Chapter 12 - Eating Disorders

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Chapter 12
Eating Disorders

Multiple Choice Questions

12-1
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Chapter 12 - Eating Disorders

1. (p. 337) Which of the following is the driving force behind most people's attempt to lose
weight?
A. The desire to meet a mate
B. The desire to reduce body dissatisfaction
C. The desire to model the behavior of celebrities
D. The desire to be more healthy

Bloom's: Understand
Difficulty: Moderate

2. (p. 339) People with _____ starve themselves, subsisting on little or no food for very long
periods of time, yet they remain sure that they need to lose more weight.
A. binge-eating disorder
B. obesity
C. bulimia nervosa
D. anorexia nervosa

Bloom's: Remember
Difficulty: Easy

12-2
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

3. (p. 339) Fergus has lost one hundred pounds this past year. His weight is 15 percent below
what his physician says is a healthy weight for him, yet he refuses to acknowledge his
thinness or the serious risks of his self-starvation. Fergus is afraid that if he gains weight, no
woman will ever date him again. Fergus is most likely exhibiting _____.
A. body dysmorphic disorder
B. obsessive-compulsive disorder
C. bulimia nervosa
D. anorexia nervosa

Bloom's: Apply
Difficulty: Moderate

4. (p. 339) Amenorrhea refers to:

A. a female's inability to ovulate.
B. excessive bleeding during menstruation.
C. the absence of menstrual periods.
D. irregular menstrual cycles.

Bloom's: Remember
Difficulty: Easy

5. (p. 339) People with anorexia nervosa:

A. often develop elaborate rituals around food.
B. tend to feel energetic even when they have not eaten.
C. are mostly depressed when they are losing weight.
D. do not fear gaining weight.

Bloom's: Remember
Difficulty: Easy

12-3
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

6. (p. 339) Which of the following did DSM-5 drop from the anorexia nervosa diagnostic
criteria?
A. Calorie restriction
B. Amenorrhea
C. Fear of weight gain
D. Discomfort with self-evaluation of one's body

Bloom's: Remember
Difficulty: Moderate

7. (p. 340) Engaging in excessive exercise in addition to limiting calorie intake falls under the
_____ type of anorexia nervosa.
A. restricting
B. binge eating/purging
C. self-evaluation
D. body dysmorphic

Bloom's: Remember
Difficulty: Easy

8. (p. 340) Engaging in episodes of recurring overeating and use of laxatives/enemas to keep
weight low falls under the _____ type of anorexia nervosa in the DSM-5.
A. restricting
B. binge/purge
C. self-evaluation
D. body dysmorphic

Bloom's: Remember
Difficulty: Easy

12-4
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

9. (p. 340) Which type of anorexia involves eating very small amounts of food each day, in part
simply to stay alive and in part because of pressure from others to eat?
A. The constricting type
B. The binge/purge type
C. The restricting type
D. The self-imposed type

Bloom's: Remember
Difficulty: Easy

10. (p. 340) What are the two types of anorexia recognized by the DSM-5?
A. The simple type and constricting type
B. The binge type and purge type
C. The restricting type and binge/purge type
D. The self-imposed type and induced type

Bloom's: Remember
Difficulty: Moderate

11. (p. 340) Which of the following statements is true of the difference between the binge/purge
type of anorexia nervosa and bulimia nervosa?
A. Women with bulimia nervosa have amenorrhea, whereas women with binge/purge
anorexia usually do not.
B. A person with the binge/purge type of anorexia nervosa engages in binges in which large
amounts of food are eaten, whereas binges in bulimia nervosa consist of smaller amounts of
food.
C. Anorexia nervosa affects both men and women, whereas bulimia nervosa is prevalent
among women only.
D. People with the binge/purge anorexia type are at least 15 percent below healthy body
weight, whereas people with bulimia nervosa typically are at normal weight or somewhat
overweight.

Bloom's: Remember
Difficulty: Moderate

12-5
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

12. (p. 340-341) Amile is underweight and uncomfortable with the way she views her body. She
also has no lack of control over eating. She exercises excessively. According to DSM-5
criteria for anorexia nervosa, she would most likely be diagnosed with the:
A. restricting type.
B. binge/purging type.
C. self-evaluation type.
D. body dysmorphic type.

Bloom's: Apply
Difficulty: Moderate

13. (p. 341) Thea is significantly underweight and disturbed with her body image. She tends to
use diuretics and laxatives to keep her weight low. She senses a lack of control over eating.
According to DSM-5 criteria for anorexia nervosa, she would most likely be diagnosed with
the:
A. restricting type.
B. binge/purge type.
C. self-evaluation type.
D. body dysmorphic type.

