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Chapter 7
Feeding and Eating Disorders
Multiple Choice:
1) The example cited in the text of saints starving themselves out of devotion is
A) an illustration of the binge-purge cycle.
B) not considered a historical form of anorexia nervosa.
C) not a case of anorexia nervosa because it involves a religious context.
D) an example of the impact of context on symptom expression in an illness.
ANSWER: D
Diff: 1 Page Ref: 234-235
Topic: Chapter Opener
Skill: Factual
ANSWER: B
Diff: 1 Page Ref: 235
Topic: Chapter Opener
Skill: Factual
ANSWER: B
Diff: 2 Page Ref: 235
Topic: Anorexia Nervosa
Skill: Conceptual
4) Margaret’s appetite has decreased markedly over the course of the semester, resulting in a
weight of 100 lbs. on her 5’9” frame. Her roommate has noticed that she tends to wear layers of
clothing even in warm weather and frequently complains about her weight. If Margaret were
referred for evaluation for an eating disorder, what percent of ideal body weight would be used
as a criterion for excessive weight loss?
A) 35%
B) 50%
C) 65%
D) 85%
ANSWER: D
Diff: 1 Page Ref: 235
Topic: Anorexia Nervosa
Skill: Applied
ANSWER: D
Diff: 1 Page Ref: 235
Topic: Anorexia Nervosa
Skill: Factual
6) Clinicians use the ________ in determining the weight status of their clients.
A) caloric weight index (CWI)
B) body mass index (BMI)
C) weight to height ratio (WHR)
D) body weight ratio (BWR)
ANSWER: B
Diff: 1 Page Ref: 235
Topic: Anorexia Nervosa
Skill: Conceptual
7) Alejandra has been diagnosed with anorexia nervosa. Her dinner last night consisted of 3
celery sticks, a spoonful of hummus, half of a slice of pita bread, and a cup of tea. Feeling full
and bloated after eating, Alejandra decided to work out on the treadmill for 40 minutes. Which of
the following anorexia nervosa subtypes accurately describes her condition?
A) Binging
B) Dieting
C) Purging
D) Restricting
ANSWER: D
Diff: 2 Page Ref: 236
Topic: Anorexia Nervosa
Skill: Applied
8) Which of the following statements is TRUE of the binge eating/purging subtype of anorexia
nervosa?
A) Both binge eating and purging must be present for the diagnosis to be made.
B) Binge eating, purging, or both may be present for the disorder to be diagnosed.
C) Binge eating is often accompanied by excessive exercise.
D) Binge eating need only occur once to meet the diagnostic criterion.
ANSWER: B
Diff: 2 Page Ref: 236
Topic: Anorexia Nervosa
Skill: Conceptual
ANSWER: A
Diff: 1 Page Ref: 236
Topic: Anorexia Nervosa
Skill: Factual
10) Kaylyn suffers from anorexia nervosa. She induces vomiting. This is called
A) bingeing.
B) emaciation.
C) purging.
D) restricting.
ANSWER: C
Diff: 2 Page Ref: 236-237
Topic: Anorexia Nervosa
Skill: Conceptual
11) Three consecutive months of ___________has been removed from the official diagnosis of
anorexia nervosa in the DSM 5 because it was determined that no meaningful differences
occurred between individuals with anorexia nervosa who do and do not menstruate.
A) weight loss
B) amenorrhea
C) purging
D) denial of emaciation
ANSWER: B
Diff: 2 Page Ref: 237
Topic: Anorexia Nervosa
Skill: Factual
12) Select the statement below that is TRUE of amenorrhea and the diagnosis of anorexia
nervosa in the DSM-5.
A) Amenorrhea need not be present for anorexia nervosa to be diagnosed.
B) Research demonstrates meaningful differences in diagnosis between females who do and
do not menstruate.
C) Amenorrhea must be present for an anorexia nervosa diagnosis.
D) Menstruation must occur monthly but for briefer periods than usual for a diagnosis of
anorexia nervosa.
ANSWER: A
Diff: 2 Page Ref: 237
Topic: Anorexia Nervosa
Skill: Conceptual
13) An associated medical feature of anorexia nervosa that might explain the tendency to layer
clothing even in mild temperatures is
A) lowered body temperature.
