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Chapter 10
Eating Disorders
Total Assessment Guide (T.A.G.)

Question
Topic Factual Conceptual Applied
Type
Overview Multiple 1, 3, 4, 5, 6, 8, 9 7 2
pp. 249-252 Choice
Short Answer 86
Essay
Symptoms of Multiple 10, 11, 12, 14, 15, 13, 18, 23, 24, 27 16, 20, 21, 22,
Anorexia Choice 17, 19, 25 26
pp. 252-254 Short Answer
Essay 99*
Symptoms of Multiple 28, 30, 31, 33, 36 32, 34, 35 29, 37, 38
Bulimia Choice
pp. 254-256 Short Answer 87, 88, 89
Essay 100
Diagnosis of Multiple 42, 44, 45 39, 41, 43 40
Eating Disorders Choice
pp. 256-258 Short Answer 90
Essay 101
Frequency of Multiple 46, 48, 53 49, 51 50, 47, 52
Eating Disorders Choice
pp. 258-261 Short Answer 91, 92
Essay 102
Causes of Eating Multiple 54, 56, 57, 70, 73 58, 59, 61, 62, 63, 55, 60, 66, 68,
Disorders Choice 64, 65, 67, 71, 72 69
pp. 261-265 Short Answer 93, 94, 95
Essay 99*, 103, 104
Treatment of Multiple 76 77, 78 74, 75
Anorexia Choice
Nervosa Short Answer 96
pp. 265-266 Essay 105
Treatment of Multiple 82, 83 80 79, 81
Bulimia Nervosa Choice
pp. 266-268 Short Answer 97
Essay 106
Prevention of Multiple 85 84
Eating Disorders Choice
pp. 268-268 Short Answer 98
Essay
*This question covers more than one topic.

408
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Chapter 10: Eating Disorders

Multiple Choice

10.1.1. What is the primary characteristic of anorexia nervosa?

a. self-induced vomiting
b. eating non-nutrient substances
c. repeated episodes of binge eating
d. starving oneself

Difficulty: 1
Question ID: 10.1.1
Page Reference: 249
Topic: Overview
Skill: Factual

Answer: d. starving oneself

10.1.2. During a lecture on eating disorders, the lecturer tells the audience, "Let's be candid, anorexia is a
misnomer." Most of the people around you are puzzled until the expert explains. What does she say?

a. "Anorexia nervosa is much less prevalent than is generally believed."


b. "Anorexia is actually a form of suicide among clinically depressed adolescents."
c. "The emphasis should be on the nervosa because this is a neurological disorder."
d. "The term anorexia means 'loss of appetite' but people with this disorder are actually hungry."

Difficulty: 2
Question ID: 10.1.2
Page Reference: 249
Topic: Overview
Skill: Applied

Answer: d. "The term anorexia means 'loss of appetite' but people with this disorder are actually
hungry."

10.1.3. Individuals who are attempting to become extremely thin by refusing to eat suffer from

a. obesity phobia.
b. bulimia nervosa.
c. anorexia nervosa.
d. anti-obesity obsession.

409
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Difficulty: 1
Question ID: 10.1.3
Page Reference: 249
Topic: Overview
Skill: Factual

Answer: c. anorexia nervosa.

10.1.4. Some experts suggest that a better term than “eating” disorder would be “___________” disorder.

a. nutrition
b. food avoidant
c. starvation
d. dieting

Difficulty: 2
Question ID: 10.1.4
Page Reference: 249
Topic: Overview
Skill: Factual

Answer: d. dieting

10.1.5. The chief characteristic of bulimia nervosa is

a. self-induced vomiting.
b. binge eating.
c. self-starvation.
d. a preoccupation with food.

Difficulty: 1
Question ID: 10.1.5
Page Reference: 249
Topic: Overview
Skill: Factual

Answer: b. binge eating.

10.1.6. For both anorexia and bulimia, the rate of occurrence in females compared to males is about

a. 2 to 1.
b. 5 to 1.
c. 10 to 1.
d. equal.

Difficulty: 1
Question ID: 10.1.6

410
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Page Reference: 249
Topic: Overview
Skill: Factual

Answer: c. 10 to 1.

10.1.7. According to the National Centers for Disease Control and Prevention, at any point in time ___
percent of high school females are attempting to lose weight compared with ___ percent of males.

a. 44; 15
b. 15; 44
c. 10; 2
d. 2; 10

Difficulty: 2
Question ID: 10.1.7
Page Reference: 249
Topic: Overview
Skill: Conceptual

Answer: a. 44; 15

10.1.8. A national survey found that almost _____ of American women have a negative body image,
particularly concerning their waist, hips, and/or thighs.

a. 1 percent
b. 25 percent
c. 50 percent
d. 75 percent

Difficulty: 2
Question ID: 10.1.8
Page Reference: 249
Topic: Overview
Skill: Factual

Answer: c. 50 percent

10.1.9. According to the textbook European American and Latina women report higher rates of body
dissatisfaction than

a. Asian women.
b. African American women.
c. Middle Eastern women.
d. No difference was found.

Difficulty: 2
Question ID: 10.1.9

411
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Page Reference: 249
Topic: Overview
Skill: Factual

Answer: b. African American women.

10.1.10. What is the body mass index (BMI)?

a. an indicator of the amount of muscle in the body


b. the proportion of body fat to lean tissue in the body
c. a useful indicator for comparing one's weight to expected weights
d. the proportion of daily calories derived from foods that contain needed nutrients

Difficulty: 1
Question ID: 10.1.10
Page Reference: 251
Topic: Symptoms of Anorexia
Skill: Factual

Answer: c. a useful indicator for comparing one's weight to expected weights

10.1.11. In the case of Serrita, whose struggle with anorexia was described in your text, what was her
attitude about her condition that is common to many diagnosed with anorexia?

a. She admitted to being too thin and acknowledged her need to gain weight.
b. She admitted to being too thin but denied that she needed to gain weight.
c. She denied that she was too thin.
d. She admitted to being too thin but blamed it on a biochemical deficiency.

