Chapter 15: Feeding and Eating Disorders

from TEST BANK for Introduction to Abnormal Child and Adolescent Psychology 3rd Edition by Robert Weis

Disorders

Test Bank

Multiple Choice a. medication b. CBT or interpersonal therapy c. behavioral weight loss treatments d. relaxation training

1. Which of the following treatments is most likely to be effective for those with BED?

Ans: B

Learning Objective: LO 15.2. Differentiate among anorexia nervosa, bulimia nervosa, and binge eating disorder. Explain how eating disorders vary as a function of age, gender, ethnicity, and socioeconomic status (SES). Outline some of the main causes of eating disorders ranging from genetic–biological factors to social–cultural influences.

Cognitive Domain: Knowledge

Answer Location: What Treatments Are Effective for Youths With Binge Eating Disorder?

Difficulty Level: Medium a. bulimia nervosa and binge eating disorder b. pica and avoidant/restrictive food intake disorder c. pica and rumination disorder d. rumination disorder and bulimia nervosa

2. Which feeding or eating disorders are most commonly seen in children with developmental disabilities?

Ans: C

Learning Objective: LO 15.1. Differentiate among the most common feeding disorders affecting infants and young children. Identify the main causes of feeding disorders and provide examples of evidencebased treatments for these problems.

Cognitive Domain: Knowledge

Answer Location: What Are Pica and Rumination Disorder?

Difficulty Level: Medium a. Yes. b. No, because a person cannot be diagnosed with pica until he or she is 2 years old. c. No, because the exact items she is eating do not fall under the categories specified in the diagnostic definition of pica. d. No, because Amy’s daughter’s behavior is not developmentally inappropriate.

3. Amy’s 8-month-old daughter is always grabbing things and putting them in her mouth. Amy has to make sure to watch her at all times, otherwise she might eat dust bunnies, threads from the carpet, sand, and coins. Does Amy’s daughter have pica?

Ans: D

Cognitive Domain: Application

Answer Location: What Are Pica and Rumination Disorder?

Difficulty Level: Medium a. children with intellectual disabilities b. those with iron or zinc deficiency c. those with obsessive compulsive disorders d. pregnant women

4. Statistically, which of the following individuals would be LEAST likely to engage in pica?

Ans: C

Cognitive Domain: Comprehension

Answer Location: What Are Pica and Rumination Disorder?

Difficulty Level: Medium a. Does Brent regurgitate food even when he is fed by an individual other than his mother? b. Does Brent regurgitate food in at least two settings? c. Does Brent have any physical medical conditions that are influencing his regurgitation? d. Does Brent have clinically significant distress?

5. Brent’s mother is concerned. At least two times a day when she feeds him, he throws up, rechews the food, and then swallows it again. At age 14 months, this seems unusual and is disturbing to her. This has been going on since he was 9 months old. Which of the following would you need to know before diagnosing Brent with rumination disorder?

Ans: C

Cognitive Domain: Application

Answer Location: What Are Pica and Rumination Disorder?

Difficulty Level: Medium a. positive reinforcement b. negative reinforcement c. classical conditioning d. positive punishment

6. Brent vomits up his food and rechews and swallows it at least twice per day. Whenever he does, his mother rushes over to him to prevent him from choking, leaving his older brother and sister behind. Given this description, which of the following best describes the maintenance of the regurgitation?

Ans: A

Cognitive Domain: Application

Answer Location: What Are Pica and Rumination Disorder?

Difficulty Level: Medium a. bipolar disorder b. anorexia nervosa c. bulimia nervosa d. conduct disorder

7. Therapy for binge eating disorder most closely resembles treatment for which of the following?

Ans: C

Cognitive Domain: Knowledge

Answer Location: What Treatments Are Effective for Youths With Binge Eating Disorder?:

Cognitive–Behavioral Therapy

Difficulty Level: Easy a. Xavier should be diagnosed with infantile anorexia. b. Xavier should be diagnosed with ARFID. c. Xavier should be diagnosed with sensory food aversion. d. Xavier should be diagnosed with posttraumatic feeding.

8. Mealtimes with Xavier are a chore. He usually doesn’t want to eat and will turn his head and try to escape if offered more than one spoonful of food at each mealtime. Which condition best describes Xavier’s signs and symptoms?

Ans: B

Cognitive Domain: Application

Answer Location: What Is Avoidant/Restrictive Food Intake Disorder?

Difficulty Level: Hard a. It typically remits on its own without treatment. b. It typically results in children being underweight for several years c. It typically rebounds resulting in obesity in most school-age children. d. Recovery is possible but relapse is very common.