B) heightened blood pressure.
C) increased heart rate.
D) shallow breathing.
ANSWER: A
Diff: 1 Page Ref: 237
Topic: Anorexia Nervosa
Skill: Factual
14) Epidemiological estimates of the prevalence of anorexia nervosa reveal that approximately 1
in _______ girls or women will suffer from it at some point in their lives.
A) 1,000
B) 100
C) 10,000
D) 100,000
ANSWER: A
Diff: 1 Page Ref: 237
Topic: Anorexia Nervosa
Skill: Factual
15) Females are ____ more likely to develop anorexia nervosa than are males.
A) 3 times
B) 5 times
C) 6 times
D) 9 times
ANSWER: A
Diff: 1 Page Ref: 237
Topic: Anorexia Nervosa
Skill: Factual
16) There is controversy in the research concerning the incidence of anorexia nervosa in our
country; some studies report stable rates, while others report an increase. This discrepancy may
be explained by the way in which studies were conducted or
A) attrition rates in studies.
B) the fact that many people never seek treatment.
C) improvements in screening tools for the disorder.
D) the underestimate of males having the disorder.
ANSWER: B
Diff: 1 Page Ref: 237
Topic: Anorexia Nervosa
Skill: Factual
17) Certain segments of the population have higher rates of anorexia nervosa than others. Which
of the following segments would potentially have the highest rates of the disorder?
A) Females from suburban homes
B) Workers in service industries
C) Daughters of divorced parents
D) Workers in the entertainment industry
ANSWER: D
Diff: 1 Page Ref: 237
Topic: Anorexia Nervosa
Skill: Factual
ANSWER: D
Diff: 1 Page Ref: 238
Topic: Anorexia Nervosa
Skill: Factual
19) Which of the following is TRUE of the course of anorexia nervosa as a disorder?
A) It usually develops during early adolescence and tends to be short-lived.
B) It may often include periods of relapse and remission.
C) It rarely includes a crossover into bulimia nervosa.
D) It does not have long-term health consequences for the patient.
ANSWER: B
Diff: 2 Page Ref: 238
Topic: Anorexia Nervosa
Skill: Conceptual
20) Anorexia nervosa may be a lethal disorder resulting in death from the effects of starvation or
from
A) breathing difficulties.
B) stomach cancer.
C) amenorrehea.
D) suicide.
ANSWER: D
Diff: 2 Page Ref: 238
Topic: Anorexia Nervosa
Skill: Conceptual
21) Karen Carpenter, a pop icon of the 1970’s whose case is presented in the text, died from
complications of anorexia nervosa. Which subtype of the disorder was evident in her story?
A) Bingeing/Purging
B) Restricting
C) Purging
D) Bingeing
ANSWER: C
Diff: 2 Page Ref: 239
Topic: Anorexia Nervosa
Skill: Conceptual
22) The most important personality trait found in cases of anorexia nervosa is
A) perfectionism.
B) conscientiousness.
C) agreeableness.
D) responsibility.
ANSWER: A
Diff: 1 Page Ref: 239
Topic: Anorexia Nervosa
Skill: Factual
23) Adolescence and young adulthood are typical periods of risk for eating disorders in that
individuals who are perfectionistic, prone to worry, and stressed by change may
A) resist unwanted interventions by parents or other authority figures.
B) find developmental milestones to be triggers for the disorder.
C) use regurgitation as a passive-aggressive tactic for control.
D) develop phobias centering on specific food groups.
ANSWER: B
Diff: 2 Page Ref: 239
Topic: Anorexia Nervosa
Skill: Conceptual
24) At least 75% of all persons diagnosed with anorexia nervosa have a comorbid risk of
A) bipolar disorder.
B) substance abuse disorder.
C) major depressive disorder and posttraumatic stress disorder.
D) an anxiety disorder and major depressive disorder.
ANSWER: D
Diff: 1 Page Ref: 239
Topic: Anorexia Nervosa
Skill: Factual
25) __________ disorders often precede the development of anorexia nervosa and consequently
may place a person at particular risk for the expression of the disorder.