Difficulty: 1
Question ID: 10.1.11
Page Reference: 250
Topic: Symptoms of Anorexia
Skill: Factual

Answer: c. She denied that she was too thin.

10.1.12. Falling below what percent of your expected, normal body weight is associated with anorexia
nervosa?

a. 95 percent
b. 90 percent
c. 85 percent
d. 80 percent

Difficulty: 1
Question ID: 10.1.12

412
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Page Reference: 251
Topic: Symptoms of Anorexia
Skill: Factual

Answer: c. 85 percent

10.1.13. The average victim of anorexia looses about what percent of normal body weight?

a. 10 percent
b. 30 percent
c. 50 percent
d. 75 percent

Difficulty: 2
Question ID: 10.1.13
Page Reference: 251
Topic: Symptoms of Anorexia
Skill: Conceptual

Answer: b. 30 percent

10.1.14. An inaccurate perception of body size and shape is known as

a. anorexia.
b. distorted self image.
c. distorted body image.
d. none of the above

Difficulty: 1
Question ID: 10.1.14
Page Reference: 251
Topic: Symptoms of Anorexia
Skill: Factual

Answer: c. distorted body image.

10.1.15. About what percent of people with anorexia nervosa are estimated to die of starvation, suicide,
or medical complications stemming from their extreme weight loss.

a. 1 percent
b. 5 percent
c. 15 percent
d. 45 percent

Difficulty: 1
Question ID: 10.1.15

413
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Page Reference: 251
Topic: Symptoms of Anorexia
Skill: Factual

Answer: b. 5 percent

10.1.16. One early study found that young women with anorexia nervosa ____________ the size of
various body parts in comparison to a normal control group.

a. overestimate
b. underestimate
c. accurately estimate
d. avoid considering

Difficulty: 2
Question ID: 10.1.16
Page Reference: 251
Topic: Symptoms of Anorexia
Skill: Applied

Answer: a. overestimate

10.1.17. One reason why individuals with anorexia steadfastly deny problems with their weight seems to
be because they

a. don't trust others enough to admit the truth.


b. have a distorted body image and do not perceive their appearance accurately.
c. never feel hungry.
d. are often at or near normal weight.

Difficulty: 1
Question ID: 10.1.17
Page Reference: 251
Topic: Symptoms of Anorexia
Skill: Factual

Answer: b. have a distorted body image and do not perceive their appearance accurately.

10.1.18. Agnes, who suffers from anorexia, is dangerously thin but has been steadfastly refusing eat
enough to gain weight. If Agnes could honestly explain to you why she doesn't eat, what would she
probably say?

a. "I'm not hungry."


b. "I don't enjoy the taste of food and it makes me sick."
c. "I am intensely afraid of becoming fat."
d. "I want to die."

Difficulty: 1

414
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Question ID: 10.1.18
Page Reference: 250
Topic: Symptoms of Anorexia
Skill: Conceptual

Answer: c. "I am intensely afraid of becoming fat."

10.1.19. What is amenorrhea?

a. disturbed body image


b. absence of menstruation
c. less than 85 percent expected body weight
d. undue influence of body shape on self-evaluation

Difficulty: 1
Question ID: 10.1.19
Page Reference: 253
Topic: Symptoms of Anorexia
Skill: Factual

Answer: b. absence of menstruation

10.1.20. A patient's medical chart includes the word lanugo. You can tell from the chart that the patient
has anorexia nervosa. What will you expect to observe when the patient is examined?

a. brittle bones
b. a wide eyed stare
c. irregular heart beat
d. fine, downy hair on the face and trunk

Difficulty: 1
Question ID: 10.1.20
Page Reference: 253
Topic: Symptoms of Anorexia
Skill: Applied

Answer: d. fine, downy hair on the face and trunk

10.1.21. Jane's physician is distressed by her anorexia nervosa. Her weight loss is bad enough, but her
medical tests show clear signs of an electrolyte imbalance. What is the physician's major concern?

a. possible cardiac problems


b. a low level of serotonin that often precedes suicide
c. a low level of dopamine that often leads to motor difficulties
d. brain abnormalities suggesting epileptic-like seizures

Difficulty: 1
Question ID: 10.1.21

415
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Page Reference: 253
Topic: Symptoms of Anorexia
Skill: Applied

Answer: a. possible cardiac problems

10.1.22. A film producer wants to make a movie describing several cases of young women who have
been diagnosed as suffering from anorexia nervosa. He is especially interested in exploring some of the
psychological dynamics related to the disorder. Which of the following titles might be the best choice for
the film?

a. "A Struggle for Control: Anorexia Nervosa"


b. "Anorexia Nervosa: I Don't Want to Grow Up"
c. "How Depression Masquerades as Eating Disorders"
d. "Sexual Disorders and Anorexia Nervosa: A Two-Way Street"

Difficulty: 2
Question ID: 10.1.22
Page Reference: 253
Topic: Symptoms of Anorexia
Skill: Applied

Answer: a. "A Struggle for Control: Anorexia Nervosa"

10.1.23. Janice suffers from anorexia and is extremely careful about how much she eats. How does she
probably feel about this?

a. She takes great pride in her control and self-denial.


b. She feels like she has no control over her behavior.
c. She is greatly ashamed and desperately wants help.
d. Since she doesn't believe she has a problem, she has no strong feelings about this one way or the
other.

Difficulty: 1
Question ID: 10.1.23
Page Reference: 253
Topic: Symptoms of Anorexia
Skill: Conceptual

Answer: a. She takes great pride in her control and self-denial.

10.1.24. People diagnosed with anorexia who do not also binge eat or purge, when compared to those
who have both symptoms, are generally less

a. comorbid.
b. depressed.
c. anxious.
d. self-obsessed.

Difficulty: 2
Question ID: 10.1.24

416
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Page Reference: 254
Topic: Symptoms of Anorexia
Skill: Conceptual

Answer: b. depressed.