9. Which of the following is the course of infantile anorexia?

Ans: B

Cognitive Domain: Comprehension

Answer Location: Infantile Anorexia

Difficulty Level: Medium a. high ghrelin suppression at the start of meals b. high physiological arousal c. strong-willed temperaments d. parental anxiety regarding children’s eating

10. Which of the following does NOT contribute to infantile anorexia according to the transactional model for feeding disorders?

Ans: A

Cognitive Domain: Comprehension

Answer Location: Infantile Anorexia

Difficulty Level: Medium a. She can be diagnosed with ARFID. b. She has the posttraumatic feeding version of ARFID. c. She can only be diagnosed with ARFID if her nutrition or family relationships are significantly affected by her strange eating habits. d. She can only be diagnosed with ARFID if this behavior has persisted for more than 1 year.

11. Gina, age 4, will eat only yellow and white foods. She refuses all others. Which of the following is true of Gina?

Ans: C

Cognitive Domain: Application

Answer Location: Sensory Food Aversion

Difficulty Level: Hard a. hypersensitivity to texture b. hypersensitivity to certain tastes c. classical conditioning that provokes a fear or disgust reaction in the presence of certain foods d. positive reinforcement for tantrumming by withdrawing the food

12. Which of the following is NOT a cause of children’s sensory food aversion?

Ans: D

Cognitive Domain: Comprehension

Answer Location: Sensory Food Aversion

Difficulty Level: Medium a. cognitive–behavioral therapy b. interpersonal therapy c. exposure and avoidance prevention d. skills training

13. Which of the following is the primary treatment for ARFID?

Ans: C

Cognitive Domain: Knowledge

Answer Location: What Treatments Are Effective for Feeding Disorders?: Treatment for Avoidant/Restrictive Food Intake Disorder

Difficulty Level: Easy a. positive reinforcement b. negative reinforcement c. positive punishment d. negative punishment

14. Operant conditioning to treat pica most commonly uses which of the following first?

Ans: A

Cognitive Domain: Knowledge

Answer Location: Treatment for Pica and Rumination Disorder

Difficulty Level: Easy a. differential reinforcement of zero behavior b. differential reinforcement of incompatible behavior c. using a pica box d. facial screening

15. Teaching a child to suck on a pacifier instead of eating sand would be considered which of the following?

Ans: B

Cognitive Domain: Application

Answer Location: Treatment for Pica and Rumination Disorder

Difficulty Level: Easy a. They are effective enough to be considered a first-line treatment. b. They are effective but their side effects make them unusable for a majority of adolescents. c. Though they may be effective in reducing bingeing and purging, they typically cannot eliminate these symptoms. d. Though they may be effective in preventing relapse, they cannot reduce bingeing and purging initially.

16. The results of studies testing the effectiveness of antidepressants in treating bulimia nervosa have shown which of the following?

Ans: C

Cognitive Domain: Comprehension

Answer Location: Medication

Difficulty Level: Medium a. grief b. role transition c. role dispute d. interpersonal deficits

17. Adeline developed bulimia nervosa shortly after her older sister left for college. According to interpersonal therapy, which interpersonal problem area does this represent?

Ans: A

Cognitive Domain: Application

Answer Location: What Treatments Are Effective for Youths With Bulimia Nervosa?: Interpersonal Therapy

Difficulty Level: Hard a. usually will not have much difficulty feeding their children b. usually evoke a reemergence of food refusal c. have even greater success than the therapist d. are unable to follow the prescribed techniques

18. Once children with avoidant/restrictive food intake disorder have learned to accept food from therapists, parents ______.

Ans: B

Cognitive Domain: Comprehension

Answer Location: Parent Counseling

Difficulty Level: Medium a. escape extinction b. positive reinforcement c. time out d. distraction

19. Which component of contingency management for ARFID seems to be essential for treatment?

Ans: A

Cognitive Domain: Knowledge

Answer Location: Contingency Management

Difficulty Level: Medium a. cognitive–behavioral therapy phase 1 b. cognitive–behavioral therapy phase 2 c. cognitive–behavioral therapy phase 3 d. interpersonal therapy

20. Bonnie is undergoing treatment for bulimia nervosa. In this treatment, the therapist tells her that it’s not her fault that she’s been purging she’s sick. It’s the illness that has been causing these symptoms. What treatment do you suspect Bonnie is undergoing?