A) Developmental
B) Personality
C) Anxiety
D) Substance abuse
ANSWER: C
Diff: 1 Page Ref: 239
Topic: Anorexia Nervosa
Skill: Factual
ANSWER: B
Diff: 2 Page Ref: 240
Topic: Bulimia Nervosa
Skill: Factual
27) Key symptoms of bulimia nervosa include recurrent episodes of binge eating, a feeling of
being “out of control” during binge eating episodes, and
A) inappropriate strategies for weight control.
B) amnesia for food consumption.
C) a fear of running out of food.
D) a desire to maintain a state of starvation.
ANSWER: A
Diff: 2 Page Ref: 241
Topic: Bulimia Nervosa
Skill: Conceptual
28) For bulimia nervosa to be diagnosed, binge eating must have occurred
A) daily for a period of two months or more.
B) daily for a period of three months or more.
C) at least weekly for a period of two months or more.
D) at least weekly for a period of three months or more.
ANSWER: D
Diff: 1 Page Ref: 241
Topic: Bulimia Nervosa
Skill: Factual
29) Biweekly for the last year, Beverly has experienced irresistible urges to eat two gallons of ice
cream and a bag of chocolate chip cookies. However, she manages to work off her calories using
an exercise regimen that includes two hours of treadmill activity followed by a four-mile jog.
Although she manages to avoid weight gain when she goes into her “binge modes,” she
complains of feeling out of control during these binges. Beverly exhibits symptoms of
A) obsessive-compulsive eating disorder.
B) bulimia nervosa.
C) anorexia nervosa.
D) a binge eating disorder.
ANSWER: B
Diff: 3 Page Ref: 241
Topic: Bulimia Nervosa
Skill: Applied
30) Unlike overeating too much of a favorite food, people with bulimia nervosa
A) consume a large amount of food in a short period of time and use compensatory
behaviors.
B) consume a large quantity of food in a brief period of time but do not use laxatives.
C) do not have trouble stopping when they feel full.
D) feel more control over their eating because they have compensatory behaviors to regulate
weight gain.
ANSWER: A
Diff: 2 Page Ref: 241
Topic: Bulimia Nervosa
Skill: Applied
31) Which of the following is TRUE of both anorexia nervosa and bulimia nervosa?
A) Both disorders involve periods of extreme overeating.
B) Patients with both disorders complain of fear starvation.
C) Both disorders involve a purging subtype.
D) Both disorders are not found among older persons.
ANSWER: C
Diff: 3 Page Ref: 241
Topic: Bulimia Nervosa
Skill: Conceptual
32) In bulimia nervosa, binges are usually terminated because the person runs out of food, is
interrupted by someone, or
A) a strong gag reflex starts.
B) feels satiated.
C) experiences a strong urge to purge.
D) becomes violently ill.
ANSWER: C
Diff: 2 Page Ref: 241
Topic: Bulimia Nervosa
Skill: Factual
33) Marina complains of feeling out-of-control after eating a slice of toast. In an eating disorders
paradigm, this behavior would be termed a(n)
A) objective binge.
B) subjective binge.
C) brief binge.
D) psychological binge.
ANSWER: B
Diff: 2 Page Ref: 241
Topic: Bulimia Nervosa
Skill: Applied
34) Patterns of binge eating may vary among those diagnosed with bulimia nervosa. Bingeing
may occur from occasionally to
A) weekly.
B) daily.
C) hourly.
D) multiple times per day.
ANSWER: D
Diff: 1 Page Ref: 241
Topic: Bulimia Nervosa
Skill: Factual
ANSWER: A
Diff: 1 Page Ref: 241
Topic: Bulimia Nervosa
Skill: Factual
36) Compared to those diagnosed with anorexia nervosa, patients with bulimia nervosa are more
likely to engage in
A) exhibitionistic behaviors.
B) high-risk sexual behavior.
C) alcohol and drug abuse.
D) self-mutilating behaviors such as “cutting.”
