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Abnormal Psychology in A Changing World 10th Edition Nevid Test Bank 1
Abnormal Psychology in A Changing World 10th Edition Nevid Test Bank 1
692
Topic Factual Conceptual Applied
9.4
True-False 207, 208, 209, 210
Essay 249
Learning Objective Multiple Choice 68, 69, 70, 71, 72, 86, 87, 88 90, 91, 92, 102
9.5 73, 74, 75, 76, 77,
78, 79, 80, 81, 82,
83, 84, 85, 89, 93,
94, 95, 96, 97, 98,
99, 100, 101, 103,
104
True-False 211, 212, 213, 214,
215, 216, 217, 218,
219, 220, 221, 222,
223, 224
Essay 250, 251, 252
Learning Objective Multiple Choice 105, 107, 108, 109, 116 106
9.6 110, 111, 112, 113,
114, 115
True-False 225
Essay 253
Learning Objective Multiple Choice 117, 118, 119
9.7
True-False 226
Essay
Learning Objective Multiple Choice 120, 121, 122, 123,
9.8 124, 125, 126, 127,
128, 129, 130
True-False 227, 228
Essay
Learning Objective Multiple Choice 131, 132, 135, 136 133, 134
9.9
True-False 229, 230
Essay
Learning Objective Multiple Choice 137, 138, 139, 140
9.10
True-False 231
Essay
Learning Objective Multiple Choice 141, 142, 143, 144, 146
9.11 145, 147, 148, 149,
150, 151, 152, 153,
154, 155, 156, 157,
158, 159
True-False 232, 233, 234, 235,
236
Essay 254
Learning Objective Multiple Choice 160, 161, 162, 163, 173 172
9.12 164, 165, 166, 167,
168, 169, 170, 171,
174
True-False 237, 238, 239, 240,
241, 242, 243, 244,
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693
Topic Factual Conceptual Applied
245
Essay 255
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
694
9
Eating Disorders and Sleep-Wake Disorders
Multiple-Choice Questions
1. Which person is most likely to develop an eating disorder?
a. A 28-year-old female corporate attorney
b. A 16-year-old high school male cheerleader
c. An 18-year-old female who just entered college
d. A 21-year-old male member of a heavy metal band
ANSWER: C
Level of Difficulty (1-3): 1 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Applied
2. An eating disorder characterized by abnormally low weight and an intense fear of gaining weight is
______.
a. binge-eating disorder c. anorexia nervosa
b. identity disorder d. bulimia nervosa
ANSWER: C
Level of Difficulty (1-3): 1 Page: 347
Topic: Eating Disorders (Table 9.1)
Learning Objective: 9.1
Skill: Factual
3. An eating disorder characterized by recurrent binge eating followed by self-induced purging is ______.
a. binge-eating disorder c. anorexia nervosa
b. identity disorder d. bulimia nervosa
ANSWER: D
Level of Difficulty (1-3): 1 Page: 347
Topic: Eating Disorders (Table 9.1)
Learning Objective: 9.1
Skill: Factual
4. A(n) ______ is a psychological disorder characterized by disturbed patterns of eating and maladaptive
ways of controlling weight.
a. addiction c. amenorrhea
b. eating disorder d. hypermenorrhea
ANSWER: B
Level of Difficulty (1-3): 1 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
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695
Skill: Factual
5. Eating disorders are often accompanied by the following disorders EXCEPT ______.
a. schizophrenia c. anxiety disorders
b. depression d. substance abuse disorders
ANSWER: A
Level of Difficulty (1-3): 2 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
ANSWER: A
Level of Difficulty (1-3): 1 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 1 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 1 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
9. About ______ percent of females in the United States develop anorexia nervosa.
a. 1 c. 10
b. 5 d. 20
ANSWER: A
Level of Difficulty (1-3): 3 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
10. Between ______ percent of females in the United States develop bulimia nervosa.
a. .1 and .3 c. 5 and 10
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696
b. .9 and 1.5 d. 10 and 15
ANSWER: B
Level of Difficulty (1-3): 3 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
11. About ______ in 1,000 males in the United States develop anorexia nervosa.
a. 1 c. 5
b. 3 d. 7
ANSWER: B
Level of Difficulty (1-3): 3 Page: 347
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
12. Anorexia nervosa is ______ common among men than women. Bulimia nervosa is ______ common
among men than women.
a. less; less c. more; less
b. less; more d. more; more
ANSWER: A
Level of Difficulty (1-3): 1 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
13. Felicia has an intense fear of being overweight. She also has a distorted body image in which she sees
herself as “fat” despite the fact that her physician says she underweight for her height, age, and bone
structure. She exercises excessively and still diets despite being 15 pounds lighter than her original
dieting goal. She is suffering from ______.
a. amenorrhea c. anorexia nervosa
b. bulimia nervosa d. cytomegalovirus
ANSWER: C
Level of Difficulty (1-3): 1 Page: 347
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Applied
14. Fear of gaining weight and a distorted self-image are characteristic of ______.
a. anorexia nervosa c. binge-eating disorder
b. bulimia nervosa d. binge-purge disorder
ANSWER: A
Level of Difficulty (1-3): 1 Page: 347
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
15. In the case of anorexia nervosa in the text, Karen spent hours a day ______.
a. speaking on the cell phone to her therapist in another city
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697
b. preparing gourmet meals for her family
c. thinking about cutting her arm
d. trying to figure out ways to attract a certain guy
ANSWER: B
Level of Difficulty (1-3): 3 Page: 347
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Applied
16. In the case of anorexia nervosa in the text, Karen wore ______.
a. gaudy earrings and hats to distract people from looking at her figure
b. skimpy outfits to show off her slimness
c. padded bras to compensate for her small breasts
d. baggy clothes to hide her body
ANSWER: D
Level of Difficulty (1-3): 2 Page: 347
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Applied
17. Anorexia nervosa develops most commonly between the ages of ______.
a. 6 and 12 c. 18 and 24
b. 12 and 18 d. 24 and 30
ANSWER: B
Level of Difficulty (1-3): 2 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
18. A frequent observation is that girls with anorexia nervosa use ______ in addition to dieting to control
their weights.
a. excessive exercise c. meals rich with fruit and vegetables
b. amphetamines d. positive imagery of their ideal figures
ANSWER: A
Level of Difficulty (1-3): 1 Page: 348
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
19. Which activity has been associated with higher rates of anorexia among its participants for developing
anorexia nervosa?
a. Attending college c. Instrumental music
b. Modeling d. Singing
ANSWER: B
Level of Difficulty (1-3): 1 Page: 348
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
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698
20. The decreased food consumption noted with anorexia can lead to_________.
a. overproductive oil glands and acne
b. increased thirst
c. obstruction or paralysis of the bowels or intestines
d. testosterone increases in females resulting in facial hair growth.