Ans: D

Cognitive Domain: Application

Answer Location: What Treatments Are Effective for Youths With Bulimia Nervosa?: Interpersonal Therapy

Difficulty Level: Hard a. She can be considered significantly underweight if she is less than 100 pounds. b. She can be considered underweight if her BMI is below 17. c. She can be considered underweight if her BMI is below the 5th percentile for other girls her age. d. A diagnosis of anorexia nervosa would be categorically excluded if she were above the 5th percentile for weight when compared with other girls her age.

21. Which of the following is the approach prescribed by the DSM-5 to determine whether a girl suspected of anorexia nervosa is indeed significantly underweight?

Ans: C

Cognitive Domain: Comprehension

Answer Location: Anorexia Nervosa

Difficulty Level: Medium a. have not yet been conducted b. have only been conducted in adults, in whom the treatment is promising c. have shown no benefit for adolescents d. have shown it to be an effective treatment for older adolescents

22. Randomized clinical trials investigating the efficacy of CBT in treating bulimia nervosa have ______.

Ans: D

Cognitive Domain: Knowledge

Answer Location: What Treatments Are Effective for Youths With Bulimia Nervosa?: Cognitive–Behavioral Therapy

Difficulty Level: Medium a. the number of symptoms met b. BMI c. the level of insight the individual has d. the duration of the disturbance

23. Severity in anorexia nervosa is indicated by which of the following?

Ans: B

Cognitive Domain: Knowledge

Answer Location: Anorexia Nervosa

Difficulty Level: Medium a. Yes. Most people could not eat 18 apples in 15 minutes. b. No, because it was apples instead of a high-calorie food. c. No, because Dino did not feel a lack of control. d. No, because it only happened one time.

24. Dino works at an apple orchard, and every year they sponsor an apple-eating contest to see who can eat the most apples in 15 minutes. Dino won last year by eating 18 apples in 15 minutes. Would this be considered a binge?

Ans: C

Cognitive Domain: Application

Answer Location: Bulimia Nervosa

Difficulty Level: Medium a. not discussed in CBT for bulimia nervosa b. considered very detrimental in bulimia nervosa c. relatively likely in bulimia nervosa and so cognitive–behavioral therapy helps adolescents avoid relapse and manage it if it does occur d. most common among those with bulimia nervosa who are at lower initial body weights than in those who are initially overweight

25. Complete the following statement: Relapse is ______.

Ans: C

Cognitive Domain: Comprehension

Answer Location: What Treatments Are Effective for Youths With Bulimia Nervosa?:Cognitive–Behavioral Therapy

Difficulty Level: Medium a. ego-syntonic; ego-syntonic b. ego-syntonic; ego-dystonic c. ego dystonic; ego syntonic d. ego-dystonic; ego-dystonic

26. Anorexia nervosa is usually an ______ disorder; bulimia nervosa is usually an ______ disorder.

Ans: B

Cognitive Domain: Knowledge

Answer Location: Bulimia Nervosa

Difficulty Level: Easy a. bingeing b. purging c. being significantly underweight d. unusual preoccupation with body shape and weight

27. Which of the following is a symptom of anorexia nervosa but NOT of bulimia nervosa?

Ans: C

Cognitive Domain: Comprehension

Answer Location: Anorexia vs. Bulimia

Difficulty Level: Easy a. should be most strongly considered for a diagnosis of anorexia nervosa because he has a misperception of himself as larger than he is b. should be most strongly considered for a diagnosis of bulimia nervosa because he is bingeing c. should be most strongly considered for a diagnosis of binge eating disorder, because he is bingeing without compensating d. cannot be diagnosed with any condition because he is male and eating disorders are only diagnosed in females

28. About once a week, Carter, a college junior, eats more than he wishes he would. When he does this, he feels out of control and often eats in secret. This has been going on ever since he started college. Carter is somewhat overweight, but sometimes he feels huge, particularly after one of these large food sprees. Sometimes he thinks to himself, “I should go for a run tomorrow because I ate so many french fries,” but he rarely follows through. Carter ______.

