Deck 53: Eating Disorders

Question 1

According to the DSM-IV, anorexia nervosa can be subcategorized into two distinct subtypes. Which of the following categories represent one of these subtypes of anorexia?

A) Restricting and excessive exercise
B) Excessive exercise and binge-eating/purge
C) Dieting and restricting
D) Non-purging and otherwise not specified
E) Binge-eating and purging

Answer 1

Binge-eating and purging

Question 2

Which of the following statements best describes the initial professional response of the dental hygienist whose client states that he or she has begun active treatment for an eating disorder?

A) Expect client will make steady progress with the disorder.
B) Commend the client for seeking therapy.
C) Suggest tooth prophylaxis for removal of stains.
D) Inform the client of evidence of dental trauma.
E) Tell the client to cease all purging behaviors.

Answer 2

Commend the client for seeking therapy.

Question 3

Dental hygienists enhance care for clients with eating disorders through interprofessional collaboration. Eating disorders as complex mental health illnesses require many health professionals' expertise to help the client recover from the illness.

A) The first statement is true, and the second statement is false.
B) The first statement is false, and the second statement is true.
C) Both statements are true.
D) Both statements are false.

Answer 3

The first statement is true, and the second statement is false.

Question 4

After discussion with a client with an eating disorder, which of the following actions should be taken initially by the dental hygienist for legal purposes?

A) Consider referral of the client to an eating disorder clinic.
B) Direct the client to begin restorative dental care.
C) Document appointment discussion and decisions in the client's chart.
D) Share the findings with dental personnel in the dental hygiene practice setting.
E) Obtain informed consent form from the client to contact other healthcare providers.

Question 5

In comparison to other medical conditions, bulimia nervosa is known to have a high mortality rate, whereas anorexia nervosa has a low mortality rate.

A) The first part of the statement is true, and the second part of the statement is false.
B) The first part of the statement is false, and the second part of the statement is true.
C) Both parts of the statement are true.
D) Both parts of the statement are false.

Question 6

Perimylolysis is commonly characterized by each of the following criteria except one. Which is the one exception?

A) Pitting appearance on the incisal edges of maxillary anterior teeth
B) Glossy appearance of enamel
C) Dished out shape of lingual surface of teeth
D) Vertical reduction of tooth height
E) Amalgams appear raised above the surrounding enamel

Question 7

Binge eating disorder is characterized by which of following?

A) Restriction following a purge
B) Binging without purging
C) Restricting eating to nighttime only
D) Excessive exercise before a purge
E) Laxative use following a binge

Question 8

Common systemic complications that can arise from anorexia nervosa include all of the following conditions except one. Which is the one exception?

A) Respiratory
B) Cardiovascular
C) Hematologic
D) Gastrointestinal
E) Renal

Question 9

Of the following therapies for anorexia nervosa, which one of the interventions is likely a therapy included later in the client's recovery care plan?

A) Psychotherapy
B) Family counseling
C) Antidepressant medications
D) Physical fitness routine
E) Dental treatment

Question 10

All of the following health professionals are important in managing the individual with an eating disorder except one. Which is the one exception?

A) Speech language pathologist
B) Psychologist
C) Physician
D) Exercise therapist
E) Dental hygienist

Question 11

Parotid gland enlargement may be a sign of regular vomiting. Diminished taste acuity is a sign of binging behavior.

A) The first statement is true, and the second statement is false.
B) The first statement is false, and the second statement is true.
C) Both statements are true.
D) Both statements are false.

Question 12

All of the following management strategies should be considered when planning treatment care and education for the client with bulimia nervosa except one. Which is the one exception?

A) Provide palliative care for dentinal hypersensitivity.
B) Discuss stain-inducing food products.
C) Apply acidulated phosphate fluoride (APF) gel.
D) Rinse with sodium bicarbonate following an oral purge.
E) Avoid diet carbonated beverages.

Question 13

Anorexia nervosa may be comorbid with which one of the following conditions?

A) Sociopathology
B) Substance abuse
C) Autism
D) Alcoholism
E) Brain injury

Question 14

Dental hygienists often are the first health professional to diagnose an eating disorder. The first phase of dental hygiene planning is to prevent oral tissue traum a.

A) The first statement is true, and the second statement is false.
B) The first statement is false, and the second statement is true.
C) Both statements are true.
D) Both statements are false.

Question 15

Which of the following statements best describes why eating disorders have been referred to as an eclipse of the persons thinking?

A) Regular periods of recovery relapse
B) Transient mental illnesses of youth
C) Reoccur throughout the client's lifetime
D) Overshadow of healthy thought process
E) Monthly imbalance of hormones

Question 16

All of the following factors are considered possible etiologies in the development of an eating disorder except one. Which is the one exception?

A) Neurochemical
B) Genetic
C) Gastrointestinal
D) Sociocultural
E) Psychodevelopmental

Question 17

The use of study models for a client with an eating disorder serves the assessment and evaluation of which of the following oral concerns related to bulimia nervosa?

A) Temporomandibular joint positioning
B) Perimylolysis or dental erosion
C) Clinical attachment loss
D) Palatal tissue trauma
E) Abfraction

Question 18

During the dental hygienist-client discussion, all of the following nonverbal clues may provide additional evidence to support the suspicion of an eating disorder except one. Which is the one exception?

A) Loss of eye contact
B) Absolute denial
C) Discomfort with questioning
D) Tearfulness
E) Suppressed humor

Question 19

Enamel erosion is the most common oral finding in individuals with bulimi a. Enamel erosion is unlikely to result from other systemic illnesses or physical conditions.

A) The first statement is true, and the second statement is false.
B) The first statement is false, and the second statement is true.
C) Both statements are true.
D) Both statements are false.

Question 20

All of the following physical findings are commonly found in individuals with bulimia except one. Which is the one exception?

A) Lanugo
B) Calluses on the knuckles
C) Commissure lesions
D) Palatal trauma
E) Parotid enlargement

Question 21

Which one of the following describes the psychosocial dimension of bulimia nervosa?

A) Feelings of grandeur and superiority
B) Shy and socially inept
C) Expressive and loud
D) Blame-oriented and opinionated
E) Guilt and shame

Question 22

All clients with bulimia nervosa present with some evidence of perimylolysis; clients with binge-eating disorder sometimes present with perimylolysis.

A) The first part of the statement is true, and the second part of the statement is false.
B) The first part of the statement is false, and the second part of the statement is true.
C) Both parts of the statement are true.
D) Both parts of the statement are false.

Question 23

The dental hygienist in interprofessional collaboration with a dietitian for a client with an eating disorder can expect the dietitian to do which of the following interventions?

A) Prescribe antianxiolytics.
B) Recommend tobacco as an appetite stimulant.
C) Provide dietary information for dental caries prevention.
D) Counsel on balanced meal planning.
E) Inform about nutrition for periodontal health.

Question 24

Which of the following statements best describes the epidemiology of anorexia nervosa?

A) Prevalence rate is the same for both genders
B) Most common eating disorder
C) Recovery only occurs with treatment
D) Onset primarily occurs in prepuberty, adolescents, and young adulthood
E) Low mortality and low morbidity rate

Question 25

Psychopharmacologic treatment is effective for the treatment of anorexia nervos a. Clients with eating disorders who are receiving psychopharmacologic treatment are at risk for xerostomi a.

A) The first statement is true, and the second statement is false.
B) The first statement is false, and the second statement is true.
C) Both statements are true.
D) Both statements are false.