ANSWER: C
Level of Difficulty (1-3): 1 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 1 Page: 348
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
22. The rate of suicide attempts in young women with anorexia nervosa is _____that of young women in
the general population.
a. about the same as
b. much lower than
c. much higher than
d. difficult to determine when compared to
ANSWER: C
Level of Difficulty (1-3): 2 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
23. Binge-eating/purging type and restrictive type are two classifications of ______.
a. bulimia nervosa c. binge-eating disorder
b. anorexia nervosa d. binge-purge disorder
ANSWER: B
Level of Difficulty (1-3): 1 Page: 348
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
ANSWER: A
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699
Level of Difficulty (1-3): 2 Page: 348
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
25. Annette suffers from recurrent episodes of gorging on large quantities of food followed by purging
through self-induced vomiting in order to prevent gaining weight. Although her weight is well below
normal to the point that others see her as “skin and bones,” she worries excessively about being fat. She
also has impulse control problems in other areas of her life. She is suffering from ______.
a. binge-eating/purging anorexia c. bulimia nervosa
b. restrictive anorexia d. binge-eating disorder
ANSWER: A
Level of Difficulty (1-3): 3 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Applied
26. Lois has an intense fear of being overweight. Although she talks a lot about food, she hardly eats at all.
She also has a distorted body image in which she sees herself as "fat" despite the fact that her physician
says she is 20% underweight for her height, age, and bone structure. She exercises excessively and still
rigidly and obsessively diets despite being 15 pounds lighter than her original dieting goal. She is
suffering from ______.
a. binge-eating/purging anorexia nervosa c. bulimia nervosa
b. restrictive anorexia nervosa d. binge-eating disorder
ANSWER: B
Level of Difficulty (1-3): 3 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Applied
27. Which of the following characteristics are noted in people with the binge-eating/purging type of
anorexia nervosa?
a. A consistently cautious, conservative lifestyle
b. Careful control of eating
c. Obsessively controlled appearance
d. Substance abuse and/or stealing
ANSWER: D
Level of Difficulty (1-3): 3 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
28. People with anorexia nervosa may lose as much as ______ percent of their original weight.
a. 25 c. 45
b. 35 d. 55
ANSWER: B
Level of Difficulty (1-3): 3 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
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700
29. The absence or suppression of menstruation is called ______.
a. dysmenorrhea c. hypermenorrhea
b. hypomenorrhea d. amenorrhea
ANSWER: D
Level of Difficulty (1-3): 2 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
30. All of the following are medical complications that can result from anorexia nervosa EXCEPT ______.
a. osteoporosis c. amenorrhea
b. high blood pressure d. heart irregularities
ANSWER: B
Level of Difficulty (1-3): 2 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
ANSWER: A
Level of Difficulty (1-3): 1 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
32. You meet a slender girl with a yellow hue to her rather dry, cracking skin; she has fine, downy hair.
With this appearance, you suspect that she may have ______.
a. anorexia nervosa c. binge eating disorder
b. bulimia nervosa d. ulcers
ANSWER: A
Level of Difficulty (1-3): 1 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Applied
33. Bous, the Greek word which is the root for bulimia, means ______.
a. hunger c. gigantic
b. ox d. nerves
ANSWER: B
Level of Difficulty (1-3): 3 Page: 349
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Factual
34. Diane suffers from recurrent episodes of gorging on large quantities of food followed by purging
through self-induced vomiting in order to prevent gaining weight. Although her weight is normal, and
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701
her ideal weight is relatively normal, she worries excessively about looking or becoming fat. She is
suffering from ______.
a. amenorrhea c. bulimia nervosa
b. anorexia nervosa d. cytomegalovirus
ANSWER: C
Level of Difficulty (1-3): 1 Page: 349
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Applied
35. Hayley suffers from recurrent episodes of gorging on large quantities of food followed by purging
through self-induced vomiting in order to prevent gaining weight. Although her weight is normal, and
her ideal weight is relatively normal, she worries excessively about looking or becoming fat. She is
suffering from ______.
a. binge-eating/purging anorexia c. bulimia nervosa
b. restrictive anorexia d. binge-eating disorder
ANSWER: C
Level of Difficulty (1-3): 2 Page: 349
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Applied
36. The average age of onset for bulimia nervosa is the ______.
a. childhood to preteens c. late adolescence to early adulthood
b. early to mid-teens d. early adulthood to mid-adulthood.
ANSWER: C
Level of Difficulty (1-3):2 Page: 350
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Factual
37. Which of the following is one of the DSM diagnostic criteria for bulimia nervosa?
a. Emphasis on a healthy appearing body.
b. Regular purging by means of laxatives, fasting, self-induced vomiting, or strenuous exercise.
c. In females, the absence of three or more consecutive menstrual periods.
d. Nonchalance about weight and body appearance.
ANSWER: B
Level of Difficulty (1-3): 2 Page: 349
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 2 Page: 350
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702
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 2 Page: 350
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Factual
40. The available evidence shows ______between socioeconomic status and eating disorders.
a. a strong relationship
b. no strong linkage
c. inconclusive evidence
d. that when ethnicity is also considered, there is a strong relationship
ANSWER: B
Level of Difficulty (1-3): 1 Page: 350
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Factual
41. A person with bulimia nervosa who repeatedly vomits or abuses laxatives and diuretics puts themselves
at risk for ______.
a. diabetes c. cancer
b. sudden death d. ulcers
ANSWER: B
Level of Difficulty (1-3): 2 Page: 350
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 3 Page: 350
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Factual
43. Probably the most important factors in the development of eating disorders such as anorexia nervosa
and bulimia nervosa are ______.
a. genetic factors that predispose many women to these disorders
b. social pressures and expectancies placed on young women to base their self-worth on their
appearance
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c. personal efforts to overcome real problems with eating too much and getting fat
d. improperly learned eating behaviors during infancy and early childhood
ANSWER: B
Level of Difficulty (1-3): 1 Page: 351
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
44. Among college women, 1 in ______ were found to feel embarrassed when buying a single chocolate
bar.
a. 3 c. 7
b. 5 d. 9
ANSWER: C
Level of Difficulty (1-3): 3 Page: 351
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
45. Girls as young as ______ express more dissatisfaction with their bodies than do boys.
a. 8 c. 11
b. 10 d. 12
ANSWER: A
Level of Difficulty (1-3): 3 Page: 351
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
46. A standard measure of overweight and obesity that takes both body weight and height into account is
the _____.
a. WAIS c. WISC
b. BMI d. BMW
ANSWER: B
Level of Difficulty (1-3): 1 Page: 351
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 3 Page: 352
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
48. ______ out of five young women in the United States have gone on a diet by the time they reach their
18th birthdays.
a. One c. Three
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b. Two d. Four
ANSWER: D
Level of Difficulty (1-3): 2 Page: 352
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
49. A study of the mass body index of ______ between 1920 and 1990 shows a clear trend towards the
idealization of thinness in women.
a. winners of the Oscar for best actress
b. winners of the Olympic gold medal in diving
c. first ladies of the United States
d. Miss America pageant winners
ANSWER: D
Level of Difficulty (1-3): 1 Page: 351
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
ANSWER: A
Level of Difficulty (1-3): 2 Page: 354
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
51. Women with bulimia nervosa are more likely than other women to have experienced ______.
a. date or acquaintance rape c. abrupt weaning from the breast or bottle
b. sexual harassment d. childhood sexual or physical abuse
ANSWER: D
Level of Difficulty (1-3): 3 Page: 354
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
52. Which of the following statements is true regarding women with bulimia nervosa?
a. They have flexible attitudes.
b. They never dieted prior to the onset of bulimia.
c. They have “black and white” thinking.
d. They were of normal weight prior to developing bulimia.
