Deck 14: Feeding and Eating Disorders

Question 1

 Mothers of infants with failure to thrive have been found to be ____ than mothers of infants without failure to thrive.

A) more insecurely attached
B) lower in self-esteem
C) older
D) less intelligent

Answer 1

more insecurely attached

Question 2

 A child who eats insects and wood chips is likely to be diagnosed with ____.

A) feeding disorder of childhood
B) rumination disorder
C) failure to thrive
D) pica

Answer 2

pica

Question 3

 Pica in the first and second years of life among otherwise normally developing infants and toddlers is likely due to ____.

A) undiagnosed learning disorders
B) hunger
C) exploration
D) underlying depression

Answer 3

exploration

Question 4

 If fat levels decrease below our body's normal range, the hypothalamus ____.

A) produces less insulin
B) triggers the proliferation of fat cells
C) slows metabolism
D) releases growth hormone

Question 5

 Which factor is LEAST characteristic of teens who develop eating problems (Graber et al., 1994)?

A) Higher percentage of body fat
B) Early pubertal maturation
C) Poor academic achievement
D) Concurrent psychological problems

Question 6

 An individual's balance of energy expenditure is referred to as their ____.

A) set point
B) metabolic rate
C) circadian rhythm
D) net caloric intake

Question 7

 Which of the following is NOT necessarily a part of the binge-purge cycle?

A) Tension and cravings
B) Shame and disgust
C) Strict monitoring of body weight
D) Strict dieting

Question 8

 Though similar in their concerns about eating and gaining weight, individuals with bulimia differ from individuals with anorexia in that they _____, while those with anorexia do/are not.

A) do not eat
B) are within 10% of their normal weight
C) are driven to thinness
D) are secretive about their disorder

Question 9

 Unlike most of the disorders of childhood and adolescence, the causes of eating disorders are disproportionately related to ____ influences.

A) sociocultural
B) biological
C) familial
D) psychological

Question 10

 Approximately 50% to 75% of growth hormone production occurs ____.

A) prenatally
B) after the onset of deep sleep
C) during adolescence
D) when eating

Question 11

 Which statement about picky eating in young childhood is true?

A) Over a third of young children are described as picky eaters.
B) Picky eating is more common among boys than girls.
C) Picky eating in young childhood is clearly connected to the later emergence of eating disorders.
D) Picky eating always leads to eating disorders.

Question 12

 Avoidant/restrictive food intake disorders in childhood are most characterized by ____.

A) the eating of nonnutritive substances
B) bingeing and purging to lose weight
C) significant weight loss
D) purposeful regurgitation of food

Question 13

 Eating disorders are the ____ most common illness in adolescent females.

A) second
B) third
C) fifth
D) tenth

Question 14

 Failure to thrive is more common among ____.

A) girls
B) children from disadvantaged environments
C) adolescents
D) individuals with mental retardation

Question 15

 Pica among young children (without intellectual disability) often remits ____.

A) when the child starts teething
B) after the child experiences a bout of sickness due to eating something inedible
C) when the child experiences increased stimulation
D) once the child has the cognitive capacity to understand that certain substances are not edible

Question 16

 Failure to thrive is characterized by ____.

A) serious digestion problems
B) growth and eating problems
C) overeating problems
D) fear of getting fat

Question 17

 Early onset of feeding disorder is often associated with ____.

A) intellectual disability
B) parental overemphasis on food
C) inadequate care giving
D) poor metabolic control

Question 18

 Pica is often seen in individuals with ____.

A) intellectual disability
B) ADHD
C) depression
D) bulimia

Question 19

 ____ has/have been identified as a specific risk factor for an infant's eating or feeding disorder.

A) Difficult temperament
B) Poor metabolic control
C) Parental psychopathology
D) Maternal eating disorders

Question 20

 Which of the following effects is LEAST likely to occur when an individual is malnourished?

A) A loss of circadian rhythm
B) A decrease in the release of growth hormone
C) Dermatological changes
D) Lethargy, apathy, and depression

Question 21

 The most common compensatory technique after an episode of binge eating among clinical samples is ____.

A) fasting
B) vomiting
C) exercise
D) laxatives

Question 22

 Binge eating typically follows changes in _______.

A) school routines
B) weight gain
C) interpersonal stress
D) family eating patterns

Question 23

 In comparison to the binge eating/purging type, individuals with restricting anorexia tend to ____.