10.1.25. Which of these are likely to be comorbid with anorexia nervosa?

a. bipolar disorder and somatization disorder


b. depression and obsessive-compulsive disorder
c. agoraphobia and borderline personality disorder
d. hypochondriasis and dependent personality disorder

Difficulty: 1
Question ID: 10.1.25
Page Reference: 253
Topic: Symptoms of Anorexia
Skill: Factual

Answer: b. depression and obsessive-compulsive disorder

10.1.26. Ken will do almost anything for extra credit. He sees a sign recruiting participants for research
on eating. When he inquires, he is told the study involves semi-starvation. He is a bit leery now, so he
heads over to the library to read up on the topic. What he finds persuades him to look for other ways to
earn extra credit. What did he find?

a. Semi-starvation experiments are associated with a high mortality rate.


b. The experience will lead to symptoms similar to posttraumatic stress disorder.
c. Semi-starvation permanently alters the biological mechanisms that control eating.
d. Participants are likely to develop obsessions and compulsions concerning food that continue after
they return to their normal weight.

Difficulty: 2
Question ID: 10.1.26
Page Reference: 253
Topic: Symptoms of Anorexia
Skill: Applied

Answer: d. Participants are likely to develop obsessions and compulsions concerning food that
continue after they return to their normal weight.

10.1.27. In the two cases of eating disorders presented in your text—Serrita with anorexia and Michelle
with bulimia—there was a very clear difference in their emotional reactions to their behavior. Serrita felt
_________ while Michelle felt _________.

a. shame; pride
b. pride; shame
c. out of control; in control
d. depressed; euphoric

Difficulty: 2

417
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Question ID: 10.1.27
Page Reference: 250 & 254
Topic: Symptoms of Anorexia
Skill: Conceptual

Answer: b. pride; shame

10.1.28. What types of food are individuals with bulimia nervosa most likely to consume during an
episode of binge eating?

a. high protein foods


b. high calorie foods
c. foods that are high in cholesterol
d. non-nutritive, high bulk substances

Difficulty: 1
Question ID: 10.1.28
Page Reference: 255
Topic: Symptoms of Bulimia
Skill: Factual

Answer: b. high calorie foods

10.1.29. Assume that each of the following individuals has a diagnosis of bulimia nervosa. Which of
them is most likely to engage in an episode of binge eating at this point?

a. Ann was upset over failing two exams and she also had an argument with her parents.
b. Farrah is wondering what will happen to her town now that a major employer has cut back on
jobs.
c. Diane is watching television and feels sleepy as she listens to the reports of political polls.
d. Barbara just won a scholarship to the college she wanted to attend and she is going out to
celebrate.

Difficulty: 1
Question ID: 10.1.29
Page Reference: 255
Topic: Symptoms of Bulimia
Skill: Applied

Answer: a. Ann was upset over failing two exams and she also had an argument with her parents.

10.1.30. In the middle of an episode of binge eating, how is a woman likely to describe how she feels?

a. delusional
b. lacking control
c. in a hypnotic trance
d. invigorated and energetic

Difficulty: 1
Question ID: 10.1.30

418
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Page Reference: 255
Topic: Symptoms of Bulimia
Skill: Factual

Answer: b. lacking control

10.1.31. What are the primary characteristics of bulimia nervosa?

a. pica and amenorrhea


b. low body weight and pica
c. binge eating and purging
d. eating non-nutrient substances and sexual dysfunctions

Difficulty: 1
Question ID: 10.1.31
Page Reference: 254-255
Topic: Symptoms of Bulimia
Skill: Factual

Answer: c. binge eating and purging

10.1.32. The DSM-IV-TR criteria for bulimia nervosa refer to compensatory behavior. Which of the
following represents this type of behavior?

a. going to the gym to watch others exercise


b. use of laxatives after an episode of bingeing
c. feeling out of control during an episode of bingeing
d. fantasizing about food rather than giving in to the temptation to eat

Difficulty: 2
Question ID: 10.1.32
Page Reference: 255
Topic: Symptoms of Bulimia
Skill: Conceptual

Answer: b. use of laxatives after an episode of bingeing

10.1.33. Bulimia nervosa almost always involves purging. This means that individuals with bulimia
nervosa

a. engage in self-induced vomiting.


b. try to rid themselves of what they feel to be evil demons.
c. use various means to eliminate the food that they have consumed during their binges.
d. cannot easily be distinguished from individuals with anorexia nervosa.

Difficulty: 1
Question ID: 10.1.33

419
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Page Reference: 255
Topic: Symptoms of Bulimia
Skill: Factual

Answer: c. use various means to eliminate the food that they have consumed during their binges.

10.1.34. Although bulimia nervosa is often referred to as the "binge-purge" disorder, this is misleading
because

a. it is not really a disorder because most people binge at least occasionally.


b. there are other ways to compensate for binges that don't involve purging.
c. some individuals with bulimia nervosa overeat frequently but not always in the form of a binge.
d. bulimia nervosa involves bingeing or purging, but not both.

Difficulty: 1
Question ID: 10.1.34
Page Reference: 255
Topic: Symptoms of Bulimia
Skill: Conceptual

Answer: b. there are other ways to compensate for binges that don't involve purging.

10.1.35. Which of the following symptoms is a diagnostic criteria for both anorexia nervosa and bulimia
nervosa?

a. fasting
b. bingeing
c. excessive emphasis on body shape and weight
d. intense fear of becoming pregnant

Difficulty: 1
Question ID: 10.1.35
Page Reference: 255
Topic: Symptoms of Bulimia
Skill: Conceptual

Answer: c. excessive emphasis on body shape and weight

10.1.36. Which psychological problem often occurs with bulimia nervosa?

a. depression
b. gender identity disorder
c. antisocial personality disorder
d. histrionic personality disorder

Difficulty: 1
Question ID: 10.1.36

420
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Page Reference: 255-256
Topic: Symptoms of Bulimia
Skill: Factual

Answer: a. depression

10.1.37. As a clinician with a client you have diagnosed with bulimia nervosa, you would also be
concerned about comorbid conditions. You would be least concerned about the possibility of

a. depression.
b. an anxiety disorder.
c. bipolar disorder.
d. borderline personality disorder.

