Eating Disorders and Dialectical Behavior Therapy

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Questions and Answers

What behavior is characteristic of Bulimia Nervosa?

Avoidance of certain foods

Refusal to eat food with specific textures

Consuming food solely to manage stress

Recurrent episodes of binge eating followed by purging (correct)

Which of the following is a sign of Binge Eating Disorder?

Avoiding food entirely due to anxiety

Eating only to maintain a specific weight

Eating until uncomfortably full (correct)

Dieting to prevent binge episodes

What defines obesity based on body mass index (BMI)?

A BMI of 35 or greater

A BMI of 30 or greater (correct)

A BMI of 25 or greater

A BMI between 27 and 30

What psychological sign is commonly associated with eating disorders?

Distorted body image (D) Signup and view all the answers

Which of these is a skill taught in Dialectical Behavior Therapy (DBT)?

Emotional regulation (D) Signup and view all the answers

What is a key characteristic of somatic symptom disorder (SSD)?

There are one or more distressing physical symptoms. (A) Signup and view all the answers

Which of the following is NOT a biological factor influencing SSD?

Personality traits (D) Signup and view all the answers

What is a symptom of Major Depressive Disorder (MDD)?

Episodes of major depression with no history of mania. (A), Persistent feelings of sadness and hopelessness. (C) Signup and view all the answers

Which treatment option is considered beneficial for individuals with SSD?

Psychotherapy (A), Medication (Antidepressants) (B) Signup and view all the answers

Which type of affective disorder is characterized by extreme mood shifts?

Bipolar Disorder (A) Signup and view all the answers

What is the duration requirement for Persistent Depressive Disorder in adults?

At least 2 years (B) Signup and view all the answers

In Bipolar 1 Disorder, what can occur during manic episodes?

Hallucinations and delusions (B) Signup and view all the answers

What is a common feature of affective disorders?

Mood disturbances (B) Signup and view all the answers

What characterizes Somatic Symptom Disorders (SSD)?

Significant worry and distress over physical symptoms (D) Signup and view all the answers

Which of the following best describes Illness Anxiety Disorder?

Fear of developing a serious illness with no evidence (B) Signup and view all the answers

What is a characteristic symptom of Conversion Disorder?

Altered physical functioning like paralysis (B) Signup and view all the answers

Which behavior is common in individuals with Illness Anxiety Disorder?

Regular and unnecessary doctor visits (A) Signup and view all the answers

What distinguishes Factitious Disorder from other somatic disorders?

Intentional fabrication of symptoms for attention (A) Signup and view all the answers

How does Hypochondriasis differ from SSD?

More emphasis on fear and anxiety over illness (D) Signup and view all the answers

What significant impact can SSD have on the healthcare system?

Increased misdiagnoses and unnecessary tests (C) Signup and view all the answers

Which of the following is NOT a feature of Somatic Symptom Disorders?

Clear medical diagnosis explaining symptoms (D) Signup and view all the answers

What defines Cyclothymic Disorder?

Chronic mood disorder with mild depressive and hypomanic syndromes over at least 2 years (D) Signup and view all the answers

Which of the following is NOT a positive symptom of schizophrenia?

Social withdrawal (B) Signup and view all the answers

Which characteristic is NOT common in manic episodes?

Persistent sadness (C) Signup and view all the answers

What is a significant challenge in diagnosing mood disorders?

Subjectivity of symptoms (B) Signup and view all the answers

Which of the following is a depressive cognitive symptom?

Difficulty concentrating (C) Signup and view all the answers

What symptom indicates a hypomanic episode?

Elevated mood and energy (B) Signup and view all the answers

Which of the following accurately describes negative symptoms in schizophrenia?

Reduced emotional expression and apathy (A) Signup and view all the answers

During a suicide risk assessment, which question is the least appropriate to ask?

Have you thought about what your family would think? (A) Signup and view all the answers

Which of the following is a characteristic of associative looseness?

A sudden shift from one unrelated topic to another. (A) Signup and view all the answers

What symptom does a person with schizoaffective disorder experience?

Combined psychotic symptoms and mood disturbances. (C) Signup and view all the answers

What defines a brief psychotic disorder?

Sudden onset of psychotic symptoms lasting less than a month. (D) Signup and view all the answers

What is a common feature of neologism?

Creating new words that have meaning only to the individual. (D) Signup and view all the answers

Which of the following can be a cause or risk factor for substance-related disorders?

Environmental factors. (B) Signup and view all the answers

What is a primary symptom of schizophrenia as per DSM-5 criteria?

Disorganized speech. (D) Signup and view all the answers

Which type of delusions is characterized by the belief that one is being persecuted?

Persecutory delusions. (B) Signup and view all the answers

What does tolerance in substance addiction refer to?

The need to increase substance use to achieve the same effect. (A) Signup and view all the answers

Which of the following is NOT a behavioral sign of eating disorders?

Weight loss (C) Signup and view all the answers

What is a primary characteristic of gender dysphoria?

Incongruence between assigned gender and experienced gender (D) Signup and view all the answers

Which of the following is classified as a sexual arousal disorder?

Erectile disorder (B) Signup and view all the answers

Which sexual dysfunction is characterized by pain during intercourse?

Vaginismus (B) Signup and view all the answers

What is a symptom duration requirement for diagnosing sexual dysfunction according to DSM-5?