ANSWER: C
Level of Difficulty (1-3): 2 Page: 355
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
53. Purging is ______ because it produces relief from anxiety over gaining weight.
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a. classically conditioned c. modeled
b. positively reinforced d. negatively reinforced
ANSWER: D
Level of Difficulty (1-3): 3 Page: 354
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Conceptual
54. Women with bulimia nervosa tend to be both perfectionistic and ______ in their thinking patterns.
a. moderate c. conservative
b. dichotomous d. liberal
ANSWER: B
Level of Difficulty (1-3): 2 Page: 355
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Conceptual
ANSWER: C
Level of Difficulty (1-3): 2 Page: 355
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Conceptual
56. Families of young women with eating disorders tend to be ______ supportive and nurturing and
_______ overprotective than those of young women without eating disorders.
a. less, less c. more, less
b. less, more d. more, more
ANSWER: B
Level of Difficulty (1-3): 2 Page: 355
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Conceptual
ANSWER: C
Level of Difficulty (1-3): 2 Page: 356
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Conceptual
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58. The text refers to an article, “______ and Fat as a Feminist Issue,” in discussing a controversy about
societal causes of eating disorders.
a. Princess Diana c. Barbie
b. Mary Kate Olson d. Britney Spears
ANSWER: C
Level of Difficulty (1-3): 1 Page: 353
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
59. The Barbie doll was designed to fit an idealized ______ fantasy of the female form.
a. childhood c. 16th century
b. feminine d. male
ANSWER: D
Level of Difficulty (1-3): 1 Page: 353
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
60. Interest in the biological underpinnings of eating disorders, especially bulimia nervosa, has largely
focused on the role of the neurotransmitter ______.
a. serotonin c. epinephrine
b. dopamine d. acetylcholine
ANSWER: A
Level of Difficulty (1-3): 2 Page: 356
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
61. Prozac and Zoloft appear to ______ episodes in patients with bulimia nervosa.
a. decrease binge-eating c. decrease purging
b. increase binge-eating d. increase purging
ANSWER: A
Level of Difficulty (1-3): 2 Page: 356
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
62. Studies of twins have found ______ for a genetic component to anorexia nervosa and ______ for a
genetic component to bulimia nervosa.
a. no evidence, no evidence c. evidence, no support
b. support, no evidence d. evidence, evidence
ANSWER: D
Level of Difficulty (1-3): 2 Page: 356
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
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63. The diathesis stress model views eating disorders as primarily ______.
a. a type of weight phobia
b. an effort to remain a prepubescent child
c. genetically inherited tendencies that interact with family and social pressures
d. a method of punishing parents for feelings of loneliness and alienation they experience in the
home
ANSWER: C
Level of Difficulty (1-3): 2 Page: 356
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Conceptual
64. Emily is a college freshman with anorexia nervosa whose weight has been dropping to dangerous, even
life-threatening levels. The treatment that Emily needs is ______.
a. cognitive behavioral c. interpersonal therapy
b. behavioral d. hospitalization
ANSWER: D
Level of Difficulty (1-3): 2 Page: 357
Topic: Eating Disorders
Learning Objective: 9.4
Skill: Applied
65. The specific behavioral techniques widely used for successfully reducing episodes of self-induced
vomiting in cases of bulimia nervosa are ______.
a. exposure with response prevention
b. chain-breaking and response cost
c. negative reinforcement and cue-controlled relaxation
d. systematic desensitization and response cost
ANSWER: A
Level of Difficulty (1-3): 3 Page: 357
Topic: Eating Disorders
Learning Objective: 9.4
Skill: Factual
66. ______ therapy is an alternative for treating bulimia when cognitive-behavioral treatment fails.
a. Psychoanalytic c. Behavioral
b. Interpersonal d. Person-centered
ANSWER: B
Level of Difficulty (1-3): 3 Page: 358
Topic: Eating Disorders
Learning Objective: 9.4
Skill: Factual
67. Antidepressant drugs such as Prozac have shown _______ results in treating bulimia nervosa and
_______ results in treating anorexia nervosa
a. effective; effective c. mixed; effective
b. effective; mixed d. mixed; mixed
ANSWER: B
Level of Difficulty (1-3): 3 Page: 358
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Topic: Eating Disorders
Learning Objective: 9.4
Skill: Factual
ANSWER: A
Level of Difficulty (1-3): 2 Page: 359
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
ANSWER: A
Level of Difficulty (1-3): 3 Page: 360
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 3 Page: 360
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 3 Page: 360
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
72. One in ______ American children and teens are either overweight or obese.
a. two c. five
b. three d. seven
ANSWER: B
Level of Difficulty (1-3): 3 Page: 360
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
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73. Obesity accounts for an estimated ______ excess deaths in the United States each year.
a. 160,000 c. 360,000
b. 260,000 d. 560,000
ANSWER: A
Level of Difficulty (1-3):3 Page: 360
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
74. Experts estimate that obesity decreases a person life span by ______ years.
a. 2-3 c. 10-12
b. 6-7 d. 16-18
ANSWER: B
Level of Difficulty (1-3): 3 Page: 360
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
75. Investigators suspect _____________ over the past 20 years is more to blame for America’s expanding
waistline than consuming more calories.
a. increase ingestion of animal hormones c. more televisions and computers
b. misinformation about diet d. reduced physical activity
ANSWER: D
Level of Difficulty (1-3): 3 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 3 Page: 360
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
77. As dieters lose large amounts of weight and attempt to keep it off, their bodies ______.
a. stop burning calories
b. burn fewer calories than their pre-diet rate
c. continue to burn calories at their pre-diet rate
d. burn more calories than their pre-diet rate
ANSWER: B
Level of Difficulty (1-3): 2 Page: 360
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
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78. When you lose weight beyond a genetically determined set point, your body responds by ______.
a. slowing down your metabolism c. increasing your metabolism
b. stabilizing your metabolism d. causing your metabolism to fluctuate
ANSWER: A
Level of Difficulty (1-3): 2 Page: 360
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
79. The slowing of metabolism associated with dieting could be offset by ________.
a. using diet pills as a supplement c. a vigorous exercise program
b. periodic indulgences of desserts d. multivitamins
ANSWER: C
Level of Difficulty (1-3): 2 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 1 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 1 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
82. The brain structure that signals when we are hungry is the ______.
a. pituitary gland c. hippocampus
b. thalamus d. hypothalamus
ANSWER: D
Level of Difficulty (1-3): 2 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
711
levels of food intake.
c. Adipose tissue metabolizes food more rapidly than muscle tissue.
d. Dieting eliminates large numbers of fat cells.
ANSWER: B
Level of Difficulty (1-3): 2 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
84. A “big gulp” 64-ounce non-diet soft drink contains ______ calories.
a. 400 c. 700
b. 550 d. 800
ANSWER: D
Level of Difficulty (1-3): 2 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
85. After Santa Claus, the character recognized by most children is ______.
a. Barbie c. The Rock
b. Ronald McDonald d. Big Bird
ANSWER: B
Level of Difficulty (1-3): 1 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
86. According to psychodynamic theory, obese people are fixated in the ______ stage.
a. oral c. phallic
b. anal d. genital
ANSWER: A
Level of Difficulty (1-3): 1 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Conceptual
87. Psychodynamic theorists would expect orally fixated people to have specific conflicts concerning
______.
a. endurance c. achievement
b. dreams d. independence
ANSWER: D
Level of Difficulty (1-3):2 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Conceptual
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ANSWER: C
Level of Difficulty (1-3): 2 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Conceptual
ANSWER: A
Level of Difficulty (1-3): 2 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
90. Albert weighs about forty percent more than his ideal body weight. He is most likely to be in which
socioeconomic group?
a. upper class c. lower-middle class
b. upper-middle class d. lower class
ANSWER: D
Level of Difficulty (1-3): 2 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Applied
ANSWER: B
Level of Difficulty (1-3): 3 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Applied
ANSWER: C
Level of Difficulty (1-3): 3 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Applied
713
ANSWER: D
Level of Difficulty (1-3): 2 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
94. What is the prevalence of obesity in Japanese American men compared to men living in Japan?
a. Equal
b. Two to three times higher in Japanese Americans
c. Two to three times higher in men living in Japan
d. Only 1.5 times higher in men living in Japan if sumo wrestlers are excluded
ANSWER: B
Level of Difficulty (1-3): 2 Page: 362
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
95. Which of the following groups of women show the lowest rates of obesity?
a. Non-Hispanic White women
b. African American women
c. Hispanic American women
d. There are no differences in rates of obesity among non-Hispanic White women, African American
women, and Hispanic-American women.