Difficulty: 2
Question ID: 10.1.37
Page Reference: 256
Topic: Symptoms of Bulimia
Skill: Applied

Answer: c. bipolar disorder.

10.1.38. Janet is making her annual visit to the dentist. As he is examining her mouth, she senses some
concern. She asks if he has found cavities and he says no. He finally comes right out and asks if she has
bulimia. What clue suggested this possible diagnosis?

a. eroded dental enamel


b. large gaps between teeth
c. teeth that are growing in crooked
d. open sores at the base of the teeth

Difficulty: 1
Question ID: 10.1.38
Page Reference: 256
Topic: Symptoms of Bulimia
Skill: Applied

Answer: a. eroded dental enamel

10.1.39. Helen suffers from an eating disorder characterized by frequent binges. We can be reasonably
certain that Helen

a. suffers from bulimia nervosa.


b. suffers from either bulimia nervosa or anorexia nervosa of the binge-eating/purging type.
c. also purges.
d. does not purge.

Difficulty: 2

421
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Question ID: 10.1.39
Page Reference: 256
Topic: Diagnosis of Eating Disorders
Skill: Conceptual

Answer: b. suffers from either bulimia nervosa or anorexia nervosa of the binge-eating/purging
type.

10.1.40. Ann has the diagnosis of anorexia nervosa restricting type. The team of professionals that is
going to treat her looks at the diagnosis and what does it tell them?

a. She rarely engages in bingeing or purging.


b. Her personality characteristics have made it difficult to determine if she has a problem at all.
c. She has a rare form of anorexia nervosa in which she is able to maintain her weight within five
pounds of her expected weight.
d. The treatments that can be used are limited to those that can address the underlying biological
malfunctions responsible for the disorder.

Difficulty: 2
Question ID: 10.1.40
Page Reference: 257
Topic: Diagnosis of Eating Disorders
Skill: Applied

Answer: a. She rarely engages in bingeing or purging.

10.1.41. The validity of the distinction between restrictive type and binge eating/purging type of anorexia
nervosa is questioned mainly because

a. they are both express a gender bias.


b. they do not differ in terms of comorbidity, recovery, relapse, or mortality.
c. individuals diagnosed with either describe themselves in similar terms.
d. There is no question about the validity of the distinction.

Difficulty: 2
Question ID: 10.1.41
Page Reference: 257
Topic: Diagnosis of Eating Disorders
Skill: Conceptual

Answer: b. they do not differ in terms of comorbidity, recovery, relapse, or mortality.

10.1.42. What two subtypes of bulimia nervosa are described in DSM-IV?

a. purging and nonpurging


b. restricted and unrestricted
c. life-threatening and non life-threatening
d. depression induced and non-depression induced

Difficulty: 1
Question ID: 10.1.42

422
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Page Reference: 257
Topic: Diagnosis of Eating Disorders
Skill: Factual

Answer: a. purging and nonpurging

10.1.43. Which is most accurate with regard to the distinction between purging and nonpurging subtypes
of bulimia nervosa?

a. Experts in the field have recommended dropping the distinction.


b. Research continues to validate the distinction.
c. This distinction is most useful in deciding on treatment strategies.
d. There is little difference between the two in behavior, but significant difference in prognosis.

Difficulty: 1
Question ID: 10.1.43
Page Reference: 257
Topic: Diagnosis of Eating Disorders
Skill: Conceptual

Answer: a. Experts in the field have recommended dropping the distinction.

10.1.44. Which of the following individuals would meet the common criteria for defining obesity?

a. a person who weighs 10 percent more than the expected weight


b. a person who weighs 20 percent more than the expected weight
c. a person who weighs 40 percent more than the expected weight
d. a person who weighs 100 percent more than the expected weight

Difficulty: 1
Question ID: 10.1.44
Page Reference: 258
Topic: Diagnosis of Eating Disorders
Skill: Factual

Answer: b. a person who weighs 20 percent more than the expected weight

10.1.45. While paging through the DSM-IV you find a diagnosis called binge eating disorder. How is this
disorder listed?

a. personality disorder
b. diagnostic category requiring further study
c. medical condition affecting mental disorders
d. eating disorder

Difficulty: 2
Question ID: 10.1.45

423
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Page Reference: 258
Topic: Diagnosis of Eating Disorders
Skill: Factual

Answer: b. diagnostic category requiring further study

10.1.46. Which of the following statements about the prevalence of eating disorders is most accurate?

a. Anorexia is common throughout the population.


b. Anorexia is rare in the general population but common among certain segments.
c. The prevalence of bulimia is declining while the prevalence of anorexia is increasing.
d. Bulimia is increasingly most rapidly among young males.

Difficulty: 1
Question ID: 10.1.46
Page Reference: 258
Topic: Frequency of Eating Disorders
Skill: Factual

Answer: b. Anorexia is rare in the general population but common among certain segments.

10.1.47. A researcher discussing the prevalence of eating disorders makes reference to what she says is a
cohort effect for these disorders. What does this mean?

a. Eating disorders tend to run in close-knit families.


b. Women born after 1960 have a higher rate of bulimia nervosa than women born prior to 1960.
c. Families that place a special emphasis on eating meals together have high rates of eating
disorders.
d. The frequency of eating disorders is strongly related to the rate among friends, especially in high
school.

Difficulty: 2
Question ID: 10.1.47
Page Reference: 258
Topic: Frequency of Eating Disorders
Skill: Applied

Answer: b. Women born after 1960 have a higher rate of bulimia nervosa than women born prior
to 1960.

10.1.48. What have epidemiologists found concerning the frequency of eating disorders?

a. Bulimia nervosa is more common than anorexia nervosa.


b. Anorexia nervosa is more common than bulimia nervosa.
c. Bulimia nervosa and anorexia nervosa occur at the same rates.
d. The rates of these eating disorders have reached a peak and are now declining.

Difficulty: 1

424
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Question ID: 10.1.48
Page Reference: 258-259
Topic: Frequency of Eating Disorders
Skill: Factual

Answer: a. Bulimia nervosa is more common than anorexia nervosa.