ANSWER: C
Diff: 1 Page Ref: 242
Topic: Bulimia Nervosa
Skill: Factual
37) Which of the following most accurately describes the use of laxatives as a compensatory
strategy in bulimia nervosa?
A) It is an ineffective strategy for avoiding weight gain.
B) It is a safe and effective means of maintaining one’s desired weight.
C) Few persons diagnosed with the disorder actually use them.
D) Research indicates that it leads to retention of electrolytes in one’s system.
ANSWER: A
Diff: 2 Page Ref: 242
Topic: Bulimia Nervosa
Skill: Conceptual
38) When subthreshold forms of bulimia nervosa are included, prevalence estimates of the
disorder range from ___ to ___ percent of the female population in westernized countries.
A) 5; 6
B) 7; 8
C) 10; 20
D) 12;15
ANSWER: A
Diff: 1 Page Ref: 242
Topic: Bulimia Nervosa
Skill: Factual
ANSWER: B
Diff: 1 Page Ref: 242
Topic: Bulimia Nervosa
Skill: Factual
40) According to the text, because the criteria for both anorexia and bulimia nervosa were very
specific,
A) prevalence estimates may increase with the new DSM-5 criteria.
B) a diagnosis of either disorder captures accurate prevalence rates for anyone having an
eating disorder.
C) female prevalence rates for geriatric cases are overestimated in the U.S. population.
D) we can be fairly confident that we have identified those needing treatment for an eating
disorder.
ANSWER: A
Diff: 2 Page Ref: 242
Topic: Bulimia Nervosa
Skill: Conceptual
41) Bulimia nervosa is more prevalent among females and tends to develop in
A) less industrialized countries.
B) families with more than 3 female children.
C) late childhood and early adolescence.
D) late adolescence or early adulthood.
ANSWER: D
Diff: 1 Page Ref: 243
Topic: Bulimia Nervosa
Skill: Factual
42) In bulimia nervosa, erosion of dental enamel and callouses on the backs of the hands
A) is predictive of a suicide attempt among younger women.
B) are among some of the ways the disorder is hard on the body.
C) discriminates acute from chronic symptom expression of purging.
D) has been found to be an unreliable indicator of self-induced vomiting.
ANSWER: B
Diff: 1 Page Ref: 243
Topic: Bulimia Nervosa
Skill: Factual
43) The use of laxatives in bulimia nervosa may lead to edema, dehydration, electrolyte
imbalances, and
A) chronic fluid retention.
B) severe intermittent bouts of gastritis.
C) irreversible bowel dysfunction.
D) permanent irregular heartbeats.
ANSWER: C
Diff: 1 Page Ref: 243
Topic: Bulimia Nervosa
Skill: Factual
44) Compared with anorexia nervosa patients, persons diagnosed with bulimia nervosa have
A) a higher risk of mortality.
B) a lower risk of mortality.
C) no risk of mortality.
D) an equal risk of mortality.
ANSWER: B
Diff: 1 Page Ref: 243
Topic: Bulimia Nervosa
Skill: Factual
45) Outcome research estimates tell us that ______ percent of patients diagnosed with bulimia
nervosa achieve full or partial remission.
A) 10
B) 20
C) 50
D) 80
ANSWER: C
Diff: 1 Page Ref: 243
Topic: Bulimia Nervosa
Skill: Factual
ANSWER: C
Diff: 1 Page Ref: 243
Topic: Bulimia Nervosa
Skill: Factual
47) As compared to individuals with anorexia nervosa, individuals with bulimia nervosa are
more
A) rigid.
B) perfectionistic.
C) obsessive.
D) impulsive.
ANSWER: D
Diff: 1 Page Ref: 243
Topic: Bulimia Nervosa
Skill: Factual
48) Approximately _____ percent of those diagnosed with bulimia nervosa have another
psychiatric disorder at some point in their lives.
A) 20
B) 50
C) 70
D) 80
ANSWER: D
Diff: 1 Page Ref: 244
Topic: Bulimia Nervosa
Skill: Factual
49) Elton John and Diana, Princess of Wales, whose cases are presented in the text, both suffered
from
A) anorexia nervosa.
B) alcohol abuse.