A) be more impulsive
B) have stronger family histories of obesity
C) have more labile moods
D) lose weight through diet

Question 24

 Vomiting is used by people with bulimia to ____.

A) prevent weight gain
B) avoid bacteria
C) gain attention
D) act independently

Question 25

 A protein that plays a major role in some genetic cases of obesity is called ____.

A) lutein
B) peptin
C) leptin
D) tyrosine

Question 26

 In the early 1900s, the treatment for anorexia was ____.

A) psychodynamic psychotherapy
B) hypnotherapy
C) removal from home and forced feeding
D) family therapy

Question 27

 Obese children are a risk factor for later ____ disorders.

A) mood
B) anxiety
C) eating
D) substance

Question 28

 Obesity is a ____.

A) chronic medical condition
B) disorder of weight regulation
C) failure of willpower
D) childhood-onset mental disorder

Question 29

 Obesity ____ is strongly related to obesity in ____.

A) in infancy; later childhood
B) in infancy; adolescence
C) in childhood; adulthood
D) at any time during the course of development; adulthood

Question 30

 For some teens, particularly girls, excessive efforts to control eating may be a misguided effort to ____.

A) punish parents
B) manage the stress and physical changes
C) punish themselves
D) regress back to the oral stage of development

Question 31

 The relationship between preadolescent obesity and the later emergence of eating disorders is likely due to ____.

A) biological abnormalities that underlie both conditions
B) the teasing that obese children experience from their peers
C) an underlying psychiatric condition
D) an urge to stop eating

Question 32

 In comparison to persons with bulimia, those with binge eating/purging type of anorexia ____.

A) eat the same amount of food but purge more thoroughly
B) eat relatively small amounts of food and purge more consistently
C) binge only on healthy foods
D) purge more inconsistently

Question 33

 Obesity is usually defined in terms of a body mass index above the _____ percentile.

A) 60th
B) 70th
C) 80th
D) 95th

Question 34

 The DSM-5 specifies two subtypes of anorexia based on ____.

A) percentage of weight loss
B) methods used to limit caloric intake
C) presence or absence of comorbid depression
D) family dynamics

Question 35

 Which of the following is NOT a characteristic of anorexia?

A) Loss of appetite
B) Fear of gaining weight
C) Denial of being too thin
D) Refusal to maintain minimal normal body weight

Question 36

 In comparison to the restricting type, individuals with the binge eating/purging type of anorexia tend to ____.

A) be more controlled and rigid
B) be more obsessive
C) have less mood problems
D) eliminate the food quicker

Question 37

 Approximately ____ of American children are obese.

A) 1 in 4
B) 1 in 5
C) 1 in 6
D) 1 in 7

Question 38

 Which of the following statements relating to bulimia is true?

A) Anorexia is more common than bulimia.
B) The DSM-5 subdivides bulimia into two types: purging type and restrictive type.
C) Approximately, one-third of individuals with bulimia engage in purging.
D) No specific quantity of food constitutes a binge.

Question 39

 Treatment methods to help children who are obese to lose weight should emphasize ____.

A) demanding exercise regimens
B) strict caloric reduction/restriction
C) avoidance of food cues
D) active, less sedentary routines

Question 40

 Studies have found that failure to thrive may affect physical growth in childhood but does not affect future ____.

A) psychological health
B) physical growth
C) eating patterns
D) cognitive functioning

Question 41

 Which of the following disorders is LEAST likely to co-occur with eating disorders?

A) Depression
B) Anxiety
C) Obsessive-compulsive disorder
D) ADHD

Question 42

 Which statement about gender differences in relation to eating disorders is true?

A) Young men with eating disorders generally have different clinical features than young women.
B) Men show more of a drive for thinness than women.
C) Men show less of a preoccupation with food than women.
D) Men place more emphasis on personal attractiveness than women.

Question 43

 Binge eating disorder (BED) differs from bulimia in that individuals with BED ____.

A) do not feel a loss of control while binge eating
B) eat over 1,000 calories in one sitting
C) do not have compensatory behaviors
D) have lower self-esteem

Question 44

 Mild binge eating is characterized by how many episodes of binge eating?

A) At least one a day
B) Four to seven episodes per week
C) At least one episode per month
D) One to three episodes weekly

Question 45

 Scientists have found biochemical similarities between people with eating disorders and those with ____.

A) ADHD
B) social phobia
C) schizophrenia
D) obsessive-compulsive disorder

Question 46

 The neurotransmitter that has been most focused on as a possible cause of eating disorders is ____.