Bloom's: Apply
Difficulty: Moderate

14. (p. 341) One of the key differences in DSM-5 diagnostic criteria for anorexia nervosa is that
now diagnosis is based on _____.
A. body mass index
B. amenorrhea
C. weight at time of intake
D. hip to waist ratio

Bloom's: Remember
Difficulty: Moderate

12-6
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

15. (p. 341) For several months, Reba has kept her weight 10 to 15 pounds below what would be
considered normal for her age and height. She uses laxatives after eating a meal. She has
become concerned because she has recently stopped menstruating. Which of the following
diagnoses would Reba likely receive?
A. Binge-eating disorder
B. Bulimia nervosa; purging type
C. Anorexia nervosa; binge/purge type
D. Anorexia nervosa; restrictive type

Bloom's: Apply
Difficulty: Moderate

16. (p. 342) Which of the following individuals is most likely to develop anorexia?
A. Bertha, 22, an Asian-American businessperson
B. Lena, 15, a Hispanic high school student
C. Janet, 16, an African-American high school student
D. Abigail, 18, a Caucasian college student

Bloom's: Apply
Difficulty: Moderate

17. (p. 343) All of the following are considered serious physical consequences of anorexia
EXCEPT:
A. hiatal hernia.
B. cardiovascular complications.
C. lower bone strength.
D. kidney damage.

Bloom's: Remember
Difficulty: Moderate

12-7
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Chapter 12 - Eating Disorders

18. (p. 343) A core characteristic of bulimia nervosa is:

A. uncontrolled eating.
B. controlled weight gain.
C. controlled physical exercise.
D. controlled purging.

Bloom's: Remember
Difficulty: Easy

19. (p. 365) Which of the following behaviors is typically associated with bulimia?
A. Overeating
B. Self-induced vomiting
C. Overuse of laxatives
D. Excessive exercise

Bloom's: Remember
Difficulty: Moderate

20. (p. 343) Laurell is of normal weight and is over-concerned with her weight and figure. She
often will eat an entire box of doughnuts and then because she feels a lack of control over
eating that much will use laxatives to get rid of the unwanted calories. According to the DSM-
5 criteria, Laurell will most likely meet the criteria for _____.
A. binge-eating disorder
B. bulimia nervosa
C. anorexia nervosa; binge/purge type
D. anorexia nervosa; restrictive type

Bloom's: Apply
Difficulty: Moderate

12-8
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

21. (p. 343) Fredrique is of normal weight and is over-concerned with his body image. He often
will eat at the all-you-can-eat buffet and then because he feels a lack of control over eating
that much, he will use excessive exercising to control his weight. According to the DSM-5
criteria, he will most likely meet the criteria for _____.
A. binge-eating disorder
B. bulimia nervosa
C. anorexia nervosa; binge/purge type
D. anorexia nervosa; restrictive type

Bloom's: Apply
Difficulty: Moderate

22. (p. 344) Which of the following individuals is most likely to develop bulimia?
A. Bertha, 22, an Asian-American businessperson
B. Lena, 15, a Hispanic high school student
C. Janet, 16, an African-American high school student
D. Abigail, 18, a Caucasian college student

Bloom's: Apply
Difficulty: Moderate

23. (p. 344) The onset of bulimia nervosa most often occurs:
A. before age 18.
B. after age 21.
C. between ages 15 and 29.
D. between ages 13 and 16.

Bloom's: Remember
Difficulty: Easy

12-9
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Chapter 12 - Eating Disorders

24. (p. 344) Which of the following statements is true of bulimia nervosa?
A. The prevalence of bulimia nervosa in the general population is estimated to be between 5
and 8 percent.
B. It is much more common in women than in men, and more common in Caucasians than in
African Americans.
C. The death rate among people with bulimia is much higher than it is among people with
anorexia.
D. Bulimia nervosa tends to be a disorder associated with adolescence, and usually disappears
once the person enters adulthood.

Bloom's: Remember
Difficulty: Moderate

25. (p. 344) Which of the following statements is true of the cultural differences in eating
disorders?
A. A meta-analysis found that bulimia nervosa is considerably more common in Westernized
cultures than in non-Westernized cultures.
B. The prevalence of bulimia nervosa has decreased significantly in the second half of the
twentieth century.
C. Since 1990, the prevalence of bulimia nervosa has increased dramatically in the United
States, Europe, and Australia.
D. The incidence of anorexia nervosa was stable between 1930 and 1970, but has risen
significantly since then.

Bloom's: Remember
Difficulty: Moderate

26. (p. 345) Doctors can recognize people with bulimia because of the fact that:
A. patients tend to have an electrolyte imbalance.
B. the regular use of laxatives causes mouth ulcers.
C. self-induced vomiting reduces calcium, which affects the teeth.
D. frequent vomiting can affect the tonsils.

Bloom's: Understand
Difficulty: Easy

12-10
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Chapter 12 - Eating Disorders

27. (p. 345) Which of the following disorders involves an imbalance in the body's electrolytes?
A. Binge-eating disorder
B. Bulimia nervosa
C. Partial eating disorder syndrome
D. Anorexia nervosa

Bloom's: Remember
Difficulty: Easy

28. (p. 345) Binge-eating disorder differs from bulimia nervosa in that the person with binge-
eating disorder:
A. limits the number of times bingeing occurs.
B. is better able to control food consumption.
C. does not regularly engage in purging or excessive exercise.
D. experiences less anxiety about bingeing.