C) bulimia nervosa.
D) drug abuse.
ANSWER: C
Diff: 1 Page Ref: 244
Topic: Bulimia Nervosa
Skill: Factual
50) Select the statement below that is FALSE regarding binge eating disorder.
A) It was only recently accepted as a formal psychiatric diagnosis.
B) It lacks the compensatory behaviors of bulimia nervosa.
C) Little is known about associated mortality or morbidity rates.
D) It may be a chronic condition.
ANSWER: A
Diff: 2 Page Ref: 245
Topic: Binge Eating Disorder
Skill: Conceptual
51) Willie enjoys eating in the university cafeteria because it features an all-you-can-eat buffet.
He prefers to wait until most people have dined before entering the facility because he feels
awkward about the amount he consumes. Willie usually eats until he feels uncomfortable,
although he does not purge. He is most likely to have which of the following disorders?
A) Bulimia nervosa
B) Binge-eating disorder
C) Eating disorder not otherwise specified
D) Anorexia nervosa—binge eating type
ANSWER: B
Diff: 2 Page Ref: 245
Topic: Binge Eating Disorder
Skill: Applied
52) Obese people with binge eating disorder differ from obese persons without the disorder in
that the former
A) are more likely to have associated depression and anxiety disorders.
B) report more frequent purging episodes.
C) report a later onset of both obesity and dieting.
D) recall less fluctuation in weight throughout their lives.
ANSWER: A
Diff: 2 Page Ref: 246
Topic: Binge Eating Disorder
Skill: Conceptual
53) The rates at which binge eating disorder occurs in the general population make it the
___________________________ of all eating disorders in DSM-5.
A) most frequently occurring
B) least frequently occurring
C) most dangerous
D) most socially acceptable form
ANSWER: A
Diff: 1 Page Ref: 246
Topic: Binge Eating Disorder
Skill: Factual
54) Overeating behavior without regular inappropriate compensatory behaviors are characteristic
of which of the following?
A) Bulimia nervosa
B) Anorexia nervosa
C) Binge eating disorder
D) Purge eating disorder
ANSWER: C
Diff: 2 Page Ref: 245
Topic: Binge Eating Disorder
Skill: Conceptual
55) Yolanda has been diagnosed as having an eating disorder involving “chewing and spitting.”
Given this information, what is the most likely formal diagnosis for her?
A) Anorexia nervosa
B) Bulimia nervosa
C) Rumination disorder
D) Restrictive eating disorder
ANSWER: C
Diff: 2 Page Ref: 250
Topic: Other Specified Feeding and Eating Disorders
Skill: Applied
56) Among men, the incidence of bulimia nervosa might be underestimated because
A) men are hesitant to admit having struggles with their weight.
B) little, if any, research has been conducted on men who have eating disorders.
C) the disorder is masked by alcohol and other substance abuse problems.
D) men prefer exercise to purging or other compensatory behaviors.
ANSWER: D
Diff: 1 Page Ref: 252
Topic: Sex, Race, Ethnicity, and Developmental Factors
Skill: Factual
57) Which of the following statements is FALSE regarding eating disorders among females?
A) They may result from increased pressure to attain the thin ideal.
B) They may result from the influence of hormones on appetite and weight regulation.
C) They may be diagnosed more frequently because of sex biases in the diagnostic criteria.
D) They are more likely than males to engage in binge eating disorders.
ANSWER: D
Diff: 2 Page Ref: 252
Topic: Sex, Race, Ethnicity, and Developmental Factors
Skill: Factual
ANSWER: B
Diff: 2 Page Ref: 252
Topic: Sex, Race, Ethnicity, and Developmental Factors
Skill: Factual
59) For binge eating disorder, epidemiologic data indicate
A) increased risk for the disorder among members of the lower socioeconomic classes.
B) the same findings as revealed in the study of anorexia and bulimia nervosa.
C) children of women with binge eating disorders are not at higher risk for the disorder.
D) more differences in prevalence exist across racial and ethnic groups.
