CDN Eating Disorder Treatment 3

Question 1

Which criterion differentiates purging disorder from bulimia nervosa?

Accepted Answer

Purging disorder involves compensatory behaviors after normal-sized meals, not binges

Answer

Purging disorder requires a BMI below 18.5

Answer

Purging disorder only involves laxative use, not vomiting

Answer

Purging disorder occurs exclusively in males

Question 2

Motivational interviewing (MI) is particularly useful early in eating disorder treatment because:

Accepted Answer

It addresses ambivalence and builds intrinsic motivation to change

Answer

It provides detailed meal plans immediately

Answer

It directly challenges cognitive distortions

Answer

It focuses on trauma resolution

Question 3

Which nutrition intervention is recommended when initiating refeeding in a hospitalized anorexia patient to reduce refeeding syndrome risk?

Accepted Answer

Begin at 1000–1200 kcal/day and advance slowly

Answer

Start at full caloric requirements (2000–2500 kcal/day)

Answer

Initiate total parenteral nutrition first

Answer

Provide high-protein supplements only

Question 4

A patient with bulimia nervosa reports feeling 'numb' and turning to bingeing to cope with emotional distress. Which therapy is best suited for targeting emotion regulation deficits?

Accepted Answer

Dialectical behavior therapy (DBT)

Answer

Cognitive processing therapy

Answer

Acceptance and commitment therapy

Answer

Prolonged exposure therapy

Question 5

Dental erosion on the lingual surfaces of maxillary teeth is a clinical sign most consistent with:

Accepted Answer

Frequent self-induced vomiting

Answer

Chronic laxative use

Answer

Excessive use of diet pills

Answer

Prolonged food restriction

Question 6

In the stepped-care model for eating disorder treatment, which level of care is appropriate for a medically stable patient with moderate symptoms who cannot attend day treatment?

Accepted Answer

Intensive outpatient program (IOP)

Answer

Inpatient hospitalization

Answer

Residential treatment

Answer

Unstructured self-help only

Question 7

A CDN is asked to assess a patient's readiness for change. According to the transtheoretical model, a patient who says 'I know I have a problem but I'm not ready to do anything about it' is in which stage?

Accepted Answer

Contemplation

Answer

Precontemplation

Answer

Preparation

Answer

Action