Ans: C

Cognitive Domain: Application

Answer Location: What Eating Disorders Can Affect Children and Adolescents?: Binge Eating Disorder

Difficulty Level: Medium a. anorexia nervosa →bulimia nervosa b. bulimia nervosa → binge eating disorder c. binge eating disorder → anorexia nervosa d. binge eating disorder → bulimia nervosa

29. Which of the following is the most common transition from one eating disorder to another?

Ans: D

Cognitive Domain: Knowledge

Answer Location: Binge Eating Disorder vs. Anorexia Nervosa and Bulimia Nervosa

Difficulty Level: Hard a. anorexia nervosa b. bulimia nervosa c. binge eating disorder d. both bulimia nervosa and binge eating disorder

30. Osteopenia is associated with which of the following?

Ans: A

Cognitive Domain: Knowledge

Answer Location: Anorexia/Bulimia

Difficulty Level: Medium a. the recommended treatment for those with binge eating disorder b. less effective for those with binge eating disorder in the short term, but more effective than any other treatment in the long term c. ineffective long-term treatment for those with binge eating disorder; they are likely to regain their weight following surgery d. unsafe for those with binge eating disorder; they are at far greater risk of medical complications from the surgery than their overweight counterparts without binge eating disorder

31. Bariatric surgery (e.g., gastric bypass) is which of the following?

Ans: C

Cognitive Domain: Knowledge

Answer Location: Physical Health Problems: Binge Eating Disorder

Difficulty Level: Medium a. Those with bulimia nervosa and binge eating disorder are at increased risk of MDD, but those with anorexia nervosa are not b. MDD usually precedes the onset of anorexia nervosa and bulimia nervosa c. The onset of binge eating usually precedes MDD in those with binge eating disorder d. Though rates of MDD are higher for those with any eating disorder, the suicide risk is actually lower than the general population, indicating a more pervasive but perhaps less serious depression overall.

32. The relationship between major depressive disorder (MDD) and eating disorders is which of the following?

Ans: C

Cognitive Domain: Comprehension

Answer Location: Depression and Suicide

Difficulty Level: Medium a. exposing dichotomous thinking. b. performing a cost-benefit analysis. c. social modeling d. negative reinforcement

33. Which approach is used to increase the willingness of adolescents with bulimia nervosa to participate in therapy?

Ans: B

Cognitive Domain: Knowledge

Answer Location: What Treatments Are Effective for Youths With Bulimia Nervosa?: Cognitive–Behavioral Therapy

Difficulty Level: Hard a. perfectionistic b. excessively compliant c. rigid d. impulsive

34. Which of the following characteristics is typically NOT used to describe those with anorexia nervosa?

Ans: D

Cognitive Domain: Knowledge

Answer Location: Personality

Difficulty Level: Easy a. excessive compliance b. obsessive thinking c. dichotomous thinking d. perfectionism

35. Phyllis ate a salad for lunch. But, she didn’t take off the croutons. She now feels like she “cheated” at lunch and her whole diet is blown. This is an example of which of the following?

Ans: C

Cognitive Domain: Application

Answer Location: Personality

Difficulty Level: Hard a. anorexia nervosa–restricting type b. anorexia nervosa–binge/purge type c. bulimia nervosa d. binge eating disorder

36. A chaotic home is most closely associated with which of the following conditions?

Ans: C

Cognitive Domain: Knowledge

Answer Location: Family Problems

Difficulty Level: Medium a. anorexia nervosa; bulimia nervosa b. bulimia nervosa; anorexia nervosa c. bulimia nervosa; depression d. depression; bulimia nervosa

37. Teasing about their body shape and weight by fathers is associated with ______; such teasing by mothers is associated with ______.

Ans: C

Cognitive Domain: Knowledge

Answer Location: Family Problems

Difficulty Level: Medium a. highest in adolescence (prior to age 18) b. higher for young adults (18–25) than for adolescents (those under age 18) c. highest for those just reaching puberty (10–15) d. consistent between the ages of 12 and 35

38. Eating disorder prevalence is which of the following?

Ans: B

Cognitive Domain: Knowledge

Answer Location: How Common Are Eating Disorders in Children and Adolescents?: Prevalence

Difficulty Level: Hard a. phase 1 b. phase 2 c. phase 3 d. phase 4

39. Samantha is in treatment for bulimia nervosa. This week, her therapist is asking her to identify whether boredom is or is not a trigger for a binge. In which phase of CBT is Samantha?

Ans: A

Cognitive Domain: Application

Answer Location: What Treatments Are Effective for Youths With Bulimia Nervosa?: Cognitive–Behavioral Therapy

Difficulty Level: Hard a. minimizing the positively reinforcing properties of eating b. minimizing the negatively reinforcing properties of compensatory behaviors through minimizing the anxiety associated with eating c. increasing the response cost associated with compensatory behaviors d. increasing the response cost associated with bingeing

40. The approach of CBT to treat bulimia nervosa can best be described as which of the following?

Ans: B

Cognitive Domain: Comprehension

Answer Location: What Treatments Are Effective for Youths With Bulimia Nervosa?: Cognitive–Behavioral Therapy

Difficulty Level: Medium a. When Western culture was introduced to the island of Fiji, through television and other media, the rate of eating disorders rose dramatically. b. Cross-culturally people judge American models to be more beautiful than those from other countries. c. Girls and women associate the attractiveness of Western models with other indicators of wealth. d. There is higher prevalence of eating disorders in industrialized nations.