ANSWER: A
Diff: 2 Page Ref: 252
Topic: Sex, Race, Ethnicity, and Developmental Factors
Skill: Factual
60) Jenna is a young adolescent and has been diagnosed with anorexia nervosa. Most likely, her
recovery and treatment will address issues related to independence, trust, and
A) separation anxiety.
B) emotional freedom.
C) establishing romantic relationships.
D) assertiveness.
ANSWER: C
Diff: 2 Page Ref: 253
Topic: Sex, Race, Ethnicity, and Developmental Factors
Skill: Applied
61) Christina is a middle school student going through puberty before her female classmates.
Consequently, she may be at
A) lower risk for developing dissatisfaction with her body.
B) greater risk for developing an eating disorder.
C) less risk for being underweight.
D) greater risk for being sexually abused.
ANSWER: B
Diff: 1 Page Ref: 253
Topic: Sex, Race, Ethnicity, and Developmental Factors
Skill: Applied
62) Sexual abuse histories among patients with bulimia nervosa are
A) more common than typically seen in the family histories of anorexic patients.
B) less common than one would expect from the histories of anorexic patients.
C) no more common than among other psychological disorders.
D) not documented well enough to be able to assess a prevalence rate.
ANSWER: A
Diff: 1 Page Ref: 253
Topic: Sex, Race, Ethnicity, and Developmental Factors
Skill: Factual
63) Animal studies have revealed that one part of the brain influential in appetite and weight
control is the
A) hypothalamus.
B) adrenal glands.
C) pituitary gland.
D) olfactory epithelium.
ANSWER: A
Diff: 1 Page Ref: 255
Topic: The Etiology of Eating Disorders
Skill: Conceptual
64) In persons with anorexia nervosa, abnormalities in serotonin levels may contribute to the
expression of
A) introversion.
B) perfectionism.
C) passive-aggressive behavior.
D) treatment resistance.
ANSWER: B
Diff: 1 Page Ref: 256
Topic: The Etiology of Eating Disorders
Skill: Factual
65) What structural brain abnormalities have researchers discovered in patients with anorexia
nervosa when they are ill?
A) Decreased hypothalamus size
B) Decreased ventricle size
C) Frontal lobe lesions
D) Loss of gray matter and reduced brain mass
ANSWER: D
Diff: 1 Page Ref: 257
Topic: The Etiology of Eating Disorders
Skill: Factual
66) Relatives of persons with anorexia nervosa or bulimia nervosa have an increased risk for
eating disorders _____ times that of persons with no familial history of these disorders.
A) 3
B) 5
C) 8
D) 10
ANSWER: D
Diff: 1 Page Ref: 257
Topic: The Etiology of Eating Disorders
Skill: Factual
67) The heritability of anorexia nervosa and bulimia nervosa indicates that there appears to be
A) a genetic component to both disorders.
B) no direct genetic link to the disorders.
C) genes that are solely responsible for the disorders.
D) genes that are dominant over environmental influences in producing the disorder.
ANSWER: A
Diff: 1 Page Ref: 257
Topic: The Etiology of Eating Disorders
Skill: Conceptual
68) Salvador Minuchin, who investigated patterns of family dysfunction among patients with
eating disorders, identified “enmeshment” as
A) a family’s willingness to maintain the sick status of the affected member.
B) familial attempts to cover up the family member’s illness.
C) the overidentification of family members with the therapist.
D) overinvolvement of all family members in the affairs of one member.
ANSWER: D
Diff: 2 Page Ref: 259
Topic: The Etiology of Eating Disorders
Skill: Conceptual
69) Overall, research indicates that the most effective approach in the treatment of anorexia
nervosa is
A) use of a multidisciplinary team.
B) nutritional counseling.
C) family systems counseling.
D) behavior modification.
ANSWER: A
Diff: 1 Page Ref: 262
Topic: The Treatment for Eating Disorders
Skill: Conceptual
ANSWER: B
Diff: 1 Page Ref: 262
Topic: The Treatment for Eating Disorders
Skill: Factual
71) Inpatient treatment for anorexia nervosa may be required for persons at 75% of their
expected body weight. In addition, consideration is given to medical complications, failure to
improve with outpatient treatment, and
A) the person’s age.
