While the nurse is talking to the mother of a 15-year-old girl, ...

[kshipps]

While the nurse is talking to the mother of a 15-year-old girl, the mother expresses concern over her daughter's eating and exercise habits.
 
  The mother says that as soon as her daughter comes home from school she exercises for 2 to 3 hours. She says her daughter eats very little at dinner, but in the morning she notices that large amounts of food are missing from the kitchen. Her daughter was complaining of tooth pain, and when she took her to the dentist, her daughter had over 10 cavities. Which of the following disorders is her daughter most likely suffering from?
  A) Anorexia nervosa
  B) Binge-eating disorder
  C) Bulimia nervosa
  D) Eating disorder not otherwise specified

Question 2

A client with an eating disorder is going through behavior family systems therapy (BFST).
 
  The client's therapist is encouraging the parents to take charge of their daughter's eating and is coaching her parents in developing an appropriate behavioral weight program. In what phase of BFST is this family?
  A) Assessment
  B) Control rationale
  C) Weight gain
  D) Weight maintenance

[Juro]

Answer to Question 1

Ans: C
Feedback:
Bulimia is characterized by episodic, uncontrolled, rapid ingestion of large quantities of food. It may occur alone or in conjunction with the food restriction of anorexia. Clients with bulimia nervosa compensate for excessive food intake by self-induced vomiting, obsessive exercise, use of laxatives and diuretics, or all of these behaviors. They may consume an incredible number of calories (an average of 3415 per binge) in a short period, induce vomiting, and perhaps repeat this behavior several times a day. Clients with bulimia may develop dental caries from the frequent contact of tooth enamel with food and acidic gastric fluids.

Answer to Question 2

Ans: B
Feedback:
In the control rationale phase, the therapist encourages parents to take charge of the client's eating and deals with their reactions. The therapist also coaches parents to develop an appropriate behavioral weight program. In the assessment phase, the multidisciplinary team, consisting of dietitian, physician, psychologist, nurse, and other professionals, comes together to coordinate care with the client and family. Team members engage the family in treatment and check the client's weight weekly. They conduct history, behavioral analyses, and social and functional analyses. In the weight gain phase, the therapist begins to refine the weight-gain program and introduces nonfood-related issues. He or she begins cognitive therapy interventions (eg, cognitive restructuring). Family psychotherapy and psychoeducation take place. The last phase is weight maintenance, where control over food gradually returns to the client. Team members teach healthy ways of maintaining weight. Family interactions increasingly become the focus of treatment. The therapist fosters client individuation.