41. Which of the following is a piece of evidence that globalization has spread eating disorders from industrialized nations to developing ones?

Ans: A

Cognitive Domain: Analysis

Answer Location: Cross-Cultural Differences

Difficulty Level: Medium a. does not usually occur after age 25 b. is earlier for almost all cases of bulimia nervosa than anorexia nervosa c. is more similar for anorexia nervosa and bulimia nervosa than for binge eating disorder d. is earliest for binge eating disorder

42. Emergence of eating disorders ______.

Ans: A

Cognitive Domain: Knowledge

Answer Location: Course of Anorexia and Bulimia

Difficulty Level: Medium a. almost all recover, though recovery can take 5 years or more b. almost never recover, with the vast majority continuing to meet diagnostic criteria for either AN or BN c. is mixed, with about half recovering and about 20% having chronic symptoms putting them at risk for death d. is split based on age of onset with almost all of those who develop the disorder between ages 11 and

43. Complete the following statement: Those with AN ______.

14 having chronic symptoms while those who develop the disorder later are much more likely to recover

Ans: C

Cognitive Domain: Knowledge

Answer Location: Course of Anorexia and Bulimia

Difficulty Level: Medium a. most females have early onset, while most males have late onset b. early-onset cases are more likely to be resistant to treatment c. dieting tends to come after early-onset cases but to precede binge eating in late-onset cases d. Emotion-regulation is a larger factor in late onset cases

44. One main difference between early-onset and late-onset binge Eating disorder (BED) is that ______.

Ans: C

Cognitive Domain: Comprehension

Answer Location: Course of Binge Eating Disorder

Difficulty Level: Hard a. Only structural family therapy involves the parents. b. Only the Maudsley Hospital approach centers on the eating disorder symptoms. c. Only the Maudsley Hospital approach seeks initially to give the parents more control over the child’s life, through monitoring her eating behaviors. d. Only structural family therapy involves groups of parents discussing the eating disordered behavior of their children.

45. Which of the following is NOT one of the main differences between structural family therapy and the Maudsley Hospital approach for treating anorexia nervosa?

Ans: C

Cognitive Domain: Analysis

Answer Location: The Maudsley Hospital Approach

Difficulty Level: Hard a. bulimia nervosa only b. bulimia nervosa and binge eating disorder only c. anorexia nervosa and bulimia nervosa d. depression only

46. If a mother has bulimia nervosa that increases her children’s risk for which of the following?

Ans: C

Cognitive Domain: Comprehension

Answer Location: Genetic Risk

Difficulty Level: Hard a. group therapy b. structural family therapy c. medications d. Maudsley Hospital approach

47. Randomized, controlled trials have indicated which of the following is an effective approach for treating anorexia nervosa?

Ans: D

Cognitive Domain: Knowledge

Answer Location: The Maudsley Hospital Approach

Difficulty Level: Hard a. with bulimia nervosa than in those who have recovered from bulimia nervosa b. with anorexia nervosa than those who have recovered from anorexia nervosa c. with anorexia nervosa than in those with bulimia nervosa d without eating disorders than in those with either anorexia nervosa or bulimia nervosa

48. Serotonin levels tend to be higher in those ______.

Ans: C

Cognitive Domain: Comprehension

Answer Location: Serotonin and Cholecystokinin

Difficulty Level: Medium a. Abnormally high levels of CCK are seen in those with anorexia nervosa b. Those with bulimia nervosa produce high levels of CCK when they engage in purging behaviors. c. Those with bulimia nervosa produce relatively low levels of CCK after eating a large meal. d. Those with anorexia nervosa have abnormally low levels of CCK, whether eating or not.

49. What is the relationship between cholecystokinin (CCK) and eating disorders?

Ans: C

Cognitive Domain: Comprehension

Answer Location: Serotonin and Cholecystokinin

Difficulty Level: Medium a. Girls who experience eating disorders at the onset of puberty are trying to regain their prepubescent body, which is closer to the Western female beauty ideal. b. Girls who hit puberty earlier than their peers are at particular risk for eating disorders. c. Puberty tends to cause eating problems or eating disorders. d. Puberty may be a time of greater risk, even if it is not a cause of eating disorders.

50. Which of the following best describes the current understanding of the relationship between pubertal timing and eating disorders?

