IAEDP Practice exam

Daignostic criteria of BN included BE and inappropriate compensatory behaviors both occurring, on average, at least twice a week for 2 months T F - answer-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. - answer-T which of the following traits are common in AN - answer-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) two neurotransmitters play a significant role in the etiology of an ED - answer-serotonin and dopamine According to DSM V which of the following is NOT true of BN - answer-BE and compensatory behaviors both occur on avg at least once a month for three months ARFID is an ED associated with all but one of the following - answer-avoidance of foods based on fear of weight gain and calorie intake Not a symptom of AN - answer-Tachycardia many clinical features of depression are not related to the results of starvation - answer-F the highest risk of relapse in a patient with AN isa t what % IBW - answer-90% Selft help forms of CBT are not considered effective in treating BED - answer-F which statement about comorbidities associated with ED is inaccurate - answer-OCD is twice as likely in clients with BED ED is 2nd most Lethal among psychiatric illness - answer-t DSM-5 which of the following does NOT belong in a patient with AN - answer-the presence of amenorrhea in premenarcheal females office share, wants to transport files each week; violating which standard of ethics - answer- BED is currently not a discrete diagnosis - answer-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 - answer-providing therapy to those served by others, disclosures, multiple relationships Environmental risk factor for BED is - answer-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? - answer-partial hospitalization in individuals with BED, the BE episodes may NOT be associated with eating when hungry - answer-T High impulsivity is a trait that is more strongly linked to AN - answer-F DSM 5 which of the following does NOT belong in a patient with AN - answer-the presence of amenorrhea in premenarcheal females 2 types of self help interventions are pure interventions and guided interventions - answer-T Only medication that has regulatory approval for use in ED treatment - answer-Prozac self help forms of CBT are not considered effective in treating binge eating disorder - answer-F A self-report 26 item questionnaire of symptoms, causes and characteristics of eating disorders useful in screening for ED risks and most appropriate for individuals 16 yo's - answer-Eating Attitudes Test (EAT) Eating Disorders Examination (EDE) - answer-28 self reported questionnaire; 14 yo and up assess range and severity of features for ED eating disorder using 4 subscales (Restraint, Eating Concern, Shape Concern and Weight Concern) and a global score. - answer- Psyschological testing - answer-SCL-90, MMPI, Beck Depression scale body weight below 85% of normal for age, ht., and gender is a medical diagnosis ___________________ - answer-metabolic starvation the most common type of compensatory behavior in BN is laxative abuse - answer-F Norepinephrie, dopamine and serotonin are neurotransmitter systems involved in the regulation of feeding behavior and weight control - answer-T Factors that appear to positively influence self-injury include previous suicide attempt and what additional factor - answer-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 - answer-F In AN, which is true regarding co-occurring psychiatric illnesses - answer-Approximately 80% have at least one co occurring disorder according to the dsm5 which of the following is NOT true of BN - answer-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 - answer-T many clinical features of depression are not related to the results of starvation - answer-F traditional face-to -face interventions are far superior to guided self-help modalities. T. F - answer-F night eating syndrome is characterized by all but which of the following symptoms - answer-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 - answer- the standard dialectical behavior model for bulimia nervosa and binge eating disorder involves - answer-distress tolerance behavior chain analysis and diary cards mindful eating and urge suffering Maudsley treatment is the only evidence-based treatment for adolescents with AN. T. F - answer-T IPT is a therapy focusing on improving interpersonal functioning and therefore psychiatric symptoms. T. F - answer-T 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. T. F - answer-F in research samples of treatment seeking patients with BED - answer-50% have mood disorders ICT Interpersoal cognitive Therapy is an evidence based therapy for eating disorders - answer-F The primary goal of Active Managerial Control is to reduce the risk of - answer- 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 - answer-F which factors contribute to body image distortion in men - answer-media, body building, masculinity IPT was developed in the late 1950's and is most effective in treating both BN and BED - answer-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. 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 - answer-when dealing with AN 10 sessions of CBT-E after an initial assessment are sufficient to see progress in a patient with an ED - answer-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 CBT-E to match the exact eating problem of the person receiving treatment. CBT-E has four stages (see CBT-E map below). 10 sessions of CBT-E after an initial assessment are sufficient to see progress in a patient with an ED - answer-F