Bloom's: Understand
Difficulty: Moderate

29. (p. 345) Dennis tends to eat excessive amounts of food several times a day. As a result of
overeating, Dennis is 30 pounds overweight. Dennis is most likely exhibiting:
A. the nonpurging type of bulimia nervosa.
B. the purging type of bulimia nervosa.
C. the binge-purge type of anorexia nervosa.
D. binge-eating disorder.

Bloom's: Apply
Difficulty: Moderate

12-11
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Chapter 12 - Eating Disorders

30. (p. 345) Enrique is significantly overweight and is distressed with his body image. He often
will eat at the all-you-can-eat buffet and then feels a lack of control due to it. According to the
DSM-5 criteria, he will most likely meet the criteria for _____.
A. binge-eating disorder
B. bulimia nervosa
C. anorexia nervosa; binge/purge type
D. anorexia nervosa; restrictive type

Bloom's: Apply
Difficulty: Moderate

31. (p. 346) Which of the following statements is true of binge-eating disorder?
A. Due to a lack of substantial evidence supporting its existence, the DSM-5 will most likely
drop binge-eating disorder as an official diagnosis.
B. People with binge-eating disorder typically have a history of frequent dieting, membership
in weight-control programs, and family obesity.
C. Unlike anorexia nervosa and bulimia nervosa, binge-eating disorder is more common in
men than in women.
D. Binge-eating disorder is most common among African Americans, compared to other
groups in the population.

Bloom's: Remember
Difficulty: Moderate

32. (p. 346) Researchers conducting a longitudinal study in Oregon, which followed a large
group of adolescents, coined the label _____ for syndromes on the less severe end of the
continuum of eating disorders that don't meet the full criteria for anorexia or bulimia nervosa.
A. marginal eating disorders
B. borderline eating disorders
C. partial-syndrome eating disorders
D. pica disorder

Bloom's: Remember
Difficulty: Easy

12-12
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

33. (p. 346) A longitudinal study in Oregon, which focused on adolescents with less severe
eating disorders the researchers called partial-syndrome eating disorders, found that these
adolescents:
A. may binge multiple times per week.
B. may be a full 25 percent underweight.
C. tend to judge themselves on the basis of their weight.
D. are not excessively concerned about their weight.

Bloom's: Remember
Difficulty: Moderate

34. (p. 346) Madeline is highly concerned with her weight and usually engages in a binge/purge
cycle twice a month. According to the DSM-5 criteria, she will most likely meet the criteria
for _____.
A. pica eating disorder
B. bulimia nervosa of low frequency
C. atypical anorexia nervosa
D. night eating syndrome

Bloom's: Apply
Difficulty: Moderate

35. (p. 346-347) Shanee is highly concerned with her weight. Because she feels she has insomnia,
she has a tendency to stay up late watching TV and overeating. She is distressed that she
cannot control her eating behaviors. According to the DSM-5 criteria, she will most likely
meet the criteria for _____.
A. pica eating disorder
B. bulimia nervosa of low frequency
C. atypical anorexia nervosa
D. night eating syndrome

Bloom's: Apply
Difficulty: Moderate

12-13
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

36. (p. 346-347) Simone meets all the criteria for anorexia nervosa EXCEPT that she falls within
normal weight range. According to the DSM-5 criteria, she will most likely meet the criteria
for _____.
A. pica syndrome eating disorder
B. bulimia nervosa of low frequency
C. atypical anorexia nervosa
D. night eating syndrome

Bloom's: Apply
Difficulty: Moderate

37. (p. 346) Which of the following was a finding of a longitudinal study in Oregon, which
focused on adolescents with less severe eating disorders the researchers called "partial-
syndrome eating disorders"?
A. Adolescents with partial-syndrome eating disorders were more likely to be boys than girls.
B. Adolescents with partial-syndrome eating disorders were more likely to have earned a
bachelor's degree but were also more likely to be unemployed.
C. Adolescents with partial-syndrome eating disorders were less likely than those with full-
blown eating disorders to have psychological problems.
D. Adolescents with partial-syndrome eating disorders had lower self-esteem, poorer social
relationships, poorer physical health, and lower levels of life satisfaction than those with no
signs of an eating disorder.

Bloom's: Remember
Difficulty: Moderate

38. (p. 346) A longitudinal study in Oregon, which focused on adolescents with less severe
eating disorders which the researchers called partial-syndrome eating disorders, found that
approximately _____ of these adolescents had a diagnosable psychiatric disorder when they
were in their early 20s.
A. 60 percent
B. 75 percent
C. 80 percent
D. 90 percent

Bloom's: Remember
Difficulty: Easy

12-14
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

39. (p. 346) The DSM-5 allows the diagnosis _____ for individuals who have some severe
symptoms of anorexia nervosa or bulimia nervosa but do not meet the criteria for either
disorder.
A. partial-syndrome eating disorder
B. other specified feeding or eating disorder
C. binge-eating disorder
D. undifferentiated eating disorder syndrome

Bloom's: Remember
Difficulty: Easy

40. (p. 346) Epidemiological studies show that the most common eating disorder diagnosis is:
A. other specified feeding or eating disorder.
B. bulimia nervosa.
C. anorexia nervosa.
D. binge-eating disorder.