A) dopamine
B) GABA
C) serotonin
D) norepinephrine

Question 47

 ____ is the initial treatment of choice for children and adolescents with anorexia who are living at home.

A) Temporary removal from the home
B) Family-based therapy
C) Psychopharmacology
D) Individual psychotherapy

Question 48

 Cross-cultural evidence for eating disorders suggests that _________________.

A) bulimia, and not anorexia, is mainly a Western phenomenon
B) anorexia, and not bulimia, is mainly a Western phenomenon
C) both bulimia and anorexia appear mostly in Western countries
D) both bulimia and anorexia occur commonly worldwide

Question 49

 Studies have estimated the prevalence of anorexia among adolescents at ____.

A) 0.2%
B) 0.3%
C) 7%
D) 14%

Question 50

 Which disorder has become increasingly widespread during this age of abundant fast food and obesity?

A) Reduced eating disorder
B) Bulimia
C) Anorexia
D) Binge eating disorder

Question 51

 A common link between depression and eating disorders may be ____.

A) high impulsivity
B) poor emotion regulation
C) excessive anger
D) inability to focus

Question 52

 Which of the following is considered a perpetuating factor of eating disorders? ?

A) Obsession with food
B) Starvation symptoms and reaction from others
C) Dieting to increase feelings of self-worth and self-control
D) Dissatisfaction with body weight and body shape

Question 53

 According to research, __________ appear to be at greater risk for behavioral symptoms of eating disorders.

A) homosexual men
B) homosexual women
C) heterosexual men
D) bisexual individuals

Question 54

 Most commonly, individuals with anorexia ____.

A) die from starvation
B) overcome their disorder completely
C) become overweight in their late twenties
D) restore to a normal weight but then relapse

Question 55

 The most effective current treatment for bulimia is ____.

A) insight-oriented psychotherapy
B) family therapy
C) psychopharmacology
D) cognitive-behavior therapy

Question 56

 The onset of bulimia ____.

A) typically occurs in late adolescence
B) typically occurs in mid-adolescence to late adolescence
C) typically occurs in adulthood
D) may occur at any time after the onset of puberty (no particular time is more likely than others)

Question 57

 Young women who have dietary-depressive pattern of bulimia differ from women with only the dietary pattern, as those with the dietary-depressive subtype display ____.

A) less eating pathology
B) more social impairment
C) less psychiatric comorbidity
D) more anorexic symptoms

Question 58

 Follow-up studies of patients with bulimia indicate that between ____ of patients show full recovery over several years.

A) 10% and 15%
B) 20% and 25%
C) 30% and 45%
D) 50% and 75%

Question 59

 Which factor has been linked to the development of eating disorders?

A) Parental supervision
B) Sexual abuse
C) Single-parent family
D) Low socioeconomic status

Question 60

 Which of the following is a predictor of full recovery for individuals with bulimia?

A) Higher social class
B) Older age at onset
C) Family history of alcohol abuse
D) Less weight gain

Question 61

 What interventions are used for bulimia, and are they successful?

Question 62

 Outline and describe the dangers of obesity in children and adolescents.

Question 63

 How may present-day societal messages regarding females' roles contribute to the development of eating disorders?

Question 64

 Distinguish between anorexia and bulimia, both in terms of their major features as well as their associated characteristics. In what ways are these two eating disorders similar?

Question 65

 Discuss three risks that are associated with infant and early childhood feeding disorders.

Question 66

 Discuss predominant treatments for obesity in children.

Question 67

 What are the commonalities among males and females who have eating disorders as well as the differences each have regarding body ideals?

Question 68

 Why are eating disorders in infants and young children often considered symptomatic of a problem in the mother-child relationship?

Question 69

 Why does dieting sometimes lead to overeating?

Question 70

 In what ways may family members contribute to the development of an eating disorder?

Question 71

 Why is it often difficult to lose weight?

Question 72

 Discuss what is meant in the recent research that indicated that anorexia may not be a culture-bound syndrome and that bulimia may be considered a culture-bound syndrome.

Question 73

 Describe how cognitive-behavioral therapy might be used to treat an individual with an eating disorder.

Question 74

 What are some of the danger signals that an individual may have anorexia?

Question 75

 Twelve-month old Dean has been diagnosed with failure to thrive. You have been asked to formulate a general treatment plan. What might you include in your treatment plan and why?