10.1.49. Which of the following is a reason frequently given by scientists to explain the much higher rate
of eating disorders among females?

a. Women are much more likely than men to base their self-image on body image.
b. Men are not concerned about their appearance.
c. Men do not have to be concerned about the cultural image of good looks.
d. Women do not tend to judge men based on their appearance.

Difficulty: 2
Question ID: 10.1.49
Page Reference: 259
Topic: Frequency of Eating Disorders
Skill: Conceptual

Answer: a. Women are much more likely than men to base their self-image on body image.

10.1.50. Although it is certainly an unusual source of data for researchers, some have looked at Playboy
centerfolds and Miss America Beauty pageant contestants. How is this research relevant to eating
disorders?

a. The emphasis on thinness is a relatively recent phenomenon in the last 20 years.


b. Their facial features indicated they had dieted beyond the point of medical safety.
c. Between 1959 and 1988, their ratio of weight to height for these groups declined dramatically.
d. In their interviews, almost all of them gave subtle clues suggesting they were in deep conflict
concerning weight control.

Difficulty: 2
Question ID: 10.1.50
Page Reference: 259
Topic: Frequency of Eating Disorders
Skill: Applied

Answer: c. Between 1959 and 1988, their ratio of weight to height for these groups declined
dramatically.

10.1.51. A cross-cultural researcher is investigating the relationship between body weight and wealth in
Third World countries. Which of the following is most likely to summarize the relationship?

a. There is no relationship between body weight and wealth.


b. There is a strong positive relationship between body weight and wealth.
c. There is a strong negative relationship between body weight and wealth.

425
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
d. It is the same as the relationship found in industrialized nations.

Difficulty: 2
Question ID: 10.1.51
Page Reference: 259
Topic: Frequency of Eating Disorders
Skill: Conceptual

Answer: b. There is a strong positive relationship between body weight and wealth.

10.1.52. Your friend is a whiz when it comes to maps. He decides to create a computerized map showing
the countries where eating disorders are likely to occur. He asks you for assistance in creating this visual
image. What will you tell him?

a. These disorders occur in nearly all societies.


b. These disorders occur only in the United States and Canada.
c. These disorders occur in cultures with small population growth.
d. These disorders occur almost exclusively in North America, Europe, and Japan.

Difficulty: 2
Question ID: 10.1.52
Page Reference: 259-260
Topic: Frequency of Eating Disorders
Skill: Applied

Answer: d. These disorders occur almost exclusively in North America, Europe, and Japan.

10.1.53. Which of the following ages falls within the typical age range for the onset of eating disorders?

a. 7
b. 10
c. 17
d. 35

Difficulty: 1
Question ID: 10.1.53
Page Reference: 261
Topic: Frequency of Eating Disorders
Skill: Factual

Answer: c. 17

10.1.54. Which of the following occupations is associated with an elevated risk for developing eating
disorders?

a. nurse
b. singer
c. secretary

426
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
d. gymnast

Difficulty: 1
Question ID: 10.1.54
Page Reference: 261
Topic: Causes of Eating Disorders
Skill: Factual

Answer: d. gymnast

10.1.55. You have been asked to design a targeted prevention program of eating disorders. Which group
would receive the most focus in your program design?

a. lower-class 20- to 24-year-old black females


b. upper-class 16- to 20- year-old black females
c. lower-class 24- to 30- year-old white females
d. upper-class 16- to 20-year-old white females

Difficulty: 3
Question ID: 10.1.55
Page Reference: 261
Topic: Causes of Eating Disorders
Skill: Applied

Answer: d. upper-class 16- to 20-year-old white females

10.1.56. The tendency to develop eating disorders seems related to which of the following variables?

a. high school grades


b. degree of extraversion
c. exposure to popular media
d. ratio of female to male friends

Difficulty: 1
Question ID: 10.1.56
Page Reference: 261
Topic: Causes of Eating Disorders
Skill: Factual

Answer: c. exposure to popular media

10.1.57. Compared to families of individuals with anorexia nervosa, which of the following are you more
likely to find in families of individuals with bulimia nervosa?

a. cohesion and the absence of conflict


b. conflict and rejection
c. multiple instances of eating disorders
d. medical illnesses affecting many family members

427
Copyright © 2012 by Pearson Education, Inc. All rights reserved.
Another random document with
no related content on Scribd:
When he was alone again, Massy thought, Maybe it's worth doing
because it'll get Riki on the Survey ship. But they think it means
saving the people back home!
Which it didn't. Taking energy out of sunlight is taking energy out of
sunlight, no matter how you do it. Take it out as electric power, and
there's less heat left. Warm one place with electric power, and
everywhere else is a little colder. There's an equation. On this colony-
world it wouldn't matter, but on the home world it would. The more
there was trickery to gather heat, the more heat was needed. Again it
might postpone the death of twenty million people, but it would never,
never, never prevent it.

The door slid aside and Riki came in. She stammered a little.
"I ... just coded what Ken told me to send back home. It will ... it will
do everything! It's wonderful! I ... wanted to tell you!"
Massy writhed internally. It wasn't wonderful.
"Consider," he said in a desperate attempt to take it lightly, "consider
that I've taken a bow."
He tried to smile. It was not a success. And Riki suddenly drew a
deep breath and looked at him in a new fashion.
"Ken's right," she said softly. "He says you can't get conceited. You're
not satisfied with yourself even now, are you?" She smiled, rather
gravely. Then she said, "But what I like is that you aren't really smart.
A woman can make you do things. I have!"
He looked at her uneasily. She grinned.
"I, even I, can at least pretend to myself that I help bring this about! If
I hadn't said please change the facts that are so annoying, and if I
hadn't said you were big and strong and clever—I'm going to tell
myself for the rest of my life that I helped make you do it!"
Massy swallowed.
"I'm afraid," he said miserably, "that it won't work again."
She cocked her head on one side.
"No?"
He stared at her apprehensively. And then with a bewildering change
of emotional reaction, he saw that her eyes were filled with tears. She
stamped her foot.
"You're ... horrible!" she cried. "Here I come in, and ... and if you think
you can get me kidnaped to safety ... without even telling me that you
'rather like' me, like you told my brother, or that 'I'm pretty
wonderful'—If you think."
He was stunned, that she knew. She stamped her foot again.
"For Heaven's sake!" she wailed. "Do I have to ask you to kiss me?"