Ans: D

Cognitive Domain: Comprehension

Answer Location: Pubertal Timing

Difficulty Level: Medium a. anorexia nervosa–restricting type b. anorexia nervosa–binge/purge type c. bulimia nervosa d. binge eating disorder

51. Child sexual abuse is most closely associated with which eating disorder?

Ans: C

Cognitive Domain: Knowledge

Answer Location: Child Sexual Abuse

Difficulty Level: Medium a. It is de-emphasized; focus instead is almost entirely on family relationships and communication. b. It is the center of treatment; families practice discussing the disordered eating supportively and without judgment. c. It is the center of treatment; families practice sharing their emotions surrounding the disordered eating and how it has affected them. d. It is one of several main targets of treatment.

52. In structural family therapy, how is the client’s disordered eating addressed?

Ans: A

Cognitive Domain: Comprehension

Answer Location: Structural Family Therapy

Difficulty Level: Medium a. a stronger than average need for acceptance and acknowledgement b. lower than average self-esteem c. fewer friends than average peers d. the belief that control over eating will give them control over other people

53. According to cognitive–behavioral theory, those with eating disorders have which of the following?

Ans: B

Cognitive Domain: Comprehension

Answer Location: What Causes Child/ Adolescent Eating Disorders?: Cognitive–Behavioral Theory

Difficulty Level: Medium a. A culture without a socially sanctioned thin ideal would have no eating disorders. b. Praising girls for being overweight instead of for being thin would reduce restrictive eating. c. It is failure to reach a socially constructed beauty ideal that drives eating disordered behavior. d. Teasing overweight individuals would likely help them to lose weight sustainably.

54. The dual pathway model predicts all EXCEPT which of the following?

Ans: D

Cognitive Domain: Analysis

Answer Location: Dual Pathway Model

Difficulty Level: Hard a. is highest for those who have experienced anorexia nervosa for less than one year b. is lowest for those who have family members who have also experienced anorexia nervosa c. is universally higher than that of any other treatment for anorexia nervosa d. has never been evaluated in a randomized controlled trial

55. The effectiveness of group therapy for adolescents with anorexia nervosa ______.

Ans: D

Cognitive Domain: Knowledge

Answer Location: Group Therapy

Difficulty Level: Medium a. social modeling b. internalization of the thin ideal c. comparing one’s appearance with others’ d. belief that thinness will solve all interpersonal problems

56. Cindy has 35 dolls all blond and thin. She looks at her own thighs that touch at the top and then marvels at the thigh gap on the dolls. “I bet if I stop eating cupcakes, I’ll look as good in high heels as my doll Sheila does in hers,” Cindy thinks. This is an example of which of the following?

Ans: C

Cognitive Domain: Application

Answer Location: Tripartite Influence Model

Difficulty Level: Medium a. underactivation of the amygdala in response to most foods, requiring additional foods to create a standard amount of activation b. hyperactivation of the occipital lobes in response to desired foods c. hyperactivation of the amygdala in response to favored foods d. hyperactivation of frontal and prefrontal lobes in response to appealing foods.

57. Brain studies of those with BED have shown which of the following?

Ans: D

Cognitive Domain: Knowledge

Answer Location: Theories for Child/Adolescent Binge Eating Disorder

Difficulty Level: Medium a. Parents who allow children to eat whatever sweets or unhealthful foods they request. b. Parents with severe restriction of their own diets. c. Parents who severely restrict children’s access to snacks. d. Parents who use inconsistent discipline

58. Which of the following parental characteristics is associated with binge eating disorder?

Ans: C

Cognitive Domain: Comprehension

Answer Location: Theories for Child/Adolescent Binge Eating Disorder

Difficulty Level: Medium a. resolving the underlying emotional challenges that contributed to the eating disturbance b. healing interpersonal challenges with the individual’s family and peers c. changing the individual’s eating behavior d. providing skills for relaxation and coping that do not involve disordered eating

59. Inpatient treatment for anorexia nervosa typically focuses initially on which of the following?

Ans: C

Cognitive Domain: Comprehension

Answer Location: Inpatient Treatment

Difficulty Level: Medium a. managing emotions and coping with low self-esteem b. developing social skills c. recognizing and challenging beliefs that lead to problematic eating behavior d. fostering negative associations with severely thin models in the media

60 Which of the following is NOT one of the main goals of group therapy for treatment of anorexia nervosa?

Ans: D

Cognitive Domain: Knowledge

Answer Location: Group Therapy

Difficulty Level: Easy

True/False

1. Because pica typically remits on its own, most experts recommend not treating it for the first 12 months.

Ans: F

Cognitive Domain: Knowledge

Answer Location: What Are Pica and Rumination Disorder?

