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Many clinicians suggest that the most difficult part of treatment for anorexia nervosa, and the part of treatment where many people with anorexia nervosa are not successful, is


A) initial weight gain.
B) admitting that there is a problem and agreeing to begin treatment.
C) changing their attitudes regarding body and self-image
D) when they become bulimic.

E) B) and C)
F) All of the above

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One major problem with the use of medication in the treatment of bulimia nervosa is that


A) well-controlled studies have not found medication more effective than a placebo.
B) the beneficial effects of the medication may be short term.
C) side effects make most patients discontinue the medication.
D) patients refuse to take their medication.

E) C) and D)
F) All of the above

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Which of the following might help to explain the vast differences in the incidence of eating disorders among men and women?


A) The influence of behavioral genetics
B) The fact that boys are encouraged to play sports and girls to be active in social functions
C) The fact that puberty brings boys' bodies closer to the societal ideal and girls' bodies further from the societal ideal
D) The differences in the way boys and girls tend to gain weight from overeating

E) None of the above
F) B) and D)

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Fred has been having a great deal of trouble initiating and maintaining sleep. He guesses that he is sleeping for an average of about three hours each night and complains that he feels terrible during the day. In addition, Fred has always experienced some anxiety but has recently felt a tremendous increase in his overall anxiety level. The existence of both a sleep disorder and anxiety


A) makes the diagnosis of primary insomnia incorrect.
B) increases our confidence that primary insomnia is the correct diagnosis.
C) indicates that the insomnia is a result of the anxiety rather than a cause of the anxiety.
D) is extremely common, since sleep problems can be both a cause and a result of anxiety.

E) A) and B)
F) A) and C)

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The males most likely to develop an eating disorder such as bulimia nervosa are those who are


A) overweight.
B) depressed.
C) Homosexual or bisexual.
D) only children.

E) A) and D)
F) A) and B)

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When considering all the factors that influence the development of psychological disorders, it seems that that the _______ is unique in the extent of its role in eating disorders.


A) strong influence of genetics
B) role of family instability
C) power of neurobiological influences
D) influence of society and culture

E) None of the above
F) B) and D)

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Individuals who experience loss of control of their eating and consume great quantities of food but do not engage in any attempts to compensate for their binge would be diagnosed with


A) bulimia nervosa, nonpurging type.
B) binge eating disorder.
C) obsessive-compulsive disorder.
D) buffet disorder.

E) B) and C)
F) A) and B)

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Men generally desire to be


A) equal to their present weight.
B) heavier and more muscular.
C) lighter than the male median weight considered attractive by women.
D) 15 pounds lighter than their present weight.

E) A) and B)
F) A) and C)

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Jill has been in treatment for anorexia nervosa for the past two months. Over this time, she has gained weight to the point where she is in the average range for a woman of her height. The fact that she gained weight fairly quickly in treatment means


A) her prognosis for a full recovery is very good.
B) she is probably in need of little, if any, more treatment.
C) she has completed the most difficult part of her treatment.
D) little in terms of how likely she is to be successful in the long term.

E) A) and D)
F) B) and C)

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Most individuals with bulimia nervosa


A) purge by self-induced vomiting.
B) exercise rigorously after binging.
C) fast for long periods of time after binging.
D) none of these are correct

E) A) and B)
F) A) and C)

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Since about 1960, most Westernized countries have experienced a dramatic


A) decrease in the incidence of anorexia nervosa and bulimia nervosa.
B) increase in the incidence of anorexia nervosa and bulimia nervosa.
C) increase in the incidence of anorexia nervosa but a decrease in the incidence of bulimia nervosa.
D) increase in the incidence of bulimia nervosa but no change in the rate of anorexia nervosa.

E) A) and D)
F) A) and C)

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Sleep terrors and sleepwalking generally occur


A) during REM sleep.
B) during the twilight stages between sleep and waking.
C) during NREM sleep.
D) after some severe daytime stressor.

E) A) and D)
F) A) and B)

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Which of the following represents the typical profile of a patient with either anorexia nervosa or bulimia nervosa?


A) Young female, socially competitive environment
B) Young female, history of depression
C) Young female , highly competitive
D) Any age female, few friends

E) A) and C)
F) None of the above

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The most common reason that people with anorexia nervosa generally do not seek treatment on their own is that they


A) are ashamed of their disorder.
B) fear that they will be hospitalized.
C) do not believe they are too thin.
D) have little desire for food.

E) C) and D)
F) All of the above

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The percentage of the general population that reports some symptoms of insomnia during any given year is approximately ____.


A) 10%
B) 20%
C) 33%
D) 50%

E) All of the above
F) A) and B)

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Eating disorders are most prevalent in


A) Western cultures where food is scarce.
B) Western cultures where food is plentiful.
C) non-Western cultures where food is scarce.
D) non-Western cultures where food is plentiful.

E) A) and D)
F) B) and D)

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People who do not get enough sleep are also more susceptible to


A) obesity.
B) illnesses.
C) hypersomnolence.
D) rapid eye movement.

E) None of the above
F) C) and D)

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In which of the following situations is Bill, who has narcolepsy, most likely to experience cataplexy?


A) Immediately upon waking up after a long, restful sleep
B) At any random moment
C) Under hypnosis
D) While jumping up and cheering for his favorite team

E) B) and D)
F) B) and C)

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As many as ____ of anorexia nervosa deaths are due to suicide.


A) 5% to 10%
B) 10% to 15%
C) 15% to 20%
D) 20% to 30%

E) C) and D)
F) A) and C)

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Which of the following statements is true regarding the effectiveness of purging for reducing caloric intake?


A) Vomiting reduces almost 100% of calories consumed if done immediately after eating.
B) Laxatives reduce more calories than vomiting because it works immediately.
C) Vomiting reduces approximately 50% of calories consumed, up to 24 hours after eating.
D) Vomiting reduces approximately 50% of calories consumed, less if delayed after eating.

E) B) and C)
F) A) and C)

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