IV
During the last night of preparation, Massy sat by a thermometer
registering the outside temperature. He hovered over it as one might
over a sick child. He watched it and sweated, though the inside
temperature of the drone-hull was lowered to save power. There was
nothing he could actually do. At midnight the thermometer said it was
seventy degrees below zero Fahrenheit. At halfway to dawn it was
eighty degrees below zero Fahrenheit. The hour before dawn it was
eighty-five degrees below zero. Then he sweated profusely. The
meaning of the slowed descent was that carbon dioxide was being
frozen out of the upper layers of the atmosphere. The frozen particles
were drifting slowly downward, and as they reached lower and faintly
warmer levels they returned to the state of gas. But there was a level,
above the CO2, where the temperature was plummeting.
The height to which carbon dioxide existed was dropping—slowly, but
inexorably. And above the carbon-dioxide level there was no bottom
limit to the temperature. The greenhouse effect was due to CO2.
Where it wasn't, the cold of space moved down. If at ground-level the
thermometer read ever so slightly lower than one hundred and nine
below zero—why—everything was finished. Without the greenhouse
effect, the night-side of the planet would lose its remaining heat with a
rush. Even the day-side, once cold enough, would lose heat to
emptiness as fast as it came from the sun. Minus one hundred and
nine point three was the critical reading. If it went down to that, it
would plunge to a hundred and fifty—two hundred degrees below
zero! And it would never come up again.
There would be rain at nightfall—a rain of oxygen frozen to a liquid
and splashing on the ground. Human life would be quite simply
impossible, in any shelter and under any conditions. Even spacesuits
would not protect against an atmosphere sucking heat from it at that
rate. A spacesuit can be heated against the loss of temperature due
to radiation in a vacuum. It could not be heated against nitrogen
which would chill it irresistibly by contact.
But, as Massy sweated over it, the thermometer steadied at minus
eighty-five degrees. When the dawn came, it rose to seventy. By mid-
morning, the temperature in bright sunshine was no lower than sixty-
five degrees below zero.
But there was no bounce left in Massy when Herndon came for him.
"Your phone-plate's been flashing," said Herndon, "and you didn't
answer. Must have had your back to it. Riki's over in the mine,
watching them get things ready. She was worried that she couldn't
call you. Asked me to find out what was the trouble."
Massy said heavily:
"Has she got something to heat the air she breathes?"
"Naturally," said Herndon. He added curiously, "What's the matter?"
"We almost took our licking," Massy told him. "I'm afraid for tonight,
and tomorrow night, too. If the CO2 freezes—"
"We'll have power!" Herndon insisted. "We'll build ice tunnels and ice
domes. We'll build a city under ice, if we have to. But we'll have
power. We'll be all right!"
"I doubt it very much," said Massy. "I wish you hadn't told Riki of the
bargain to get her away from here when the Survey ship comes!"
Herndon grinned.
"Is the little grid ready?" asked Massy.
"Everything's set," said Herndon exuberantly. "It's in the mine-tunnel
with radiant heaters playing on it. The bombs are ready. We made
enough to last for months, while we were at it. No use taking
chances!"
Massy looked at him queerly. Then he said:
"We might as well go out and try the thing, then."

But he was very tired. He was not elated. Riki can't be gotten away,
he thought wearily, and I'm not going to go because it isn't quite fitting
to go and leave her. They'll all be rejoicing presently, but nothing's
settled. Then he thought with exquisite irony, She thinks I was
inspired to genius by her, when I haven't done a thing I wasn't taught
or didn't get out of books!
He put on the cold-garments as they were now modified for the
increased frigidity. Nobody could breathe air at minus sixty-five
degrees without getting his lungs frost-bitten. So there was now a
plastic mask to cover one's face, and the air one breathed outdoors
was heated as it came through a wire-gauze snout. But still it was not
wise to stay out of shelter for too long a time.
Massy went out-of-doors. He stepped out of the cold-lock and gazed
about him. The sun seemed markedly paler, and now it had lost its
sun-dogs again. Ice crystals no longer floated in the almost
congealed air. The sky was dark. It was almost purple, and it seemed
to Massy that he could detect faint flecks of light in it. They would be
stars, shining in the daytime.
There seemed to be no one about at all, only the white coldness of
the mountains. But there was a movement at the mine-drift, and
something came out of it. Four men appeared, muffled up like Massy
himself. They rolled the eighteen-foot grid out of the mine-mouth,
moving it on those inflated bags which are so much better than rollers
for rough terrain. They looked absurdly like bears with steaming
noses, in their masks and clothing. They had some sort of powered
pusher with them, and they got the metal cage to the very top of a
singularly rounded stone upcrop which rose in the center of the
valley.
"We picked that spot," said Herndon's muffled voice through the chill,
"because by shifting the grid's position it can be aimed, and be on a
solid base. Right?"
"Quite all right," said Massy. "We'll go work it."
He moved heavily across the valley, in which nothing moved except
the padded figures of the four technicians. Their wire-gauze
breathing-masks seemed to emit smoke. They waved to him in
greeting.
I'm popular again, he thought drearily, but it doesn't matter. Getting
the Survey ship to ground won't help now, since Riki's forewarned.
And this trick won't solve anything permanently on the home planet.
It'll just postpone things.
He had a very peculiar ache inside. A Survey officer is naturally
lonely. Massy had been lonely before he even entered the Service.
He hadn't had a feeling of belonging anywhere, or with anyone, and
no planet was really his home. Now he could believe that he
belonged with someone. But there was the slight matter of a drop in
the solar constant of an unimportant sol-type sun, and nothing could
come of it.
Even when Riki—muffled like the rest—waved to him from the mouth
of the tunnel, his spirits did not lift. The thing he wanted was to look
forward to years and years of being with Riki. He wanted, in fact, to
look forward to forever. And there might not be a tomorrow.
"I had the control board rolled out here," she called breathlessly
through her mask. "It's cold, but you can watch!"
It wouldn't be much to watch. If everything went all right, some dial-
needles would kick over violently, and their readings would go up and
up. But they wouldn't be readings of temperature. Presently the big
grid would report increased power from the sky. But tonight the
temperature would drop a little farther. Tomorrow night it would drop
farther still. When it reached one hundred and nine point three
degrees below zero at ground-level—why it would keep on falling
indefinitely. Then it wouldn't matter how much power could be drawn
from the sky. The colony would die.