ANSWER: A
Level of Difficulty (1-3): 2 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
96. Which of the following groups of women show the highest rates of obesity?
a. non-Hispanic White women
b. African American women
c. Hispanic American women
d. There are no differences in rates of obesity among non-Hispanic White women, African American
women, and Hispanic-American women.
ANSWER: B
Level of Difficulty (1-3): 2 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
97. What is the percentage of people who regain weight they lose after dieting?
a. 40 c. 70
b. 50 d. 90
ANSWER: D
Level of Difficulty (1-3): 2 Page: 361
Topic: A Closer Look: Obesity: A National Epidemic
Learning Objective: 9.5
Skill: Factual
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714
98. The therapeutic approach MOST supported by research in treating binge-eating disorder is ______
therapy.
a. traditional psychoanalysis c. cognitive-behavioral
b. family-ecological d. sociocultural
ANSWER: C
Level of Difficulty (1-3): 2 Page: 359
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
99. People who have recurrent eating binges but do not purge most likely have ______.
a. anorexia nervosa c. binge-eating disorder
b. bulimia nervosa d. binge-purge eating disorder
ANSWER: C
Level of Difficulty (1-3): 1 Page: 358
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
100. A person who has a binge-eating disorder may demonstrate which of the following?
a. A history of unsuccessful attempts at losing weight
b. A history of childhood sexual abuse
c. Evidence of binge-eating once a month
d. A history of laxative abuse
ANSWER: C
Level of Difficulty (1-3): 2 Page: 359
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
102. Phyllis is 28 years old. She is obese and describes herself as a “compulsive overeater.” She has a
history of depression and unsuccessful attempts at weight loss. While she has repeated episodes of
binge eating, she does not purge herself of the excess food afterwards. Her symptoms sound most
typical of someone with ______.
a. binge-eating/purging anorexia c. bulimia nervosa
b. restrictive anorexia d. binge-eating disorder
ANSWER: D
Level of Difficulty (1-3): 2 Page: 358
Topic: Eating Disorders
Learning Objective: 9.5
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Skill: Applied
ANSWER: C
Level of Difficulty (1-3): 2 Page: 358
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
104. Cognitive-behavioral techniques and ______ have been successful in treating binge-eating disorder.
a. antidepressants c. humanistic therapy
b. psychodynamic therapy d. family therapy
ANSWER: A
Level of Difficulty (1-3): 2 Page: 359
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
105. The DSM-5 uses use the term sleep-wake disorders instead of the earlier DSM diagnostic term, sleep
disorders, in order to underscore ____________.
a. that sleep problems affect daytime alertness and functioning
b. the problems identified in this classification occur during sleep or at the threshold between sleep
and wakefulness
c. the need to understand the balance of circadian rhythms
d. how important good sleep is to psychological adjustment
ANSWER: B
Level of Difficulty (1-3): 2 Page: 364
Topic: Sleep-Wake Disorders
Learning Objective: 9.6
Skill: Factual
106. Andy went to a sleep center where he spent the night wired to devices that tracked his
physiological (brain waves, heart, and respiration rates) responses while he slept. The assessment Andy
underwent is called a _______________.
a. polysomnographic (PSG) recording
b. an electroencephalocardiogram sleep study
c. a sleep stress assessment
d. a delta wave assessment
ANSWER: A
Level of Difficulty (1-3): 2 Page: 364
Topic: Sleep-Wake Disorders
Learning Objective: 9.6
Skill: Applied
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ANSWER: C
Level of Difficulty (1-3): 2 Page: 364
Topic: Sleep-Wake Disorders
Learning Objective: 9.6
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 1 Page: 364
Topic: Sleep-Wake Disorders
Learning Objective: 9.6
Skill: Factual
109. Sleep problems have a major economic impact, accounting for more than ________ sick days among
the nation’s workers.
a. 100 million
b. 100,000
c. 250 million
d. 500 million
ANSWER: C
Level of Difficulty (1-3): 2 Page: 364
Topic: Sleep-Wake Disorders
Learning Objective: 9.6
Skill: Factual
110. People with ______ have difficulty falling asleep or remaining asleep, or achieving restorative sleep.
a. insomnia disorder c. cataplexy
b. narcolepsy d. primary hypersomnia
ANSWER: A
Level of Difficulty (1-3): 2 Page: 364
Topic: Sleep-Wake Disorders
Learning Objective: 9.6
Skill: Factual
111. A sleep disorder characterized by chronic or persistent insomnia, not caused by another psychological
or physical disorder or by the effects of drugs or medication, is ______.
a. primary hypersomnia c. insomnia disorder
b. circadian-rhythm sleep disorder d. cataplexy
ANSWER: C
Level of Difficulty (1-3): 1 Page: 364
Topic: Sleep-Wake Disorders
Learning Objective: 9.6
Skill: Factual
112. In terms of types of sleep problems, older people are more likely to complain of________ while
younger people complain more about____________.
a. waking frequently during the night; taking too long to get to sleep
b. taking too long to get to sleep; waking frequently during the night
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717
c. aches and pains while they sleep; having too much wakeful energy at bedtime
d. needing to go to the bathroom during the night; sleeping too long and too soundly
ANSWER: A
Level of Difficulty (1-3): 3 Page: 365
Topic: Sleep-Wake Disorders
Learning Objective: 9.6
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 2 Page: 364
Topic: Sleep-Wake Disorders
Learning Objective: 9.6
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 2 Page: 365
Topic: Sleep-Wake Disorders
Learning Objective: 9.6
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 2 Page: 364
Topic: Sleep-Wake Disorders
Learning Objective: 9.6
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 2 Page: 365
Topic: Sleep-Wake Disorders
Learning Objective: 9.6
Skill: Conceptual
117. A pattern of excessive sleepiness during the day that continues for a period of a month or longer is
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718
called ______.
a. sleep apnea c. cataplexy
b. narcolepsy d. hypersomnolence disorder
ANSWER: D
Level of Difficulty (1-3): 2 Page: 366
Learning Objective: 9.7
Topic: Sleep-Wake Disorders
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 2 Page: 366
Topic: Sleep-Wake Disorders
Learning Objective: 9.7
Skill: Factual
ANSWER: A
Level of Difficulty (1-3): 3 Page: 366
Topic: Sleep-Wake Disorders
Learning Objective: 9.7
Skill: Factual
120. A disorder in which people suddenly fall asleep without warning at various times during the day is
called ______.