Bloom's: Remember
Difficulty: Moderate

41. (p. 346) Other specified eating disorder has a prevalence of approximately _____ in the
general population.
A. 1 percent
B. 3 percent
C. 5 percent
D. 9 percent

Bloom's: Remember
Difficulty: Moderate

12-15
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

42. (p. 347) Obesity is defined as a body mass index (BMI) of _____.
A. 20 or above
B. 25 or above
C. 30 or above
D. between 32 and 38.

Bloom's: Remember
Difficulty: Easy

43. (p. 347) In 2012, Ogden et al. estimated that _____ of American adults were obese.
A. almost one-fourth
B. over one-third
C. approximately 50 percent
D. about two-thirds

Bloom's: Remember
Difficulty: Easy

44. (p. 347) Which of the following groups has the highest rate of obesity?
A. African Americans
B. Asian Americans
C. European Americans
D. Hispanic Americans

Bloom's: Remember
Difficulty: Easy

45. (p. 347) _____ is not designated as an eating disorder by the DSM-5.
A. Obesity
B. Anorexia nervosa
C. Bulimia nervosa
D. Eating disorder not otherwise specified

Bloom's: Remember
Difficulty: Easy

12-16
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Chapter 12 - Eating Disorders

46. (p. 347) Obesity is associated with all of the following EXCEPT:
A. coronary heart disease.
B. type 2 diabetes.
C. some kinds of cancer.
D. Caesarian sections

Bloom's: Remember
Difficulty: Easy

47. (p. 348) _____ of all Americans do not get any exercise at all.
A. 10 percent
B. 25 percent
C. 50 percent
D. 75 percent

Bloom's: Remember
Difficulty: Moderate

48. (p. 349) Two drugs currently approved in the United States for weight loss are:
A. sibutramine and orlistat.
B. sibutramine and rimonabant.
C. rimonabant and orlistat.
D. risperidone and prozac.

Bloom's: Remember
Difficulty: Moderate

49. (p. 349) Which of the following medications results in an increase in blood pressure and
heart rate?
A. Orlistat
B. Rimonabant
C. Xenical
D. Sibutramine

Bloom's: Remember
Difficulty: Moderate

12-17
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

50. (p. 349) _____ involves creating a small pouch at the base of the esophagus, which severely
limits food intake. The stomach may be stapled, banded, or bypassed.
A. Nonadjustable gastric banding
B. Bariatric surgery
C. StomaphyX
D. Horizontal banded gastroplasty

Bloom's: Remember
Difficulty: Easy

51. (p. 349) Which of the following is a proven method for preventing weight gain and reducing
weight?
A. Eat fewer nutrient-dense foods and more empty calories from food and beverages.
B. Aim for a minimum of 10 minutes of physical activity daily.
C. Have access to some amounts of junk food at home to prevent sudden binges.
D. Be more active throughout the day.

Bloom's: Remember
Difficulty: Easy

52. (p. 350) The _____ plays a central role in regulating eating.
A. thalamus
B. hypothalamus
C. hippocampus
D. amygdala

Bloom's: Remember
Difficulty: Easy

53. (p. 351) A biological abnormality found in people with anorexia is:
A. increased functioning in the caudate nucleus.
B. low levels of norepinephrine.
C. decreased metabolism in the frontal cerebrum.
D. lowered functioning of the hypothalamus.

Bloom's: Remember
Difficulty: Moderate

12-18
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

54. (p. 351) Many people with bulimia show abnormalities in systems regulating the
neurotransmitter _____.
A. serotonin
B. epinephrine
C. acetylcholine
D. norepinephrine

Bloom's: Remember
Difficulty: Easy

55. (p. 351) Deficiencies in serotonin might lead the body to crave _____.
A. potassium
B. carbohydrates
C. proteins
D. sodium

Bloom's: Remember
Difficulty: Easy

56. (p. 351) Psychologists have linked the historical and cross-cultural differences in the
prevalence of eating disorders to:
A. standards of beauty for women.
B. how affluent or poor a society is.
C. the influence of the media.
D. levels of education.

Bloom's: Remember
Difficulty: Moderate

12-19
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Chapter 12 - Eating Disorders

57. (p. 351) Longitudinal studies have shown that women who:
A. internalize the thin ideal are more likely to develop bulimic symptoms.
B. understand all the implications of the thin ideal are more likely to develop bulimic
symptoms.
C. argue against the thin ideal are more likely to develop bulimic symptoms.
D. recognize pressures from the media to subscribe to the thin ideal are more likely to develop
bulimic symptoms.

