NR 668 Week 6 Exam | Psychiatric-Mental
Health Capstone Practicum &
Intensive Exam | Questions and Graded A+
| Latest 2024/2025
Which of the following are DSM-5-TR diagnostic criteria for anorexia
nervosa? Select all that apply.
-refusal to maintain a minimal bodyweight
-pathological fear of gaining weight
-distorted body image in which clients continue to insist they are
overweight even when emaciated
- Correct Answer - -refusal to maintain a minimal bodyweight
-pathological fear of gaining weight
-distorted body image in which clients continue to insist they are
overweight even when emaciated
Rationale: Anorexia nervosa is an eating disorder where the main
features include a refusal to maintain minimal body weight, a
pathological fear of gaining weight, and a distorted body image in which
sufferers continue to insist they are overweight.
Which of the following symptoms is consistent with anorexia nervosa
binge-eating/purging type?
-avoiding eating to help control weight gain
-not being bothered about weight gain
-regularly using laxatives
,-eating only certain types of foods - Correct Answer - regularly using
laxatives
Rationale: Binge eating/purging type anorexia nervosa is a type of eating
disorder that involves regularly engaging in purging activities, such as
vomiting or the misuse of laxatives, diuretics, or enemas, to help control
weight gain.
Bulimia Nervosa - Correct Answer - -characterized by recurrent episodes
of eating unusually large amounts of food paired with a feeling of lack of
control of eating behaviors
-To compensate for overeating, individuals engage in behaviors to
prevent weight gain
• self-induced vomiting
• excessive use of laxatives or diuretics
• excessive exercise
• fasting
• or combination of these behaviors
-lifetime prevalence rate of up to 1.5% in women
-Comorbidities with other mental health diagnoses are common
• most experiencing 1+ concomitant conditions: depression, anxiety,
SUD
-significant % have symptoms that meet criteria for 1+ personality
disorders
• most especially borderline personality disorder
Bulimia Nervosa DSM-5-TR dx - Correct Answer - -requires each of the
following:
• recurrent incidents of binge eating are characterized by:
,➣eating an amount of food in a discrete period that is notably larger than
what most individuals would eat in a similar time period, under similar
conditions
➣lack of control of overeating behaviors during the episode, such as
feeling that one cannot stop eating or control how much is eaten
• recurrent inappropriate behaviors to compensate for overeating to
prevent weight gain
➣self-induced vomiting; misuse of laxatives, diuretics, or other
medications; fasting; or excessive exercise
• binge eating & inappropriate compensatory behaviors occur, on
average, at least once a week for 3 months
• body shape & weight unduly influence self-evaluation
• disturbance does not occur exclusively during episodes of anorexia
nervosa
Bulimia Nervosa Medical Complications - Correct Answer - -Some
complications are related to malnutrition, while others are related to
purging behaviors
-disruptions of physiological processes such as blood pressure, heart
rate, temperature regulation, & menstruation
-Dental
• Enamel erosion , Hot/cold sensitivity, Discoloration, Dental caries, Gum
disease
-Endocrine
• Menstrual irregularities, Osteopenia & osteoporosis, diabetes
-GI
• Parotid & submandibular (salivary) gland hypertrophy, with puffy or
swollen cheeks
• Mallory-Weiss syndrome (esophageal tears)
Binge Eating Disorder (BED) - Correct Answer - -episodes of the
consumption of an excessively large amount of food accompanied by a
sense of loss of control over the experience
-recurrent episodes of binge eating, along with distress or secrecy about
eating or eating when not hungry.
-mean age of onset is 12.5 years
• most common eating disorder among adolescents
-Prevalence rates estimated 2-4%
• equal between girls & boys
-often associated with obesity
• no compensatory behaviors to eliminate consumed calories
• may lead to consequences for both physical and psychological health
Binge Eating Disorder (BED) DSM-5-TR dx - Correct Answer - -
consuming an excessive amount of food in a discrete period that is
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