Difficulty Level: Easy

2 Children with infantile anorexia should be diagnosed with avoidant/restrictive food intake disorder

Ans: T

Cognitive Domain: Knowledge

Answer Location: What Is Avoidant/Restrictive Food Intake Disorder?

Difficulty Level: Medium

3. “Failure to thrive” is a criterion for diagnosis with avoidant/restrictive food intake disorder.

Ans: F

Cognitive Domain: Comprehension

Answer Location: What Is Avoidant/Restrictive Food Intake Disorder?: Prevalence

Difficulty Level: Medium

4. Facial screening is a good first treatment for pica because it is likely to prevent its escalation.

Ans: F

Cognitive Domain: Knowledge

Answer Location: Treatment for Pica and Rumination Disorder

Difficulty Level: Easy

5. Individuals must purge in order to be diagnosed with bulimia nervosa

Ans: F

Cognitive Domain: Comprehension

Answer Location: Bulimia Nervosa

Difficulty Level: Medium

6. Most experts believe that the subjective experience of the binge (feeling out of control) is more important than the number of calories consumed when diagnosing and treatment bulimia nervosa

Ans: T

Cognitive Domain: Knowledge

Answer Location: Bulimia Nervosa

Difficulty Level: Medium

7. Anorexia nervosa and bulimia nervosa can be distinguished by whether someone fasts or purges.

Ans: F

Cognitive Domain: Knowledge

Answer Location: Anorexia vs. Bulimia

Difficulty Level: Medium

8. If a person binges, he or she cannot be diagnosed with anorexia nervosa

Ans: F

Cognitive Domain: Comprehension

Answer Location: Anorexia vs. Bulimia

Difficulty Level: Medium

9. When those with anorexia nervosa begin refeeding to regain weight, their risk for cardiac arrhythmias drops dramatically and immediately.

Ans: F

Cognitive Domain: Knowledge

Answer Location: Anorexia/Bulimia

Difficulty Level: Medium

10. Individuals with eating disorders typically have at least one comorbid mental health problem.

Ans: T

Cognitive Domain: Knowledge

Answer Location: Mental Health Problems

Difficulty Level: Easy

11. Individuals with anorexia nervosa sometimes later go on to develop bulimia nervosa instead

Ans: T

Cognitive Domain: Knowledge

Answer Location: Course of Anorexia and Bulimia

Difficulty Level: Medium

12. Child sexual abuse is a unique predictor of bulimia nervosa

Ans: F

Cognitive Domain: Comprehension

Answer Location: Child Sexual Abuse

Difficulty Level: Hard

13. Structural family therapy has been established as an efficacious treatment for anorexia nervosa

Ans: F

Cognitive Domain: Knowledge

Answer Location: Structural Family Therapy

Difficulty Level: Medium

14. Interpersonal therapy is as effective as cognitive–behavioral therapy for bulimia nervosa long-term, though cognitive–behavioral therapy is associated with greater initial improvement.

Ans: T

Cognitive Domain: Knowledge

Answer Location: Interpersonal Therapy

Difficulty Level: Medium

15. Medication is a first-line treatment for anorexia nervosa.

Ans: F

Cognitive Domain: Knowledge

Answer Location: Medication

Difficulty Level: Easy

Essay

1. Millie is a parent whose child has avoidant/restrictive food intake disorder. After the therapist explains the primary treatment of contingency management to her, she is concerned. She says, “That just seems cruel.” How might you address Millie’s concerns?

Ans: The therapists begin the treatment because, indeed, it is often too hard for parents to initiate on their own. Escape extinction seems crucial for the effectiveness of the treatment. Recall that not implementing this treatment can result in malnutrition and even starvation on the part of the child. Children will learn to eat appropriately because hunger is a natural motivator. Concerns about long-term consequences in the child’s relationship with food have not yet been systematically examined.

Cognitive Domain: Analysis

Answer Location: Contingency Management

Difficulty Level: Medium

2. Describe the relationship between social anxiety and eating disorders.

Ans: Social anxiety disorder usually precedes the emergence of AN and BN and persists after treatment. “Many adolescent girls and women with eating disorders are extremely sensitive to criticism by others and have histories of avoiding situations in which they might be negatively evaluated by others. These individuals also frequently show a high need for approval by peers. Some may use dietary restriction and/or purging to assume physical appearances that meet the approval of others and enhance their social standing . . .” which can lead to AN or BN.”