Bloom's: Remember
Difficulty: Moderate

58. (p. 353) Paula has been participating in sports since she was five. She is now at the elite level
in her sport, and is under pressure to lose weight. She has developed some characteristics of
anorexia. Paula is least likely to be participating in _____.
A. gymnastics
B. judo
C. figure skating
D. soccer

Bloom's: Apply
Difficulty: Moderate

59. (p. 353) In which of the following categories of sport are athletes most likely to have an
eating disorder?
A. Aesthetic sports
B. Endurance sports
C. Ball game sports
D. Technical sports

Bloom's: Remember
Difficulty: Moderate

12-20
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Chapter 12 - Eating Disorders

60. (p. 353) Which of the following high school students is most likely to develop an eating
disorder?
A. Susan, who is a gymnast
B. Anna, who plays basketball
C. Martha, who plays softball
D. Trina, who plays volleyball

Bloom's: Understand
Difficulty: Easy

61. (p. 353-354) Which of the following high school students is most likely to develop an eating
disorder?
A. Austin, who plays soccer
B. Jared, who plays football
C. KJ, who plays baseball
D. Randy, who is a bodybuilder

Bloom's: Understand
Difficulty: Moderate

62. (p. 353) Which of the following is true about athletes and eating disorders?
A. May, who is an elite athlete, is more likely develop an eating disorder than June, who is a
non-elite athlete.
B. May, who is an elite athlete, is less likely to develop an eating disorder than June, who is a
non-elite athlete.
C. May, who is an elite athlete, and June, who is a non-elite athlete, are equally likely to
develop an eating disorder.
D. Neither May nor June will develop an eating disorder because there is no empirical
evidence correlating eating disorders and athletes.

Bloom's: Understand
Difficulty: Moderate

12-21
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Chapter 12 - Eating Disorders

63. (p. 354) Kathleen Vohs and colleagues suggested that disordered eating is especially likely to
result when body dissatisfaction is combined with:
A. perfectionism and low self-esteem.
B. poor self-image and internalization of the thin ideal.
C. internalization of the thin ideal and a desire for social acceptance.
D. a desire for social acceptance and a perfectionist nature.

Bloom's: Remember
Difficulty: Moderate

64. (p. 354) According to research, people with eating disorders:

A. are not bothered by others' opinions.
B. are flexible in their self-evaluations.
C. have a dichotomous thinking style.
D. rarely conform to others wishes.

Bloom's: Remember
Difficulty: Moderate

65. (p. 355) Which of the following binge-eating subtypes did Stice et al. identify?
A. Dieting subtype and anxiety subtype
B. Anxiety subtype and panic subtype
C. Panic subtype and depressive subtype
D. Depressive subtype and dieting subtype

Bloom's: Remember
Difficulty: Moderate

12-22
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Chapter 12 - Eating Disorders

66. (p. 355) According to Stice et al., women with the _____ of binge eating try their best to
maintain a strict low-calorie diet, but they frequently fall off the wagon and engage in binge
eating.
A. dieting subtype
B. anxiety subtype
C. panic subtype
D. depressive subtype

Bloom's: Remember
Difficulty: Moderate

67. (p. 355) According to Stice and colleagues, women with the _____ subtype of binge eating
are plagued by feelings of depression and low self-esteem and often eat to quell these
feelings.
A. dieting
B. anxiety
C. panic
D. depressive

Bloom's: Remember
Difficulty: Moderate

68. (p. 355) According to the study conducted by Stice et al., women with the depressive
subtype:
A. are less likely to respond well to treatment.
B. face fewer difficulties in their relationships with family and friends.
C. are less likely to continue to engage in severe binge eating.
D. are less likely to be diagnosed with major depression or an anxiety disorder.

Bloom's: Remember
Difficulty: Moderate

12-23
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Chapter 12 - Eating Disorders

69. (p. 355) What percentage of the women with the depressive subtype of binge-eating
developed major depression over the eight-year period after the study conducted by Stice et
al.?
A. 60 percent
B. 65 percent
C. 75 percent
D. 80 percent

Bloom's: Remember
Difficulty: Easy

70. (p. 355) According to Hilde Bruch, anorexia nervosa often occurs in girls who:
A. are underachievers with high anxiety.
B. do not conform to social norms and have low anxiety.
C. have been high achievers, and dutiful and compliant daughters.
D. have low self-esteem combined with a rebellious nature.

Bloom's: Understand
Difficulty: Moderate

71. (p. 355-356) According to Hilde Bruch, which of the following is NOT true of parents of girls
who develop anorexia nervosa?
A. They tend to be overcontrolling.
B. They tend to be overinvested in their daughters' compliance and achievements.
C. They allow their daughters to express negative feelings.
D. They discourage the expression of feelings.

Bloom's: Remember
Difficulty: Moderate

12-24
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Chapter 12 - Eating Disorders

72. (p. 356) Bruch argues that girls from overcontrolling families:
A. have a strong desire for peer relationships.
B. tend to show higher levels of sexual activity.
C. deeply fear separation from their families.
D. are in tune with their feelings and trust their own judgment.