At least 6 months (B) Signup and view all the answers

Which paraphilic disorder involves sexual arousal from prepubescent children?

Pedophilic disorder (C) Signup and view all the answers

Which of the following is a symptom of electrolyte imbalances in eating disorders?

Dehydration (C) Signup and view all the answers

What type of sexual desire disorder involves low sexual desire in males?

Male hypoactive sexual desire disorder (B) Signup and view all the answers

Study Notes

Mental Health Week 9: Somatoform Disorders and the Nursing Approach

Somatoform disorders (SSD) are characterized by persistent worry and distress over physical symptoms.
Distress may or may not be associated with a confirmed medical condition.
Thoughts, feelings, and behaviors related to symptoms are excessive.
Hypochondriasis is similar to SSD but focuses on fear/worry of illness rather than physical symptoms.
SSD places a significant burden on the healthcare system due to frequent doctor visits, unnecessary tests, and potential misdiagnoses.
A patient with frequent headaches, convinced they have a brain tumor (despite negative tests), exemplifies this condition.

Types of SSD

Conversion disorder (conversion reaction): A loss or altered change in physical functioning, often manifested as paralysis, blindness, or difficulty speaking, due to psychological distress.
Factitious disorder: Intentionally faking or exaggerating physical or psychological symptoms for attention or secondary gain.
Illness anxiety disorder (hypochondriasis): Intense fear of having or developing a serious illness, despite medical reassurance.

Mental Health Week 10A: Affective Disorders and Mood Disorders

Affective disorders (mood disorders) include no psychotic symptoms; depression is considered the common cold of psychiatric disorders.
Bipolar disorder is characterized by extreme shifts in mood, energy, and functional capacity, encompassing periods of depression and mania.
Bipolar I disorder: Episodes of mania (elevated mood, energy, or irritability) and major depression.
Bipolar II disorder: Includes hypomanic episodes (less severe than mania) and major depressive episodes.
Cyclothymia: Chronic mood fluctuations with hypomanic and mild depressive symptoms, but never experiences full-blown mania or depression.
Persistent depressive disorder (dysthymia): Chronic low-level depression lasting at least two years in adults, one year in children.

Mental Health Week 11A: Schizophrenia and Psychotic Disorders

Schizophrenia is a severe mental disorder characterized by disorganized thinking, difficulty concentrating, problems with memory, and difficulty with social functioning. (including loose associations, neologisms, delusions, word salad).
Schizophreniform disorder: Similar symptoms to schizophrenia, but the duration is shorter (1-6 months).

Mental Health Week 11B: Psychotic Disorders

Schizoaffective disorder: Combining psychotic (hallucination/delusions) and significant mood disturbances.
Brief psychotic disorder: Sudden onset of psychotic symptoms lasting less than a month.
Delusional disorder: Persistent delusions, with no prominent hallucinations or other symptoms of schizophrenia.

Mental Health Week 12A: Substance Addiction

Tolerance: Increasing the amount needed to achieve the same effect, or decrease effect from same amount of substance.
Intoxication: Recent substance use resulting in a reversible syndrome specific to the substance.
Addiction: A mental disorder characterized by compulsive substance use, and an inability to control use of habits.
Substance use disorders are classified according to the type of substance (Alcohol, Caffeine, Cannabis, Hallucinogen, Inhalant, Opioid, Sedative, Hypnotic, or anxiolytics, Stimulant, and Tobacco).

Mental Health Week 12B & 13A: Eating Disorders

Anorexia nervosa: Intense fear of gaining weight, distorted body image, and severely restricted food intake, leading to significantly low body weight.
Bulimia nervosa: Recurrent episodes of binge eating followed by compensatory behaviors (purging, fasting, or excessive exercise).
Binge-eating disorder: Recurrent episodes of binge eating without compensatory behaviors.

Mental Health Week 14A: Sexual Dysfunction

Sexual dysfunctions involve difficulties with sexual desire, arousal, orgasm, or pain during sexual activity.
Sexual dysfunctions can be primary (lifelong) or secondary (developed later in life)
Paraphilic disorders involve sexual arousal from non-typical or offensive objects or situations. This can include exhibitionism, fetishism, pedophilia, sexual masochism, etc).

Mental Health Week 15: Family and Community Mental Health

Family-centered care involves engaging family's strengths, educating them, and supporting their role in mental health.
Community initiatives aim to increase awareness of mental health and reduce stigma.

Mental Health Week 16: Forensic Nursing

Forensic nursing integrates mental health and legal issues.
Forensic nurses assess mental health and legal issues, handle a variety of cases involving legal issues, provide care in forensic settings (hospitals, courts, jails), and advocate for patients rights.
Forensic nurses handle assessment, intervention, and coordination responsibilities of forensics nursing.

Mental Health Week 14B: Paraphilic Disorders

Paraphilic disorders are characterized by recurrent, intense, and sexually arousing fantasies, urges, or behaviors involving non-normative objects or situations.

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Description

Test your knowledge on eating disorders like Bulimia Nervosa and Binge Eating Disorder, as well as their psychological signs and definitions of obesity based on BMI. Additionally, explore skills taught in Dialectical Behavior Therapy (DBT) that can be relevant to these conditions. Get ready to deepen your understanding of these crucial topics.