a. primary hypersomnia c. cataplexy
b. apnea d. narcolepsy
ANSWER: D
Level of Difficulty (1-3): 2 Page: 366
Topic: Sleep-Wake Disorders
Learning Objective: 9.8
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 2 Page: 366
Topic: Sleep-Wake Disorders
Learning Objective: 9.8
Skill: Factual
122. Narcolepsy is diagnosed when attacks occur for a period of ______ or longer.
a. 3 months c. 9 months
b. 6 months d. 12 months
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ANSWER: A
Level of Difficulty (1-3): 3 Page: 366
Topic: Sleep-Wake Disorders
Learning Objective: 9.8
Skill: Factual
123. People with narcolepsy go immediately into ______ sleep during a narcoleptic attack.
a. stage 1 c. stage 4
b. stage 2 d. REM sleep
ANSWER: D
Level of Difficulty (1-3): 1 Page: 366
Topic: Sleep-Wake Disorders
Learning Objective: 9.8
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 2 Page: 366
Topic: Sleep-Wake Disorders
Learning Objective: 9.8
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 2 Page: 366
Topic: Sleep-Wake Disorders
Learning Objective: 9.8
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 2 Page: 366
Topic: Sleep-Wake Disorders
Learning Objective: 9.8
Skill: Factual
127. People afflicted with narcolepsy often experience which of the following?
a. High blood pressure c. Sleep paralysis
b. Obstructive sleep apnea d. Auditory hallucinations
ANSWER: C
Level of Difficulty (1-3): 2 Page: 367
Topic: Sleep-Wake Disorders
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720
Learning Objective: 9.8
Skill: Factual
128. Narcolepsy affects about ______ out of 2,000 people in the general population.
a. 1 c. 16
b. 2 d. 32
ANSWER: A
Level of Difficulty (1-3): 3 Page: 367
Topic: Sleep-Wake Disorders
Learning Objective: 9.8
Skill: Factual
ANSWER: A
Level of Difficulty (1-3): 2 Page: 367
Topic: Sleep-Wake Disorders
Learning Objective: 9.8
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 2 Page: 367
Topic: Sleep-Wake Disorders
Learning Objective: 9.8
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 2 Page: 368
Topic: Sleep-Wake Disorders
Learning Objective: 9.9
Skill: Factual
132. A disorder involving complete or partial obstruction of breathing during sleep is ______.
a. narcolepsy c. obstructive sleep apnea
b. cataplexy d. hypersomnia
ANSWER: C
Level of Difficulty (1-3): 1 Page: 368
Topic: Sleep-Wake Disorders
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721
Learning Objective: 9.9
Skill: Factual
133. Which of the following people is MOST likely to have obstructive sleep apnea?
a. A 25-year-old male c. A 45-year-old male
b. A 25-year-old female d. A 45-year-old female
ANSWER: C
Level of Difficulty (1-3): 2 Page: 368
Topic: Sleep-Wake Disorders
Learning Objective: 9.9
Skill: Applied
134. Which of the following people is MOST likely to have obstructive sleep apnea?
a. A normal weight male c. An obese male
b. A normal weight female d. An obese female
ANSWER: C
Level of Difficulty (1-3): 1 Page: 368
Topic: Sleep-Wake Disorders
Learning Objective: 9.9
Skill: Applied
ANSWER: B
Level of Difficulty (1-3): 1 Page: 368
Topic: Sleep-Wake Disorders
Learning Objective: 9.9
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 2 Page: 368
Topic: Sleep-Wake Disorders
Learning Objective: 9.9
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 2 Page: 369
Topic: Sleep-Wake Disorders
Learning Objective: 9.10
Skill: Factual
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722
138. A 24-hour rhythm is known as a(n) ______ rhythm.
a. ultradian c. circadian
b. infradian d. meridian
ANSWER: C
Level of Difficulty (1-3): 2 Page: 369
Topic: Sleep-Wake Disorders
Learning Objective: 9.10
Skill: Factual
139. ______ sleep-wake disorder involves a mismatch between the sleep schedule demands of the person's
environment and the person's internal sleep-wake cycle.
a. Circadian rhythm c. Narcoleptic
b. Obstructive apnea d. Night terrors
ANSWER: A
Level of Difficulty (1-3): 1 Page: 369
Topic: Sleep-Wake Disorders
Learning Objective: 9.10
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 2 Page: 369
Topic: Sleep-Wake Disorders
Learning Objective: 9.10
Skill: Factual
141. Disorders involving abnormal behaviors or physiological events taking place during sleep or during the
threshold between wakefulness and sleep are called ______.
a. parasomnias c. endosomnias
b. mesosomnias d. dyssomnias
ANSWER: A
Level of Difficulty (1-3): 2 Page: 369
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 3 Page: 369
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
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143. Intense episodes, usually among children, of sitting up during deep sleep, appearing frightened,
showing signs of extreme arousal, talking, thrashing wildly, but remaining asleep, and remembering
nothing of the episode the next morning are typical of ______.
a. nightmare disorder c. circadian rhythm sleep disorder
b. sleep terror disorder d. sleepwalking disorder
ANSWER: B
Level of Difficulty (1-3): 1 Page: 370
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
144. Sleep terrors are ______ intense than nightmares and usually occur in ______ sleep.
a. less; non-REM c. less; REM
b. more; non-REM d. more; REM
ANSWER: B
Level of Difficulty (1-3): 2 Page: 370
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
145. Sleep terror disorder affects more ______ and is usually outgrown during ______.
a. boys; childhood c. boys; adolescence
b. girls; childhood d. girls; adolescence
ANSWER: C
Level of Difficulty (1-3): 2 Page: 370
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
146. Which of the following people is most likely to have sleep terror disorder?
a. A male child c. A male adult
b. A female child d. A female adult
ANSWER: A
Level of Difficulty (1-3): 2 Page: 370
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Applied
147. Sleep terror disorder afflicts about ______ percent of 18-month old children.
a. 1 c. 11
b. 6 d. 37
ANSWER: D
Level of Difficulty (1-3): 3 Page: 370
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
724
a. 2 c. 10
b. 5 d. 20
ANSWER: A
Level of Difficulty (1-3): 3 Page: 370
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
149. Repeated episodes in which a sleeper arises from bed and walks around the house while remaining fully
asleep are typical of ______.
a. nightmare disorder c. circadian rhythm sleep disorder
b. sleep terror disorder d. sleepwalking disorder
ANSWER: D
Level of Difficulty (1-3): 1 Page: 370
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 2 Page: 370
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 2 Page: 371
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
ANSWER: A
Level of Difficulty (1-3): 3 Page: 370
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
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725
153. ______ involves repeated episodes of acting out one’s dreams during REM sleep in the form of
vocalizing parts of the dream or thrashing about.
a. Nightmare disorder c. Rapid eye movement sleep behavior disorder
b. Sleep terror disorder d. Sleepwalking disorder
ANSWER: C
Level of Difficulty (1-3): 1 Page: 371
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
154. ______ involves recurrent awakenings from sleep because of frightening dreams.
a. Nightmare disorder c. Circadian rhythm sleep disorder
b. Sleep terror disorder d. Sleepwalking disorder
ANSWER: A
Level of Difficulty (1-3): 1 Page: 371
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
155. ______ of the adult population experiences intense nightmares that could be diagnosed as nightmare
disorder.
a. It is unknown as to what percentage c. Ten percent
b. Less than one percent d. Five percent
ANSWER: A
Level of Difficulty (1-3): 2 Page: 371
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 1 Page: 371
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
ANSWER: C
Level of Difficulty (1-3): 1 Page: 371
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
726
a. stage 1 c. stage 4
b. stage 2 d. REM
ANSWER: D
Level of Difficulty (1-3): 1 Page: 371
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
159. REM sleep periods become ______ and dreams become ______ intense during the latter half of sleep.
a. shorter; less c. shorter; more
b. longer; less d. longer; more
ANSWER: D
Level of Difficulty (1-3): 2 Page: 371
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
160. The most common method of treating sleep disorders in the United States is through ______.
a. behavior modification techniques c. sleep medications
b. psychosurgical techniques d. stress-reduction techniques
ANSWER: C
Level of Difficulty (1-3): 2 Page: 371
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
161. Sleep medications used to combat sleep disorders are most often ______.
a. antianxiety drugs c. major tranquilizers
b. antidepressant drugs d. analgesics
ANSWER: A
Level of Difficulty (1-3): 3 Page: 372
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 3 Page: 372
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
163. Research has found that when used for the short-term treatment of insomnia, sleep medications do
which of the following?
a. Increase the amount of REM sleep
b. Increase dopamine production in the brain
c. Increase respiration rate
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d. Increase the total length of sleep
ANSWER: D
Level of Difficulty (1-3): 2 Page: 372
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
164. Which of the following is a problem associated with the use of tranquilizers to combat insomnia?
a. Tranquilizers tend to increase REM sleep.
b. Tranquilizers may reduce the amount of GABA available in the brain.
c. Tranquilizers can cause night sweats.
d. Tranquilizers can result in rebound insomnia following discontinuation of the drug.