Bloom's: Understand
Difficulty: Moderate

73. (p. 356) Marianne has controlling, overprotective, fault-finding parents. In response to their
behaviors, she refuses to maintain the minimal body weight she needs for her age and height.
Aside from her eating disorder, Marianne will most likely exhibit all of the following
behaviors EXCEPT _____.
A. conformity
B. defiance
C. distrust
D. anger

Bloom's: Apply
Difficulty: Moderate

74. (p. 357) Which of the following statements is true of psychotherapy for anorexia?
A. People with anorexia nervosa highly value their thinness and so can be resistant to
therapists' attempts to change their behaviors or attitudes.
B. Hospitalization and forced feeding are hardly ever used for treating patients with anorexia
nervosa.
C. Most people with anorexia nervosa proactively seek treatment for themselves, as they
realize the dangers associated with their behaviors.
D. Psychotherapy for patients with anorexia nervosa tends to be short-term, as the relapse rate
is usually low.

Bloom's: Understand
Difficulty: Moderate

12-25
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

75. (p. 357) _____ therapies are the most researched treatment for anorexia nervosa.
A. Cognitive-behavioral
B. Psychodynamic
C. Behavioral
D. Rational-emotive

Bloom's: Remember
Difficulty: Easy

76. (p. 357) Gwendolyn weighs 85 pounds and has been diagnosed with anorexia nervosa.
Which of the following factors is likely to present a major difficulty with respect to treating
her in therapy?
A. Control
B. Delusions
C. Transference
D. Ethics

Bloom's: Apply
Difficulty: Moderate

77. (p. 357) A therapist who treats a patient with anorexia should:
A. get the client to give up all control.
B. win and maintain the client's trust and encourage participation.
C. convince the family to develop more clear-cut boundaries.
D. win and maintain the family's trust and participation.

Bloom's: Understand
Difficulty: Moderate

12-26
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Chapter 12 - Eating Disorders

78. (p. 357) Which of the following statements is true of cognitive-behavioral therapy for
anorexia nervosa?
A. The client's family members discuss their opinions about the client's disorder.
B. The clients are encouraged to discuss their repressed feelings and anxieties.
C. The client's overvaluation of thinness is confronted, and rewards are based on the person's
gaining weight.
D. The therapist uses projective tests to identify and interpret the client's feelings.

Bloom's: Remember
Difficulty: Moderate

79. (p. 357) April is receiving individual therapy from Dr. Gruber for her anorexia. Dr. Gruber
will most likely:
A. define April's feelings for her.
B. help April reevaluate her thoughts about being thin.
C. have April hospitalized.
D. convince April to ask her parents to intervene.

Bloom's: Apply
Difficulty: Moderate

80. (p. 357) The best-studied family therapy for persons with anorexia is known as the:
A. systemic coaching model.
B. Maslow model.
C. Maudsley model.
D. constructivist model.

Bloom's: Remember
Difficulty: Moderate

12-27
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

81. (p. 357) The Maudsley model of family therapy involves:

A. 6 sessions over 2 months.
B. 4 to 8 sessions over 2 months.
C. 5 to 10 session over 3 months.
D. 10 to 20 sessions over 6 to 12 months.

Bloom's: Remember
Difficulty: Moderate

82. (p. 357) In the Maudsley model of family therapy, parents are:
A. made to model healthy eating habits for their children.
B. guided on how to provide support to children with eating disorders.
C. taught to gradually relinquish their control over the child.
D. coached to take control over their child's eating and weight.

Bloom's: Understand
Difficulty: Moderate

83. (p. 358) The behavioral component of cognitive-behavioral therapy in treating bulimia
involves:
A. identifying and analyzing the client's childhood experiences with food.
B. introducing forbidden foods back into the client's diet.
C. providing negative reinforcements every time the client purges.
D. conditioning the client's responses to the environment.

Bloom's: Understand
Difficulty: Moderate

84. (p. 357) The behavioral component of cognitive-behavioral therapy in treating anorexia
involves:
A. identifying and analyzing the client's childhood experiences with food.
B. giving rewards that are contingent on weight gain.
C. providing negative reinforcements every time the client purges.
D. conditioning the client's responses to the environment.

Bloom's: Understand
Difficulty: Moderate

12-28
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

85. (p. 358) Cognitive-behavioral therapy for bulimia usually lasts about _____ months and
involves _____ sessions.
A. 3 to 6; 3 to 6
B. 2 to 4; 5 to 10
C. 3 to 6; 10 to 20
D. 2 to 4; 10 to 20

Bloom's: Remember
Difficulty: Moderate

86. (p. 358) Controlled studies of the efficacy of cognitive-behavioral therapy for bulimia find
that _____ the clients completely stop the binge/purge cycle.
A. only 10 percent of
B. 25 percent of
C. about half
D. three-fourths of

Bloom's: Remember
Difficulty: Moderate

87. (p. 358) _____ is more effective than _____ in producing complete cessation of binge eating
and purging and in preventing relapse over the long term.
A. Cognitive-behavioral therapy; drug therapies
B. Drug therapy; behavioral therapy
C. Behavioral therapy; psychodynamic therapy
D. Psychodynamic therapy; cognitive-behavioral therapy

Bloom's: Remember
Difficulty: Easy

12-29
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Chapter 12 - Eating Disorders

