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which of the following represents body dissatisfaction research? - ANSWERS-overvaluation of shape and weight is more closely tied to self-esteem than body dissatisfaction fastest growing evidence based treatment developed in the 90's to treat BPD is - ANSWERS-DBT night eating syndrome is most similar to that of BED. T F - ANSWERS- T ACT includes both mindfulness and CBT based strategies incorporated into the nutrition care process, with the focus on behavior change first and then letting the thoughts and feelings take care of themselves. T. F - ANSWERS-T The social domain that is not associated with IPT is: a grief, b. role maintenance? - ANSWERS-b. role maintenance mindfulness based practices can be used in nutrition therapy because - ANSWERS-evidence is emerging to support it's use in the treatment of BED to provide meaning and intention to meals and to reduce restrictive mindset of those who chronically diet
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END OF PAGE factors that appear to positively influence self injury include previous suicide attempts and what additional factor? depression, impulsivity, OCD, all of the above? - ANSWERS-all of the above azotemia definition and hyperuricimia definition - ANSWERS-elevated BUN and creatinine : elevated uric acid in blood a patient purging through diuretics may present with Azotemia and Hyperuricemia. T. F - ANSWERS-T assessing pre morbid personality features is critical when ruling out personality disorders in patients with AN because a. people with primary personality disorders are not appropriate for HLOC; b. AN can cause personality disorders; c. prolonged under nutrition may mimic primary personality disorders; d. personality changes cannot be reversed once a patient has become nutritionally stable - ANSWERS-C: prolonged undernutrition may mimic personality disorders you work in an outpatient practice and your client is unable to eat any meals or snacks without supervision. what level of care is recommended? - ANSWERS-PHP
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END OF PAGE which statement about comorbidities associated with ED is INACCURATE - ANSWERS-OCD is twice as likely in clients with BED norepinephrine, dopamine and serotonin are neurotransmitter systems involved in the regulation of feeding behavior and weight control. T F - ANSWERS-T Nutrition therapy for LGBTQ clients includes understanding the intersection between gender and body concerns. T. F - ANSWERS-F zyprsxa (olanzapine) can increase appetite and weight and may cause diabetes, ketosis, increase in cholesterol, and or TG - ANSWERS- Re-feeding syndrome. Who is at risk, why it happens, effects. - ANSWERS- Highest risk of refeeding syndrome is only in the first 5 days of increased nutrition intake in those who. have not eaten in 5 - 10 days, who weigh less than 70% IBW or who are aggressively refer by feeding tube or tpn. T F - ANSWERS-
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END OF PAGE empirical trial of GF diet is not recommended as other illnesses may improve with this diet too T F - ANSWERS-T The BMI can be a useful too to determine weight goals in children and adolescents. T F - ANSWERS-T The most lethal substance involved compensatory method used by people with ED is : laxatives, ipecac syrup, diuretics, diet pills - ANSWERS-ipecac: the substance that is lethal in ipecac is emetine which causes cardiomyopathy; heart needs to be exposed to 1250 mg of emetine over a course of a few months to damage the heart a 45 year old female with AN, binge eating purge subtype since her college years presents with continued complaints of epi gastric pain and heartburn that is worse with food intake. Shr reports no improvement with Omeprazole prescribed 3 months ago. What is the single best thing to do next:add Sucralfate, refer to gastro for endoscopy, obtain H pylori stool antigen , prescribe lansoprazole - ANSWERS-refer to gastro lab results to indicate a patient is purging: K+ 5.2, CO2 19; K+ 5.5 CO 20; k+ 4.5 CO2 30; K+4.2, CO2 18 - ANSWERS-K+4.5 CO2 30
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END OF PAGE medical issues more common in children and adolescents with ED are cardio, gastro and metabolic issues. T. F - ANSWERS-T significant hypokalemia in an otherwise healthy woman is suspect of AN. T F - ANSWERS-F a patient purging with diuretics may present with decreased pH. T F - ANSWERS-F factors that include risk for refeeding syndrome include : tube feeding, less than 70% IBW, not eating for more that 7 days. T. F - ANSWERS-T most purging behaviors will increase blood pH. Which can decrease it? Vomit, diuretics, exercise? none? - ANSWERS- IPT was developed in the 1960's and is most effective in treating both bulimia and binge eating. T F - ANSWERS-T Overvaluation of shape and weight is more closely tied to self esteem than body dissatisfaction. T F - ANSWERS-T
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END OF PAGE portion sizes strongly influence how much people eat regardless of their hunger level. T F - ANSWERS-T a patient purging diuretics may present with decreased pH and increased potassium. T. F - ANSWERS- Daignostic criteria of BN included BE and inappropriate compensatory behaviors both occurring, on average, at least twice a week for 2 months T F - ANSWERS-F BN and BED changed to once a week over a 3 month period Excessive exercise, alexithymia, and BPD are considered suicide risk factors in clients with ED T. F. - ANSWERS-T which of the following traits are common in AN - ANSWERS-wt loss, amenorrhea, irritability,headache dizzy, polyuria, cyanotic (bluish color to skin from poor circulation) and cold hands and feet, hypercholesterolemia, long QT waves, low WBC, low LH, FSH, estradiol, testosterone ( after puberty)
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Selft help forms of CBT are not considered effective in treating BED - ANSWERS-F which statement about comorbidities associated with ED is inaccurate - ANSWERS-OCD is twice as likely in clients with BED ED is 2nd most Lethal among psychiatric illness - ANSWERS-t DSM- 5 which of the following does NOT belong in a patient with AN - ANSWERS-the presence of amenorrhea in premenarcheal females office share, wants to transport files each week; violating which standard of ethics - ANSWERS- BED is currently not a discrete diagnosis - ANSWERS-F client starts therapy with John; then discloses working with another therapist in town that her mother used to see but wants to work with John but doesn't want to upset mother; John should consider - ANSWERS-providing therapy to those served by others, disclosures, multiple relationships