ANSWER: D
Level of Difficulty (1-3): 2 Page: 372
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
165. Regular use of drugs such as benzodiazepines to combat insomnia lead to ______.
a. neither tolerance nor dependence c. dependence, but not tolerance
b. tolerance, but not dependence d. tolerance and dependence
ANSWER: D
Level of Difficulty (1-3): 2 Page: 372
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
ANSWER: D
Level of Difficulty (1-3): 2 Page: 372
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
ANSWER: B
Level of Difficulty (1-3): 2 Page: 372
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
168. Psychological approaches to treating sleep disorders have been largely limited to treating ______.
a. primary hypersomnia c. insomnia disorder (primary insomnia)
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b. sleepwalking disorder d. night terror disorder
ANSWER: C
Level of Difficulty (1-3): 2 Page: 373
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
169. The type of psychological approach which has become predominant in the treatment of sleep disorders
is ______.
a. social learning therapy c. psychoanalysis
b. cognitive-behavior therapy d. humanistic therapy
ANSWER: B
Level of Difficulty (1-3): 2 Page: 373
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
170. The psychological intervention for primary insomnia that has been used to treat it most successfully is
______ therapy.
a. psychodynamic c. cognitive-behavioral
b. humanistic d. Gestalt
ANSWER: C
Level of Difficulty (1-3): 2 Page: 373
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
171. A behavioral technique for combating insomnia that involves changing the environment associated with
sleeping is known as ______.
a. rational restructuring c. aversive conditioning
b. response cost d. stimulus control
ANSWER: D
Level of Difficulty (1-3): 2 Page: 373
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
172. To combat her insomnia, Nichole decides to stop using her bed for any other activities (such as reading,
eating, or tossing and turning, etc.). From now on she will use it only for sleeping, and she will limit the
time she spends in bed trying to fall asleep to no more than 10 to 20 minutes at a time. Her approach is
typical of ______.
a. rational restructuring c. aversive conditioning
b. response cost d. stimulus control
ANSWER: D
Level of Difficulty (1-3): 2 Page: 373
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Applied
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173. A cognitive technique for substituting logical, sensible alternatives for self-defeating, maladaptive
thoughts or beliefs is ______.
a. rational restructuring c. aversive conditioning
b. response cost d. stimulus control
ANSWER: A
Level of Difficulty (1-3): 2 Page: 373
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Conceptual
174. Which of the following is a recommended technique to help you fall asleep better at night?
a. Go to bed only when you feel sleepy.
b. Drink several glasses of wine.
c. Exercise late in the evening before bedtime.
d. Watch TV or read in bed.
ANSWER: A
Level of Difficulty (1-3): 2 Page: 374
Topic: A Closer Look: To Sleep, Perchance to Dream
Learning Objective: 9.12
Skill: Factual
True-False Questions
175. In a nation of plenty, some people deliberately starve themselves — sometimes to death.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
176. People are more likely to deliberately starve themselves to death in third-world countries than first-
world countries.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
177. Anorexia nervosa and bulimia nervosa are becoming increasingly rare in the United States.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
178. Over the United States’ recent history, the percentage of its citizens with eating disorders has steadily
decreased.
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730
ANSWER: F
Level of Difficulty (1-3): 1 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 1 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
180. Anorexia nervosa is about as common in the U.S. as bulimia nervosa is.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 346
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 1 Page: 347
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 1 Page: 347
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
183. Though others see them as “skin and bones,” young women with anorexia still see themselves as too
fat.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 347
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
184. The addition of body fat associated with puberty is natural in early adolescence.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 348
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
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731
185. Individuals with the binge eating/purging type of anorexia tend to have problems with impulse control.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
186. Cardiac problems with anorexia can include high blood pressure.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
187. One of the medical problems associated with anorexia is paralysis of the bowels or intestines.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
188. Rates of suicide in individuals suffering from anorexia nervosa are eight times higher than the general
population.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
189. A person suffering from anorexia nervosa may lose as much as 35% of her body weight.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 349
Topic: Eating Disorders
Learning Objective: 9.1
Skill: Factual
190. A person with bulimia typically relies on strenuous exercise as a strategy for purging.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 349
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Factual
191. A DSM-5 diagnosis of bulimia nervosa requires that binge-eating episodes occur at an average
frequency of at least once a week for 12 months.
ANSWER: F
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732
Level of Difficulty (1-3): 1 Page: 349
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 1 Page: 349
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Factual
193. Individuals with bulimia nervosa are about 20% below healthy weight ranges.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 349
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Factual
194. Bulimia nervosa typically affects women in late adolescence or early adulthood.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 350
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 1 Page: 350
Topic: Eating Disorders
Learning Objective: 9.2
Skill: Factual
196. Sociocultural theorists believe that media images of ultrathin models and performers increase body
dissatisfaction and may lead to disordered eating behavior
ANSWER: T
Level of Difficulty (1-3): 2 Page: 351
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 1 Page: 351
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
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733
198. BMI means Body Mass Index.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 351
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
199. Eating disorders are less common in non-Western countries that the United States.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 352
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
200. Investigators expect that the prevalence of eating disorders in young women of color will rise with
increased exposure to Eurocentric concepts of feminine beauty.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 352
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
201. People with anorexia nervosa may restrict their food intake in a misguided attempt to relieve upsetting
emotions by seeking mastery or control over their bodies.
ANSWER: T
Level of Difficulty (1-3): 3 Page: 354
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
202. Childhood sexual abuse is associated with an increased risk of developing bulimia.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 354
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
203. People who struggle with bulimia tend to think in dichotomous or “black or white” terms.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 355
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 2 Page: 356
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
734
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
205. Drugs used to treat depression may help curb bulimic binges.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 356
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
206. Genetics appears to play an important role in the development of eating disorders.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 356
Topic: Eating Disorders
Learning Objective: 9.3
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 2 Page: 357
Topic: Eating Disorders
Learning Objective: 9.4
Skill: Factual
208. Hospitalization is almost always necessary for the effective treatment of anorexia or bulimia.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 357
Topic: Eating Disorders
Learning Objective: 9.4
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 2 Page: 357
Topic: Eating Disorders
Learning Objective: 9.4
Skill: Factual
210. A combination of antidepressants and cognitive-behavior therapy has proven to be the ideal treatment
for bulimia.
ANSWER: F
Level of Difficulty (1-3): 3 Page: 358
Topic: Eating Disorders
Learning Objective: 9.4
Skill: Factual
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ANSWER: T
Level of Difficulty (1-3): 1 Page: 359
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
212. Obesity is one of the most common psychological disorders in the United States.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 359
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
213. Obesity is not a psychological disorder, but instead classified as a medical condition.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 359
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
214. Around the world, there are as many people overweight as underfed.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 360
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
215. As a result of all the money and effort spent on weight loss products and programs, America’s
collective waistlines are stabilizing.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 360
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
216. When you lose weight, your body starts putting the brakes on the rate at which it burns calories.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 360
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 2 Page: 361
Topic: Eating Disorders
Learning Objective: 9.5
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736
Skill: Factual
218. Obese people have more fat cells than people who are not obese.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 361
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
219. Poorer people exercise less regularly than more affluent people do.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 361
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 1 Page: 361
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 1 Page: 361
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
222. Most dieters eventually gain back the weight they lose.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 362
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 2 Page: 358
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
224. People with BED tend to be younger than those with anorexia or bulimia.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 358
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737
Topic: Eating Disorders
Learning Objective: 9.5
Skill: Factual
225. Many Americans commonly suffer from sleep attacks in which they suddenly fall asleep without
warning.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 364
Topic: Sleep-Wake Disorders
Learning Objective: 9.6
Skill: Factual
ANSWER: F
Level of Difficulty (1-3): 1 Page: 366
Topic: Sleep-Wake Disorders
Learning Objective: 9.7
Skill: Factual
227. Narcoleptic attacks are associated with an almost immediate transition from wakefulness to rapid eye
movement (REM) sleep.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 366
Topic: Sleep-Wake Disorders
Learning Objective: 9.8
Skill: Factual
228. Narcolepsy is often associated with cataplexy, a medical condition in which a person experiences
auditory hallucinations.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 366
Topic: Sleep-Wake Disorders
Learning Objective: 9.8
Skill: Factual
229. People with obstructive sleep apnea repeatedly fall asleep without warning.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 368
Topic: Sleep-Wake Disorders
Learning Objective: 9.9
Skill: Factual
230. Some people literally gasp for breath hundreds of times during sleep without realizing it.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 368
Topic: Sleep-Wake Disorders
Learning Objective: 9.9
Skill: Factual
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738
231. Circadian rhythm sleep-wake disorders involve a persistent disruption of the person’s natural sleep-
wake cycle.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 369
Topic: Sleep-Wake Disorders
Learning Objective: 9.10
Skill: Factual
232. Most people who have sleep terrors fall back to sleep and remember nothing of them when they
awaken.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 370
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
233. The population most likely to suffer from sleep terrors are older adults who have been exposed to
childhood trauma.