One of the figures that looked like a bear now went out of the mine-
mouth, trudging toward the grid. It carried a muffled, well-wrapped
object in its arms. It stooped and crept between the spokes of the
grid. It put the object on the stone. Massy traced cables with his eyes.
From the grid to the control board. From the board back to the
reserve-power storage cells, deep in the mountain.
"The grid's tuned to the bomb," said Riki breathlessly, close beside
him. "I checked that myself!"
The bearlike figure out in the valley jerked at the bomb. There was a
small rising cloud of grayish vapor. It continued. The figure climbed
hastily out of the grid. When the man was clear, Massy threw a
switch.
There was a very tiny whining sound, and the wrapped, ridiculously
smoking object leaped upward. It seemed to fall toward the sky.
There was no more of drama than that. An object the size of a
basketball fell upward, swiftly, until it disappeared. That was all.
Massy sat quite still, watching the control-board dials. Presently he
corrected this, and shifted that. He did not want the bomb to have too
high an upward velocity. At a hundred thousand feet it would find very
little air to stop the rise of the vapor it was to release.
The field-focus dial reached its indication of one hundred thousand
feet. Massy reversed the lift-switch. He counted and then switched
the power off. The small, thin whine ended.
He threw the power-intake switch, which could have been on all the
time. The power-yield needle stirred. The minute grid was drawing
power like its vaster counterpart. But its field was infinitesimal by
comparison. It drew power as a soda straw might draw water from
wet sand.
Then the intake-needle kicked. It swung sharply, and wavered, and
then began a steady, even, climbing movement across the markings
on the dial-face. Riki was not watching that.
"They see something!" she panted. "Look at them!"
The four men who had trundled the smaller grid to its place, now
stared upward. They flung out their arms. One of them jumped up
and down. They leaped. They practically danced.
"Let's go see," said Massy.
He went out of the tunnel with Riki. They gazed upward. And directly
overhead, where the sky was darkest blue and where it had seemed
that stars shone through the daylight—there was a cloud. It seemed
to Massy, very quaintly, that it was no bigger than a man's hand. But it
grew. Its edges were yellow—saffron-yellow. It expanded and spread.
Presently it began to thin. As it thinned, it began to shine. It was
luminous. And the luminosity had a strange, familiar quality.
Somebody came panting down the tunnel, from inside the mountain.
"The grid—" he panted. "The big grid! It's ... pumping power! Big
power! BIG power!"
He went pounding back, to gaze raptuously at the new position of a
thin black needle on a large white dial, and to make incoherent noises
of rejoicing as it moved very, very slowly toward higher and ever
higher readings.
But Massy looked puzzledly at the sky, as if he did not quite believe
his eyes. The cloud now expanded very slowly, but still it grew. And it
was not regular in shape. The bomb had not shattered quite evenly,
and the vapor had poured out more on one side than the other. There
was a narrow, arching arm of brightness—
"It looks," said Riki breathlessly, "like a comet!"
And then Massy froze in every muscle. He stared at the cloud he had
made aloft, and his hands clenched in their mittens, and he
swallowed convulsively behind his cold-mask.
"Th-that's it," he said in a very queer voice indeed. "It's ... very much
like a comet. I'm glad you said that! We can make something even
more like a comet. We ... we can use all the bombs we've made, right
away, to make it. And we've got to hurry so it won't get any colder
tonight!"
Which, of course, sounded like insanity. Riki looked apprehensively at
him. But Massy had just thought of something. And nobody had
taught it to him and he hadn't gotten it out of books. But he'd seen a
comet.
The new idea was so promising that he regarded it with anguished
unease for fear it would not hold up. It was an idea that really ought to
change the facts resulting naturally from a lowered solar constant in a
sol-type star.

Half the colony set to work to make more bombs when the effect of
the second bomb showed up. They were not very efficient, at first,
because they tended to want to stop work and dance, from time to
time. But they worked with an impassioned enthusiasm. They made
more bomb-casings, and they prepared more sodium and potassium
metal and more fuses, and more insulation to wrap around the bombs
to protect them from the cold of airless space.
Because these were to go out to airlessness. The miniature grid
could lift and hold a bomb steady in its field-focus at seven hundred
and fifty thousand feet. But if a bomb was accelerated all the way out
to that point, and the field was then snapped off—Why, it wasn't held
anywhere. It kept on going with its attained velocity. And it burst when
its fuse decided that it should, whereupon immediately a mass of
sodium and potassium vapor, mixed with the fumes of high explosive,
flung itself madly in all directions, out between the stars. Absolute
vacuum tore the compressed gasified metals apart. The separate
atoms, white-hot from the explosion, went swirling through sunlit
space. The sunlight was dimmed a trifle, to be sure. But individual
atoms of the lighter alkaline-earth metals have marked photo-electric
properties. In sunshine these gas-molecules ionized, and therefore
spread more widely, and did not coalesce into even microscopic
droplets.
They formed, in fact, a cloud in space. An ionized cloud, in which no
particle was too large to be responsive to the pressure of light. The
cloud acted like the gases of a comet's tail. It was a comet's tail,
though there was no comet. And it was an extraordinary comet's tail
because it is said that you can put a comet's tail in your hat, at normal
atmospheric pressure. But this could not have been put in a hat. Even
before it turned to gas, it was the size of a basketball. And, in space,
it glowed.
It glowed with the brightness of the sunshine on it, which was light
that would normally have gone away through the interstellar dark.
And it filled one corner of the sky. Within one hour it was a comet's
tail ten thousand miles long, which visibly brightened the daytime
heavens. And it was only the first of such reflecting clouds.
The next bomb set for space exploded in a different quarter, because
Massy'd had the miniature grid wrestled around the upcrop to point in
a new and somewhat more carefully chosen line. The third bomb
spattered brilliance in a different section still. And the brilliance lasted.
Massy flung his first bombs recklessly, because there could be more.
But he was desperately anxious to hang as many comet tails as
possible around the colony-planet before nightfall. He didn't want it to
get any colder.
And it didn't. In fact, there wasn't exactly any real nightfall on Lani III
that night.
The planet turned on its axis, to be sure. But around it, quite close by,
there hung gigantic streamers of shining gas. At their beginning,
those streamers bore a certain resemblance to the furry wild-animal
tails that little boys like to have hanging down from hunting-caps.
Only they shone. And as they developed they merged, so that there
was an enormous shining curtain about Lani III. There were draperies
of metal-mist to capture sunlight that should have been wasted, and
to diffuse very much of it to Lani II. At midnight there was only one
spot in all the night-sky where there was really darkness. That was
directly overhead—directly outward from the planet from the sun.
Gigantic shining streamers formed a wall, a tube, of comet-tail
material, yet many times more dense and therefore brighter—which
shielded the colony-world against the dark and cold, and threw upon
it a brilliant, warming brightness.