B) the family’s willingness to engage with the multidisciplinary team.
C) suicide attempts or plans.
D) the chronicity of the disorder.
ANSWER: C
Diff: 2 Page Ref: 262
Topic: The Treatment for Eating Disorders
Skill: Factual
72) The only FDA-approved drug for an eating disorder is fluoxetine, and it is prescribed for
A) bulimia nervosa.
B) anorexia nervosa.
C) eating disorder not otherwise specified.
D) bingeing.
ANSWER: A
Diff: 1 Page Ref: 263
Topic: The Treatment for Eating Disorders
Skill: Factual
73) Select the cognitive-behavioral treatment element below that is most effective in promoting
behavioral change among persons with eating disorders.
A) training in diaphragmatic breathing
B) increasing self-esteem
C) altering thinking patterns
D) reducing family enmeshment.
ANSWER: C
Diff: 2 Page Ref: 263
Topic: The Treatment for Eating Disorders
Skill: Conceptual
74) With respect to the treatment of eating disorders, DBT is to CBT as _____ is to _____.
A) faulty thinking; emotional dysregulation
B) unconscious conflict; faulty thinking
C) emotional dysregulation; faulty thinking
D) emotional dysregulation; unconscious conflict
ANSWER: C
Diff: 2 Page Ref: 264-266
Topic: The Treatment for Eating Disorders
Skill: Conceptual
75) A treatment that focuses on emotional dysregulation and sees problem eating behaviors as
attempts to manage unpleasant emotional states is
A) family therapy
B) dialectical behavior therapy
C) interpersonal psychotherapy
D) supportive psychotherapy
ANSWER: B
Diff: 1 Page Ref: 265
Topic: The Treatment for Eating Disorders
Skill: Factual
True/False:
76) As early as the 19th century, Lasegue identified social and psychological factors associated
with anorexia nervosa.
ANSWER: TRUE
Diff: 1 Page Ref: 234
Topic: Anorexia Nervosa
Skill: Factual
77) While anorexia nervosa is a disorder found before the 21st century binge eating disorder is a
disorder of fairly recent origin.
ANSWER: TRUE
Diff: 1 Page Ref: 235
Topic: Anorexia Nervosa
Skill: Factual
78) Patients diagnosed as having the restricting subtype of anorexia nervosa control their weight
exclusively through dieting.
ANSWER: FALSE
Diff: 2 Page Ref: 236
Topic: Anorexia Nervosa
Skill: Conceptual
79) Female anorexic patients may experience the loss of menstrual periods during the course of
the disorder.
ANSWER: TRUE
Diff: 1 Page Ref: 237
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movements of his Line, by keeping them as compact as the nature of
the circumstances will admit. Captains are to look to their particular
Line as their rallying point. But, in case Signals can neither be seen
or perfectly understood, no Captain can do very wrong if he places
his Ship alongside that of an Enemy.
Of the intended attack from to windward, the Enemy in Line of
Battle ready to receive an attack,
B = British.[83]
E = Enemy.[83]
The divisions of the British Fleet will be brought nearly within gun
shot of the Enemy’s Center. The signal will most probably then be
made for the Lee Line to bear up together, to set all their sails, even
steering sails, in order to get as quickly as possible to the Enemy’s
Line, and to cut through, beginning from the 12 Ship from the
Enemy’s Rear. Some Ships may not get through their exact place, but
they will always be at hand to assist their friends; and if any are
thrown round the Rear of the Enemy, they will effectually complete
the business of twelve Sail of the Enemy.
Should the Enemy wear together, or bear up and sail large, still the
twelve Ships composing, in the first position, the Enemy’s Rear, are
to be the object of attack of the Lee Line, unless otherwise directed
from the Commander-in-Chief, which is scarcely to be expected, as
the entire management of the Lee Line, after the intentions of the
Commander-in-Chief is signified, is intended to be left to the
judgment of the Admiral commanding that Line.
The remainder of the Enemy’s Fleet, 34 Sail, are to be left to the
management of the Commander-in-Chief who will endeavor to take
care that the movements of the Second in Command are as little
interrupted as is possible.
The Battle
References