ANSWER: T
Level of Difficulty (1-3): 1 Page: 370
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
234. Persons with rapid eye movement sleep behavior disorder may suddenly kick or flail their arms,
potentially causing injuries to themselves or their bed partner.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 371
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
ANSWER: T
Level of Difficulty (1-3): 1 Page: 371
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
236. The real difference between a nightmare and a night terror is the heightened intensity of the dreams
occurring within the night terror.
ANSWER: F
Level of Difficulty (1-3): 3 Page: 371
Topic: Sleep-Wake Disorders
Learning Objective: 9.11
Skill: Factual
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739
237. The most common method for treating sleep disorders in the United States is hypnosis.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 371
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
238. Luckily, most sleep medications have a very low probability of producing any form of chemical
dependence.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 372
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
239. There is little evidence of long-term benefits of drug therapy for insomnia after the use of the drugs
ceases.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 372
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
240. Reliance on sleeping pills does nothing to resolve the underlying cause of the problem or help a person
learn more effective ways of coping.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 372
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
241. Psychological approaches have been successfully used to treat every major sleep disorder except
insomnia.
ANSWER: F
Level of Difficulty (1-3): 2 Page: 373
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
242. Stimulus control techniques strengthen the connection between the bed and sleep by restricting the
activities in bed as much as possible to sleeping.
ANSWER: T
Level of Difficulty (1-3): 2 Page: 373
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
243. Cognitive-behavioral therapy is typically used only as a last resort in treating insomnia.
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740
ANSWER: F
Level of Difficulty (1-3): 2 Page: 373
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
244. Exercising heavily just before bedtime can help eliminate insomnia.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 374
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
245. One of the steps the text mentions to develop healthier sleeping patterns is to drink a warm glass of
milk before going to bed.
ANSWER: F
Level of Difficulty (1-3): 1 Page: 374
Topic: Sleep-Wake Disorders
Learning Objective: 9.12
Skill: Factual
Essay Questions
246. Describe the features of anorexia and bulimia and the medical complications associated with each.
247. Discuss the causal factors involved with anorexia and bulimia.
248. State your opinion and the basis for your opinion on whether Barbie should be banned.
249. Discuss the treatment of anorexia and bulimia. What methods hold the most promise?
741
250. Describe the features of binge-eating disorder and how it differs from bulimia.
251. What factors contribute to the imbalance between energy intake and expenditure that underlies obesity?
252. Discuss socioeconomic differences in obesity and the possible reasons for those differences.
253. Describe the features of insomnia disorder, hypersomnolence disorder, narcolepsy, breathing-related
sleep disorder, and circadian rhythm sleep-wake disorder.
254. Describe the features of the major types of parasomnias: nightmare disorder, sleep terror disorder, and
sleepwalking disorder.
255. Discuss pharmacological and psychological treatments of sleep disorders. Detail the concerns
surrounding the use of sleep medications.
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
742
REVEL QUIZ QUESTIONS
EOC Q9.1
Sixteen-year-old Sarah is tall and weighs 78 pounds. She counts calories and exercises
continuously, and has a very rigid and controlled personality. With what type of anorexia
nervosa would Sarah most likely be diagnosed?
a) binge-eating
b) obsessive-compulsive
c) binge/purge
d) restricting
Answer: d
Learning Objective: 9.1 Describe the key features of anorexia nervosa.
Skill Level: Apply
Difficulty: Difficult
EOC Q9.2
Theresa is a normal weight for a girl her age and height, but she is obsessed with the idea that
she is too fat. She often goes without eating all day, and then in the middle of the night sneaks
into the kitchen and eats everything she can find. A typical binge might include an entire roasted
chicken with mashed potatoes and gravy, some bread, and a half gallon of ice cream. Afterward,
she always goes to the bathroom to throw up the food. Theresa most likely would be diagnosed
with __________.
a) anorexia nervosa
b) bulimia nervosa
c) pica
d) obsessive-compulsive disorder
Answer: b
Learning Objective: 9.2 Describe the key features of bulimia nervosa.
Skill Level: Apply
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
743
EOC Q9.3
a) food deprivation
b) sedentary tendencies
c) physical and sexual abuse
d) poor academic performance
Answer: c
Learning Objective: 9.3 Describe causal factors involved in anorexia nervosa and bulimia
nervosa.
Skill Level: Analyze
Difficulty: Moderate
EOC Q9.4
Stella, a woman with bulimia nervosa, is working with a therapist. Stella’s therapist has her eat
“forbidden” foods while she stands by to prevent vomiting until the urge to purge passes. The
therapist is using a __________ technique called __________.
Answer: c
Learning Objective: 9.4 Evaluate methods used to treat anorexia nervosa and bulimia nervosa.
Skill Level: Apply
Difficulty: Difficult
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
744
EOC Q9.5
Myra, age 40, developed obesity in her thirties and is now 60 pounds overweight. Myra is known
to consume several meat-lovers pizzas and breadsticks within the course of an evening. Although
she is depressed after eating so much, Myra does nothing to compensate for her large caloric
consumption. Myra has engaged in this pattern of behavior at least once a week for several
months. The diagnosis that best matches Myra’s behaviors is __________.
Answer: c
Learning Objective: 9.5 Describe the key features of binge-eating disorder and identify effective
treatments for binge-eating disorder.
Skill Level: Apply
Difficulty: Moderate
EOC Q9.6
Presently, about __________ children and teens in the United States are either overweight or
obese.
a) one in five
b) one in three
c) one in two
d) three out of five
Answer: b
Learning Objective: 9.5 Describe the key features of binge-eating disorder and identify effective
treatments for binge-eating disorder.
Skill Level: Remember
Difficulty: Easy
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745
EOC Q9.7
Insomnia must last for at least __________ months and occur at least __________ times a week
for a diagnosis of insomnia disorder.
a) 2; 3
b) 3; 3
c) 3; 5
d) 6; 5
Answer: b
Learning Objective: 9.6 Describe the key features of insomnia disorder.
Skill Level: Understand
Difficulty: Moderate
EOC Q9.8
Recent research suggests that in some cases of hypersomnia, there is an increase in the activity of
__________, a neurotransmitter in the brain that induces feelings of drowsiness.
a) GABA
b) glutamate
c) dopamine
d) epinephrine
Answer: a
Learning Objective: 9.7 Describe the key features of hypersomnolence disorder.
Skill Level: Analyze
Difficulty: Difficult
EOC Q9.9
Ramon suddenly loses muscular control during the course of a narcoleptic attack. This condition
is known as __________.
a) cataplexy
b) sleep paralysis
c) night terrors
d) sleep apnea
Answer: a
Learning Objective: 9.8 Describe the key features of narcolepsy.