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END OF PAGE Environmental risk factor for BED is - ANSWERS-low socioeconomic group you work in an outpatient practice and your client is unable to eat any meals or snacks w/o supervision; recommended level of care? - ANSWERS-partial hospitalization in individuals with BED, the BE episodes may NOT be associated with eating when hungry - ANSWERS-T High impulsivity is a trait that is more strongly linked to AN - ANSWERS-F DSM 5 which of the following does NOT belong in a patient with AN - ANSWERS-the presence of amenorrhea in premenarcheal females 2 types of self help interventions are pure interventions and guided interventions - ANSWERS-T
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END OF PAGE the most common type of compensatory behavior in BN is laxative abuse - ANSWERS-F Norepinephrie, dopamine and serotonin are neurotransmitter systems involved in the regulation of feeding behavior and weight control - ANSWERS-T Factors that appear to positively influence self-injury include previous suicide attempt and what additional factor - ANSWERS-depression, impulsivity, OCD Rumination disorder is the persistent eating of non - nutritive or non-food substances that are not part of a culturally supported practice over a period of at least one a month - ANSWERS-F In AN, which is true regarding co-occurring psychiatric illnesses - ANSWERS-Approximately 80% have at least one co occurring disorder
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according to the dsm5 which of the following is NOT true of BN - ANSWERS-the binge eating and compensatory behaviors both occur on average at least once a month for 3 months after full criteria for anorexia has been met, a client with anorexia is considered in partial remission if low body weight criteria has not been met for a sustained period of time but either intense fear of gaining weight or disturbance in self-perception of weight or shape criteria is still met - ANSWERS-T many clinical features of depression are not related to the results of starvation - ANSWERS-F traditional face-to - face interventions are far superior to guided self-help modalities. T. F - ANSWERS-F night eating syndrome is characterized by all but which of the following symptoms - ANSWERS-chewing and spitting in determining whether a change in level of care from IOP to Res level is appropriate , the primary consideration is the patients body weight in comparison to the IBW range - ANSWERS-
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END OF PAGE The primary goal of Active Managerial Control is to reduce the risk of - ANSWERS- primary goal of ACT is to increase psychological flexibility to help deal with the clients meal plan in order to maintain an appropriate weight range for recovery - ANSWERS-F which factors contribute to body image distortion in men - ANSWERS- media, body building, masculinity IPT was developed in the late 1950's and is most effective in treating both BN and BED - ANSWERS-F. IPT: focuses on relieving symptoms by improving interpersonal functioning. A central idea in IPT is that psychological symptoms can be understood as a response to current difficulties in everyday relationships with other people. is a time-limited, focused, evidence-based approach to treat mood disorders. The main goal of IPT is to improve the quality of a client's interpersonal relationships and social functioning to help reduce their distress. it addresses interpersonal deficits, including social isolation or involvement in unfulfilling relationships. Second, it can help patients manage unresolved grief—if the onset of distress is linked to the death of a loved one, either recent or past. Third, IPT can help with difficult life transitions like retirement, divorce, or moving to another city.
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END OF PAGE Fourth, IPT is recommended for dealing with interpersonal disputes that emerge from conflicting expectations between partners, family members, close friends, or coworkers. self help for ED can be beneficial in the following situations except - ANSWERS-when dealing with AN 10 sessions of CBT-E after an initial assessment are sufficient to see progress in a patient with an ED - ANSWERS-CBT-E is the abbreviation for "enhanced cognitive behaviour therapy", and is one of the most effective treatments for eating disorders. It is a "transdiagnostic" treatment for all forms of eating disorder including anorexia nervosa, bulimia nervosa, binge eating disorder and other similar states. It was developed as an outpatient treatment for adults but is available as an intensive version for day patients and inpatients. There is also a version for younger people. Detailed treatment guides are available for CBT-E. When working with people who are not significantly underweight, CBT- E generally involves an initial assessment appointment followed by 20 treatment sessions over 20 weeks, lasting 50-minutes each. CBT-E isn't a "one-size-fits-all" treatment. CBT-E is a highly individualised treatment. The therapist creates a specific version of
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END OF PAGE traditional face to face interventions are far superior to guided self help modalities - ANSWERS-F The integrative cognitive affective therapy (ICAT) model emphasizes which of the following - ANSWERS-Integrative Cognitive-Affective Therapy (ICAT), a novel intervention for bulimia nervosa (BN) and binge eating disorder (BED) that targets emotion regulation deficits, has shown promise in reducing eating disorder symptoms as well as improving emotion regulation capacities in adults. DBT is based on an affect regulation model where anxiety is a precursor to binge eating vs. dietary restraint and wt. consciousness - ANSWERS- T manual based cognitive behavioral therapy has attained first line status for the treatment of BN - ANSWERS-T ACT includes both mindfulness and CBT strategies often incorporated into the nutrition care process with the focus on behavior change first and then letting the thoughts and feelings take care of themselves - ANSWERS-T
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END OF PAGE creative art therapy offers a right brain approach instructing a patient to explain his or her feelings with an intellectual understanding - ANSWERS-F narcissistic personality disorder is relatively uncommon in patients with ED - ANSWERS-T music therapy techniques such as improvisation and song writing often incorporate principals from the following psychotherapeutic approaches to address the ED symptoms and overall treatment of the patient - ANSWERS- the SCOFF questionnaire is a good diagnostic tool for ED - ANSWERS- f. in research samples of treatment seeking patients with BED - ANSWERS-approximately 50% have mood disorders the social domain that is NOT associated with IPT is - ANSWERS-role maintenance
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