Riki maintained stoutly that she could feel the warmth from the sky,
but that was improbable. But certainly heat did come from
somewhere. The thermometer did not fall at all, that night. It rose. It
was up to fifty below zero at dawn. During the day—they sent out
twenty more bombs that second day—it was up to twenty degrees
below zero. By the day after, there was highly competent computation
from the home planet, and the concrete results of abstruse
speculation, and the third day's bombs were placed with optimum
spacing for heating purposes.
And by dawn of the fourth day the air was a balmy five degrees below
zero, and the day after that there was a small running stream in the
valley at midday.
There was talk of stocking the stream with fish, on the morning the
Survey ship came in. The great landing-grid gave out a deep-toned,
vibrant, humming note, like the deepest possible note of the biggest
organ that could be imagined. A speck appeared very, very high up in
a pale-blue sky with trimmings of golden gas-clouds. The Survey ship
came down and down and settled as a shining silver object in the
very center of the gigantic red-painted landing-grid.
Later, her skipper came to find Massy. He was in Herndon's office.
The skipper struggled to keep sheer blankness out of his expression.
"What ... what the hell?" he demanded querulously of Massy. "This is
the damnest sight in the whole galaxy, and they tell me you're
responsible! There've been ringed planets before, and there've been
comets and who-knows what! But shining gas pipes aimed at the sun,
half a million miles across.... What the? There are two of them! Both
the occupied planets!"
Herndon explained with a bland succinctness why the curtains hung
in space. There was a drop in the solar constant—
The skipper exploded. He wanted facts! Details! Something to report!
And dammit, he wanted to know!
Massy was automatically on the defensive when the skipper shot his
questions to him. A Senior Colonial Survey officer is not revered by
the Survey ship-service officers. Men like Massy can be a nuisance to
a hard-working ship's officer. They have to be carried to unlikely
places for their work of checking over colonial installations. They
have to be put down on hard-to-get-at colonies, and they have to be
called for, sometimes, at times and places which are inconvenient. So
a man in Massy's position is likely to feel unpopular.
"I'd just finished the survey here," he said defensively, "when a cycle
of sunspot cycles matured. All the sunspot periods got in phase, and
the solar constant dropped. So I naturally offered what help I could to
meet the situation."
The skipper regarded him incredulously.
"But ... it couldn't be done!" he said blankly. "They told me how you
did it, but ... it couldn't be done! Do you realize that these vapor-
curtains will make fifty borderline worlds fit for use? Half a pound of
sodium-vapor a week!" He gestured helplessly. "They tell me the
amount of heat reaching the surface here has been upped by fifteen
per cent! D'you realize what that means?"
"I haven't been worrying about it," admitted Massy. "There was a local
situation and something had to be done. I ... er ... remembered
things, and Riki suggested something I mightn't have thought of, and
it's worked out like this." Then he said abruptly: "I'm not leaving. I'll
get you to take my resignation back. I ... I think I'm going to settle
here. It'll be a long time before we get really temperate-climate
conditions here, but we can warm up a valley like this for cultivation,
and ... well ... it's going to be a rather satisfying job. It's a brand-new
planet with a brand-new ecological system to be established——"
The skipper of the Survey ship sat down hard. Then the sliding door
of Herndon's office opened and Riki came in. The skipper stood up
again. Massy rather awkwardly made the introduction. Riki smiled.
"I'm telling him," said Massy, "that I'm resigning from the Service to
settle down here."
Riki nodded. She put her hand in proprietary fashion on Massy's arm.
The Survey skipper cleared his throat.
"I'm not going to take it," he said doggedly. "There've got to be
detailed reports on how this business works. Dammit, if vapor-clouds
in space can be used to keep a planet warm, they can be used to
shade a planet, too! If you resign, somebody else will have to come
out here to make observations and work out the details of the trick!
Nobody could be gotten here in less than a year! You need to stay
here to build up a report—and you ought to be available for
consultation when this thing's to be done somewhere else! I'll report
that I insisted as a Survey emergency—"
Riki said confidently:
"Oh, that's all right! He'll do that! Of course! Won't you?"
Massy nodded dumbly. He thought, I've been lonely all my life. I've
never belonged anywhere. But nobody could possibly belong
anywhere as thoroughly as I'll belong here when it's warm and green
and even the grass on the ground is partly my doing. But Riki'll like for
me still to be in the Service. Women like to see their husbands
wearing uniforms.
Aloud he said:
"Of course. It ... really needs to be done. Of course, you realize that
there's nothing really remarkable about it. Everything I've done has
been what I was taught, or read in books."
"Hush!" said Riki. "You're wonderful!"
THE END
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