Skill Level: Understand
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
746
EOC Q9.10
Jin has narcolepsy. Sometimes she is incapable of moving or talking when she first awakens in
the morning. This inability to move is referred to as __________.
a) sleep paralysis
b) sleep terror
c) hypnogogic trance
d) cataplexy
Answer: a
Learning Objective: 9.8 Describe the key features of narcolepsy.
Skill Level: Apply
Difficulty: Moderate
EOC Q9.11
Which of the following involves repeated episodes during sleep of snorting or gasping for breath,
pauses of breath, or abnormally shallow breathing?
Answer: b
Learning Objective: 9.9 Describe the key features of breathing-related sleep-wake disorders.
Skill Level: Understand
Difficulty: Moderate
EOC Q9.12
__________ frequently occurs when there is a mismatch between a person’s sleep schedule and a
person’s natural, internal sleep-wake cycle.
a) Sleepwalking
b) Circadian rhythm sleep-wake disorder
c) Cataplexy
d) Sleep paralysis
Answer: b
Learning Objective: 9.10 Describe the key features of circadian rhythm sleep-wake disorders.
Skill Level: Remember
Difficulty: Easy
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
747
EOC Q9.13
In cases of __________, muscle paralysis is absent or incomplete during REM sleep and the
person may suddenly kick or flail the arms, potentially causing injuries to the self or the bed
partner.
a) sleepwalking
b) nightmares
c) sleep terror
d) REM sleep behavior disorder
Answer: d
Learning Objective: 9.11 Identify the major types of parasomnias and describe their key features.
Skill Level: Analyze
Difficulty: Moderate
EOC Q9.14
The DSM-5 identifies the major types of parasomnias associated with non-REM sleep as
__________.
Answer: b
Learning Objective: 9.11 Identify the major types of parasomnias and describe their key features.
Skill Level: Remember
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
748
EOC Q9.15
Joel is working with a therapist for his insomnia. The therapist has instructed Joel to remove his
television from the bedroom and not to eat or read in the bed. The technique the therapist is using
with Joel is called __________.
a) stimulus control
b) environmental control
c) rational restructuring
d) sleep onset restructuring
Answer: a
Learning Objective: 9.12 Evaluate methods used to treat sleep-wake disorders and apply your
knowledge to identify more adaptive sleep habits.
Skill Level: Apply
Difficulty: Difficult
EOM Q9.1.1
a) bulimia nervosa
b) obesity
c) binge eating
d) anorexia nervosa
Answer: d
Learning Objective: 9.1 Describe the key features of anorexia nervosa.
Skill Level: Understand
Difficulty: Easy
EOM Q9.1.2
a) 9 and 11
b) 12 and 18
c) 19 and 20
d) 21 and 24
Answer: b
Learning Objective: 9.1 Describe the key features of anorexia nervosa.
Skill Level: Remember
Difficulty: Easy
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
749
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
750
EOM Q9.1.3
Which of the following characteristics has been shown to occur frequently in women with
bulimia nervosa?
Answer: a
Learning Objective: 9.2 Describe the key features of bulimia nervosa.
Skill Level: Understand
Difficulty: Moderate
EOM Q9.1.4
Answer: c
Learning Objective: 9.3 Describe causal factors involved in anorexia nervosa and bulimia
nervosa.
Skill Level: Analyze
Difficulty: Difficult
EOM Q9.1.5
Selma’s therapist has determined that her anorexia nervosa was caused by her unconscious effort
to remain a prepubescent child. Selma’s therapist is most likely a __________ theorist.
a) behavioral
b) cognitive
c) psychodynamic
d) systems
Answer: c
Learning Objective: 9.3 Describe causal factors involved in anorexia nervosa and bulimia
nervosa.
Skill Level: Apply
Difficulty: Difficult
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751
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
752
EOM Q9.1.6
Some therapeutic benefit has been found with the use SSRI-type antidepressant drugs for treating
bulimia nervosa as they help to normalize levels of __________, a brain chemical involved in
regulating appetite.
a) serotonin
b) dopamine
c) oxytocin
d) testosterone
Answer: a
Learning Objective: 9.4 Evaluate methods used to treat anorexia nervosa and bulimia nervosa.
Skill Level: Understand
Difficulty: Moderate
EOM Q9.1.7
Jeannie has been diagnosed with a binge-eating disorder. If she seeks the current treatment of
choice for this disorder, she will undergo __________ therapy.
a) cognitive-behavioral
b) interpersonal
c) psychodynamic
d) humanistic
Answer: a
Learning Objective: 9.5 Describe the key features of binge-eating disorder and identify effective
treatments for binge-eating disorder.
Skill Level: Apply
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
753
EOM Q9.2.1
According to the principles of classical conditioning, the development of chronic insomnia can
be explained as the result of pairing anxious, sleepless nights with stimuli associated with the
bedroom. Heightened arousal when entering the bedroom then becomes the conditioned
response, elicited by __________ in the bedroom—even the mere sight of the bed.
a) conditioned stimuli
b) neutral stimulus
c) unconditioned stimuli
d) unconditioned response
Answer: a
Learning Objective: 9.6 Describe the key features of insomnia disorder.
Skill Level: Analyze
Difficulty: Difficult
EOM Q9.2.2
Claire was sleepy all the time, taking naps every afternoon for 2–3 hours. Even though she was
sleeping through the night, she had trouble awakening in the morning. This continued for several
months. Claire was likely experiencing ________.
a) hypersomnolence disorder
b) hyposomnolence disorder
c) night terrors
d) hypnagogic disorder
Answer: a
Learning Objective: 9.7 Describe the key features of hypersomnolence disorder.
Skill Level: Apply
Difficulty: Moderate
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754
EOM Q9.2.3
Answer: d
Learning Objective: 9.8 Describe the key features of narcolepsy.
Skill Level: Analyze
Difficulty: Difficult
EOM Q9.2.4
__________ sleep apnea is a sleep disorder in which breathing problems may involve heart-
related problems or chronic use of opioid drugs.
a) Substance-induced
b) Central
c) Non-obstructive
d) Cataplexic
Answer: b
Learning Objective: 9.9 Describe the key features of breathing-related sleep-wake disorders.
Skill Level: Understand
Difficulty: Moderate
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EOM Q9.2.5
A few hours after he went to bed, Diane heard a scream from her two-year-old son. When she
went in to check on him she found him sitting up in bed, sweating and extremely upset, not fully
awake. After a few minutes he fell back to sleep. Diane’s son was most likely experiencing
__________.
a) insomnia
b) hypoventilation
c) sleep terrors
d) hypersomnolence
Answer: c
Learning Objective: 9.11 Identify the major types of parasomnias and describe their key features.
Skill Level: Apply
Difficulty: Moderate
EOM Q9.2.6
Sleep medications for the treatment of insomnia have major drawbacks including psychological
and chemical dependence, carryover effects the next day, rebound insomnia, and __________.
Answer: a
Learning Objective: 9.12 Evaluate methods used to treat sleep-wake disorders and apply your
knowledge to identify more adaptive sleep habits.
Skill Level: Understand
Difficulty: Moderate
Copyright © 2018, 2014, 2011, 2008 by Pearson Education, Inc. All rights reserved.
756
EOM Q9.2.7
Which of the following classes of drugs is most likely to be used to treat insomnia?
a) benzodiazepines
b) selective serotonin reuptake inhibitors
c) antipsychotics
d) anticonvulsants
Answer: a
Learning Objective: 9.12 Evaluate methods used to treat sleep-wake disorders and apply your
knowledge to identify more adaptive sleep habits.
Skill Level: Remember
Difficulty: Easy
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