hold back urges to express strong angry feelings and associated violent behaviors
D)an eating disorder characterized by an inability to maintain normal weight, an intense fear of gaining weight, and distorted body perception
E) psychological disorders in which people repeatedly engage in behaviors that are potentially harmful, feeling unable to stop themselves and experiencing a sense of desperation if their attempts to carry out the behaviors are thwarted
F)an impulse-control disorder involving the persistent and compelling urge to start fires

Question 75

Match the term to the appropriate definition or description.
-Kleptomania

A) an impulse-control disorder that involves the persistent urge to steal
B)an eating disorder involving alternation between the extremes of eating large amounts of food in a short time, and then compensating for the added calories either by vomiting or other extreme actions to avoid gaining weight
C) an impulse-control disorder involving an inability to hold back urges to express strong angry feelings and associated violent behaviors
D)an eating disorder characterized by an inability to maintain normal weight, an intense fear of gaining weight, and distorted body perception
E) psychological disorders in which people repeatedly engage in behaviors that are potentially harmful, feeling unable to stop themselves and experiencing a sense of desperation if their attempts to carry out the behaviors are thwarted
F)an impulse-control disorder involving the persistent and compelling urge to start fires

Question 76

Match the term to the appropriate definition or description.
-Pyromania

A) an impulse-control disorder that involves the persistent urge to steal
B)an eating disorder involving alternation between the extremes of eating large amounts of food in a short time, and then compensating for the added calories either by vomiting or other extreme actions to avoid gaining weight
C) an impulse-control disorder involving an inability to hold back urges to express strong angry feelings and associated violent behaviors
D)an eating disorder characterized by an inability to maintain normal weight, an intense fear of gaining weight, and distorted body perception
E) psychological disorders in which people repeatedly engage in behaviors that are potentially harmful, feeling unable to stop themselves and experiencing a sense of desperation if their attempts to carry out the behaviors are thwarted
F)an impulse-control disorder involving the persistent and compelling urge to start fires

Question 77

Match the term to the appropriate definition or description.
-Purging

A)a therapeutic medication that clinicians use in substance dependence treatment, appears to have value in treating people with kleptomania clinicians
B)a therapeutic medication that clinicians use in substance dependence treatment, appears to have value in treating people with kleptomania clinicians
C) the ingestion of large amounts of food during a short period of time, even after reaching a point of feeling full, and a lack of control over what or how much is eaten

Question 78

Match the term to the appropriate definition or description.
-Binge eating

A)a therapeutic medication that clinicians use in substance dependence treatment, appears to have value in treating people with kleptomania clinicians
B)a therapeutic medication that clinicians use in substance dependence treatment, appears to have value in treating people with kleptomania clinicians
C) the ingestion of large amounts of food during a short period of time, even after reaching a point of feeling full, and a lack of control over what or how much is eaten

Question 79

Match the term to the appropriate definition or description.
-Naltrexone

A)a therapeutic medication that clinicians use in substance dependence treatment, appears to have value in treating people with kleptomania clinicians
B)a therapeutic medication that clinicians use in substance dependence treatment, appears to have value in treating people with kleptomania clinicians
C) the ingestion of large amounts of food during a short period of time, even after reaching a point of feeling full, and a lack of control over what or how much is eaten

Question 80

Match the term to the most appropriate description or definition.
-Conduct disorder

A)a disorder in which individuals avoid eating out of concern about aversive consequences or restrict intake of food with specific sensory characteristics
B) an impulse-control disorder that involves repeated violations of the rights of others and society's norms and laws.
C)a condition in which the child regurgitates and rechews food after it has been swallowed
D)diagnosed when a child repeatedly has bowel movements either in clothes or in inappropriate places
E)the consumption of inedible substances