88. (p. 358) In _____, the client and the therapist discuss interpersonal problems related to the
client's eating disorder, and the therapist works actively with the client to develop strategies to
solve these problems.
A. cognitive-behavioral therapy
B. interpersonal therapy
C. behavioral therapy
D. rational-emotive therapy

Bloom's: Remember
Difficulty: Easy

89. (p. 358) In _____ therapy, the therapist encourages the client to talk about problems related
to the eating disorder—especially interpersonal problems—but in a highly nondirective
manner.
A. interpersonal
B. behavioral
C. cognitive-behavioral
D. supportive-expressive psychodynamic

Bloom's: Remember
Difficulty: Moderate

90. (p. 358) In _____ therapy, the client is taught how to monitor her food intake, is reinforced
for introducing avoided foods into her diet, and is taught coping techniques for avoiding
bingeing.
A. behavioral
B. interpersonal
C. psychodynamic
D. supportive-expressive psychodynamic

Bloom's: Remember
Difficulty: Easy

12-30
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

91. (p. 358) Dominic has been seeing Dr. Provine for help with his eating disorder. In a highly
nondirective manner, Dr. Provine helps Dominic talk about problems related to his eating
disorder, including those related to his interpersonal relationships. This is an example of
_____.
A. behavioral therapy
B. interpersonal therapy
C. supportive-expressive psychodynamic therapy
D. cognitive therapy

Bloom's: Apply
Difficulty: Moderate

92. (p. 358) Comparisons of cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT)
suggest that:
A. CBT appears to be more effective in preventing relapse in patients with bulimia.
B. CBT is significantly more effective than IPT in treating bulimia.
C. IPT works more quickly, with substantial improvement being shown by 3 to 6 weeks.
D. IPT appears to be less effective in preventing relapse in patients with bulimia.

Bloom's: Remember
Difficulty: Moderate

93. (p. 359) The _____, such as fluoxetine (Prozac), have been the focus of much research on
biological treatments for bulimia nervosa.
A. SSRIs
B. SNRIs
C. MAOIs
D. tricyclic antidepressants

Bloom's: Remember
Difficulty: Easy

12-31
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

94. (p. 359) Which of the following is true about drug treatments and psychotherapies in treating
bulimia?
A. Adding psychodynamic therapy to antidepressant treatment increases the rate of recovery
from the disorder.
B. Adding behavioral therapy to antidepressant treatment increases the rate of recovery from
the disorder.
C. Adding cognitive-behavioral therapy to antidepressant treatment increases the rate of
recovery from the disorder.
D. Adding interpersonal therapy to antidepressant treatment increases the rate of recovery
from the disorder.

Bloom's: Remember
Difficulty: Easy

Essay Questions

95. (p. 340 (Table 12.1)) What is anorexia nervosa? Describe the diagnostic criteria for this disorder.

Key terms and concepts that may be included in student responses:

Anorexia nervosa—people starve themselves, subsisting on little or no food for very long
periods of time
Diagnostic criteria—refusal to maintain body weight at or above a minimally normal weight
for age and height, intense fear of gaining weight or becoming fat, distortions in the
perception of one's body weight or shape, undue influence of body weight or shape on self-
evaluation, denial of the seriousness of the current low body weight, amenorrhea

Bloom's: Remember
Difficulty: Moderate

12-32
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

96. (p. 340-341) What are the subtypes of anorexia nervosa?

Key terms and concepts that may be included in student responses:

Anorexia nervosa subtypes—restricting type (individual refuses to eat), binge/purge type
(individual periodically engages in bingeing or purging behaviors)

Bloom's: Remember
Difficulty: Moderate

97. (p. 343 (Table 12.3)) What is bulimia nervosa? Describe the diagnostic criteria for this disorder.

Key terms and concepts that may be included in student responses:

Bulimia nervosa—uncontrolled eating (bingeing), followed by behaviors designed to prevent

weight gain from the binges
Diagnostic criteria—recurrent episodes of binge eating; eating in a discrete period of time an
amount of food that is definitely larger than most people would eat during a similar period of
time and under similar circumstances; a sense of lack of control over eating during the
episode; recurrent inappropriate behaviors to prevent weight gain, such as self-induced
vomiting, misuse of laxatives, diuretics, enemas, or other medications, fasting, excessive
exercise; the binge eating and inappropriate purging behaviors both occur, on average, at least
twice a week for 3 months; self-evaluation is unduly influenced by body shape and weight

Bloom's: Remember
Difficulty: Moderate

12-33
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

98. (p. 345 (Table 12.4)) What is binge-eating disorder? Describe the diagnostic criteria for this
disorder.