Cognitive Domain: Comprehension

Answer Location: Anxiety Disorders

Difficulty Level: Medium

3. A group of clinicians is creating a new eating disorders prevention program. They are targeting the program toward white adolescents under the assumption that other ethnic groups are relatively protected from eating disorders. Why might they have this assumption and how accurate is it?

Ans: Latina and African American adolescent girls tend to be “more tolerant than white adolescent girls of a heavier and more curvaceous body shape. Furthermore, Latina and African American girls are often less concerned about weight gain than their white counterparts.” This could be because these subcultures place less emphasis on being thin. However, girls from every minority group still experience eating disorders, in particular BN and BED. Given this, the clinicians might be better served to make their program more all-encompassing, or provide different prevention programs to different communities.

Cognitive Domain: Analysis

Answer Location: In the United States

Difficulty Level: Medium

4. It what ways might bingeing be reinforced?

Ans: It can be positively reinforced, particularly if it follows dietary restriction, by the pleasant feeling of satiety and by the flavors of craved foods. It can be negatively reinforced by alleviating dysphoria and other negative emotions and alleviating hunger.

Cognitive Domain: Analysis

Answer Location: What Causes Child/ Adolescent Eating Disorders?: Cognitive–Behavioral Theory

Difficulty Level: Medium

5. How is peer pressure used constructively in group therapy for anorexia nervosa?

Ans: The in-patient community forms the peer group. Because some members of the group are near program completion and others are just beginning, the group is constantly changing. Supportive confrontation, where maladaptive “fat-talk” and other maladaptive thoughts are confronted, is encouraged. The therapeutic peer group encourages healthy attitudes and rejects those who try to subvert the treatment. In this way, healthy attitudes are promoted.

Learning Objective: 15.2 Critically evaluate inpatient and outpatient treatment programs for adolescents with eating disorders.

Cognitive Domain: Comprehension

Answer Location: Group Therapy

Difficulty Level: Easy

6. According to structural family therapy, how does finding ways for the adolescent to express his or her autonomy help with alleviating anorexia nervosa?

Ans: According to structural family therapy, enmeshment of the family contributes to anorexia nervosa because the individual has so little control over aspects of her life other than eating. Providing the adolescent with more appropriate boundaries may let her feel that more aspects of her life are under her control, and therefore reduce the need she has to be so restrictive with her diet.

Cognitive Domain: Analysis

Answer Location: Structural Family Therapy

Difficulty Level: Medium

7. Describe how role disputes could contribute to the emergence of bulimia nervosa

Ans: According to interpersonal theory, role disputes arise when there are mismatched expectations for behavior. As an example, a 15-year-old may think she is old enough to stay out past midnight at her boyfriend’s house when his parents aren’t home, because she believes she is essentially an adult who can make her own decisions. Her parents might instead believe that she is more like a child who needs protection and that she should only be in supervised situations with her boyfriend and a curfew at 9:00. This can lead to tension and the adolescent feeling unfairly treated and misunderstood. As a result, dysphoria may develop and the dysphoria can result in binge-eating behavior, which begins the negative reinforcement cycle that continues with purging.

Cognitive Domain: Analysis

Answer Location: Interpersonal Therapy

Difficulty Level: Medium

8. Given what you know about the neurotransmitter activity patterns in those with anorexia nervosa, why is it unsurprising that SSRIs are associated with poor outcomes for treating this disorder?

Ans: Anorexia nervosa is associated with higher levels of serotonin in the brain. This is true even in individuals who have recovered from anorexia nervosa As such, it is unsurprising that SSRIs, which boost the level of serotonin activity in the brain do not help or, at worst, exacerbate the disorder.

Cognitive Domain: Analysis

Answer Location: Medication

Difficulty Level: Hard

Chapter 15: Feeding and Eating Disorders

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Disorders

Test Bank

True/False

Essay

More articles from this publication:

Disorders

Chapter 13: Depressive Disorders and Suicide

Chapter 12: Trauma-Related Disorders and

Chapter 11: Anxiety Disorders and Obsessive–Compulsive Disorder

Chapter 10: Substance Use Disorders in Adolescents

Chapter 9: Conduct Problems in Children and Adolescents

Chapter 8: Attention-Deficit/Hyperactivity Disorder

Chapter 7: Communication and Learning Disorders

Chapter 16: Health-Related Disorders and Pediatric Psychology

This article is from:

TEST BANK for Introduction to Abnormal Child and Adolescent Psychology 3rd Edition by Robert Weis