Key terms and concepts that may be included in student responses:

Binge-eating disorder—resembles bulimia nervosa, except that the person does not regularly
engage in purging, fasting, or excessive exercise to compensate for binges
Diagnostic criteria—recurrent episodes of binge eating that occur in a discrete period of time
(within 2 hours) and a sense of loss of control during the eating; binge episodes are associated
with three or more of the following: eating more rapidly than normal; eating until feeling
uncomfortably full; eating large amounts of food when not hungry; eating alone due to
embarrassment or guilt; eating amounts that lead to feeling disgusted, depressed, and very
guilty; marked distress of binge eating is present; binge eating occurs at least 2 days a week
for a 6-month period; the binge eating is not associated with the regular use of inappropriate
compensatory behaviors, such as purging, fasting, or excessive exercise, and does not occur
exclusively during the course of anorexia or bulimia nervosa

Bloom's: Remember
Difficulty: Moderate

99. (p. 346-347) Which is the most common eating disorder diagnosis? What are some of the
characteristics of this disorder?

Key terms and concepts that may be included in student responses:

Eating disorder not otherwise specified (EDNOS)—shown in epidemiological studies to be

the most common eating disorder diagnosis
Characteristics—individuals who have some severe symptoms of anorexia nervosa or bulimia
nervosa but do not meet the criteria for either disorder; a prevalence of approximately 5
percent of the general population; tends to be as severe and persistent as bulimia nervosa or
anorexia nervosa

Bloom's: Remember
Difficulty: Moderate

12-34
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

100. (p. 347-348) What is obesity? What are the risks associated with obesity and what are the
trends that have been observed about this disorder?

Key terms and concepts that may be included in student responses:

Obesity—a body mass index (BMI) of 30 or over, where BMI is calculated as your weight in
pounds multiplied by 703, then divided by the square of your height in inches
Risks—increased risk of coronary heart disease, hypertension and stroke, type 2 diabetes, and
some kinds of cancer; a BMI of 30 or more increases the risk of death by approximately 30
percent, and a BMI of 40 or more increases the risk of death by 100 percent; quality of life for
obese people can suffer, both because of health effects and because obesity is highly
stigmatized
Trends—between 1980 and 2002, the prevalence of obesity doubled in adults and tripled in
children and adolescents; in 2010, the Centers for Disease Control and Prevention estimated
that over one-third of Americans were obese; African Americans have the highest rate of
obesity, followed by Hispanic Americans and non-Hispanic Whites; rates of obesity also are
climbing around the world, particularly in countries where the standard of living is increasing

Bloom's: Remember
Difficulty: Moderate

101. (p. 350-351) Briefly describe the biological factors that have been implicated in eating
disorders.

Key terms and concepts that may be included in student responses:

Genetic factors—twin studies of anorexia nervosa have found that from 33 to 84 percent of
the variability in the disorder is due to genetic factors; twin studies of bulimia nervosa put its
heritability at 50 to 83 percent
Brain abnormalities—people with anorexia nervosa show lowered functioning of the
hypothalamus and abnormalities in the levels of several hormones important to the
functioning of the hypothalamus or in their regulation, including serotonin and dopamine;
many people with bulimia show abnormalities in the neurotransmitter serotonin (deficiencies
in serotonin might lead the body to crave carbohydrates, and people with bulimia often binge
on high-carbohydrate foods)

Bloom's: Remember
Difficulty: Moderate

12-35
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

102. (p. 353-354) One group at increased risk for unhealthy and disordered eating habits is
athletes. Elaborate on this statement.

Key terms and concepts that may be included in student responses:

One group at increased risk for unhealthy and disordered eating habits is athletes, especially
those participating in sports in which weight is considered an important factor in
competitiveness
Female athletes participating in sports classified as "aesthetic" or "weight-dependent,"
including diving, figure skating, gymnastics, dance, judo, karate, and wrestling, are most
likely to have anorexia or bulimia nervosa
Among men, bodybuilders routinely have substantial weight fluctuations as they shape their
bodies for competition and then binge in the off-season

Bloom's: Remember
Difficulty: Moderate

103. (p. 354-355) Briefly describe the thinking patterns of individuals with eating disorders.

Key terms and concepts that may be included in student responses:

Cognitive models—overvaluation of appearance: people consider their body shape to be one

of the most important aspects of their self-evaluation and believe that achieving thinness will
bring social and psychological benefits; body dissatisfaction combined with perfectionism and
low self-esteem can lead to disordered eating patterns; people are more concerned with the
opinions of others, are more conforming to others' wishes, and are more perfectionist and
rigid in their evaluations of themselves; dichotomous thinking

Bloom's: Understand
Difficulty: Moderate

12-36
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McGraw-Hill Education.
Chapter 12 - Eating Disorders

104. (p. 355-357) What family characteristics may be involved in eating disorders?

Key terms and concepts that may be included in student responses:

▪ Family characteristics—anorexia nervosa often seems to occur in girls who have been
unusually "good girls"—high achievers, dutiful and compliant daughters who are always
trying to please their parents and others by being "perfect;" parents are overinvested in their
daughters' compliance and achievements, are overcontrolling, and do not allow the expression
of feelings; families have high levels of conflict, discourage the expression of negative
emotions, and emphasize control and perfectionism; mothers in these families believe their
daughters should lose more weight, criticize their daughters' weight, and are themselves more
likely to show disordered eating patterns

Bloom's: Understand
Difficulty: Moderate

12-37
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McGraw-Hill Education.