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Hendrik has been having a great deal of trouble initiating and maintaining sleep.He guesses that he is sleeping for an average of about three hours each night and complains that he feels terrible during the day.In addition, Hendrik has always experienced some anxiety but has recently felt a tremendous increase in his overall anxiety level.The existence of both a sleep disorder and anxiety


A) makes the diagnosis of primary insomnia incorrect.
B) increases our confidence that primary insomnia is the correct diagnosis.
C) indicates that the insomnia is a result of the anxiety rather than a cause of the anxiety.
D) is extremely common since sleep problems can be both a cause and a result of anxiety.

E) B) and C)
F) All of the above

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Sleepwalking is characterised by all of the following EXCEPT


A) acting out a dream.
B) occurrence during NREM stages of sleep.
C) no memory of the sleepwalking event.
D) occurrence primarily in children.

E) None of the above
F) C) and D)

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The best evidence that binge-eating disorder (BED) might not just be a special case of bulimia nervosa is that


A) more males than females suffer from BED.
B) no genetic component has been identified for BED.
C) there is a greater likelihood of remission and a better response to treatment for BED.
D) the average age of onset is much younger for BED than it is for bulimia nervosa or anorexia nervosa.

E) A) and D)
F) B) and C)

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Matilda has had anorexia nervosa for several years.She started losing weight because her family said she needed to lose a few kilograms.A crucial part of treatment for Matilda is family therapy that focuses on the issues regarding


A) attitudes towards body shape and image distortions.
B) negative communications in the family regarding food and eating.
C) dysfunctional communication in the family regarding food and eating.
D) all of the above

E) A) and D)
F) All of the above

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Of the following, the only symptom that both patients with narcolepsy and patients with hypersomnolence disorder experience is


A) falling asleep during normal waking hours.
B) sudden loss of muscle tone.
C) sleep paralysis.
D) hypnagogic hallucinations.

E) A) and D)
F) C) and D)

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Benzodiazepine medication is not recommended as a long-term solution for the treatment of insomnia because of


A) the addictive properties of these medications.
B) rebound insomnia that occurs after the medication is discontinued.
C) excessive sleepiness that may persist during the day.
D) all of the above

E) A) and C)
F) A) and B)

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Programmes that have the best chance of success for preventing eating disorders


A) should be administered to all girls under 15 years of age to prevent the disorder from developing.
B) should be administered to girls under 15 years of age who are concerned about being overweight.
C) should be administered to all girls 15 years of age or older to prevent the disorder from developing.
D) should be administered to girls 15 years of age or older who are concerned about being overweight.

E) None of the above
F) B) and D)

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An important aspect of the cognitive-behavioural approach to the management of bulimia nervosa involves


A) changing patients' dysfunctional thoughts regarding their weight and previous weight control strategies.
B) helping the patient's family learn new ways of interacting with each other and with the patient.
C) changing the type and frequency of reinforcement associated with being an identified patient.
D) making sure that the patient has a lot of quiet time where she can be alone.

E) C) and D)
F) None of the above

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Binge-eating disorder is characterised by


A) laxative use.
B) purging.
C) a lack of compensatory behaviours.
D) emaciation.

E) None of the above
F) All of the above

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Which of the following might help to explain the vast differences in the incidence of eating disorders among men and women?


A) the influence of behavioural genetics
B) the fact that boys are encouraged to play sports and girls to be active in social functions
C) the fact that puberty brings boys' bodies closer to the societal ideal and girls' bodies further from the societal ideal
D) the differences in the way boys and girls tend to gain weight from overeating

E) C) and D)
F) A) and B)

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Sleep studies suggest that around 40% of South Africans


A) get more than six hours of sleep a night.
B) report feeling excessively sleepy during the day.
C) have insomnia.
D) need less than five hours of sleep a night.

E) A) and B)
F) A) and C)

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Rose sleeps about eight hours each night.She awakens feeling fine and well rested, but she tends to fall asleep about two or three times during the day.We can conclude that


A) Rose should be diagnosed with primary insomnia.
B) Rose would be diagnosed with hypersomnolence disorder if her symptoms cause disruptions or distress in her life.
C) Rose should be diagnosed with a parasomnia.
D) a medical condition is a more appropriate diagnosis than a sleep disorder.

E) None of the above
F) A) and D)

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The reason that antidepressant medications are sometimes used to treat narcolepsy is that


A) narcolepsy is often caused by depression.
B) the anti-anxiety properties of these medications reduce narcolepsy.
C) these medications suppress REM sleep that can trigger cataplexy.
D) antidepressants are found to reduce hypnagogic hallucinations.

E) B) and C)
F) A) and D)

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In what ways do anorexia nervosa and bulimia nervosa patients tend to be similar and in what ways do they differ? Make sure you include similarities and differences in the symptoms of the disorders as well as the dysfunctional thoughts typically associated with each disorder.

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Anorexic individuals voluntarily starve ...

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When individuals with anorexia nervosa are evaluated over long periods of time, it has been found that the percentage of individuals who die as a result of their disorder is


A) 20%.
B) 5%.
C) 2%.
D) 40%.

E) A) and B)
F) B) and D)

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Sam sleeps for eight or more hours every night but never feels rested.He can't understand why he is always tired despite the fact that he reports no difficulties with the quality or quantity of his sleep.Of the following, Sam's most likely diagnosis is


A) hypersomnolence disorder.
B) sleep apnoea.
C) narcolepsy.
D) non-specific parasomnia.

E) A) and B)
F) C) and D)

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After engaging in an extended session of binge eating, Thomas goes to the bathroom and makes himself vomit.He thinks that he has removed all of the food he consumed from his stomach, but in fact he will only have removed around _____ of the calories he consumed.


A) one-third
B) one-quarter
C) one-half
D) two-thirds

E) None of the above
F) B) and C)

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One intriguing result from the studies comparing cognitive-behavioural therapy (CBT) and interpersonal therapy (IPT) for bulimia nervosa is the finding that


A) IPT is more effective in the short term but CBT is more effective when we look at how well patients are doing one year following treatment.
B) IPT and CBT appear to be indistinguishable in terms of their effectiveness in the short and long term, despite their very different approaches.
C) IPT is always more effective than CBT.
D) CBT is more effective in the short term, but IPT patients 'catch up' and will do as well as CBT patients one year after treatment.

E) A) and B)
F) None of the above

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As of 2014, the percentage of adult women in South Africa with a body mass index in the obese range was


A) 12%.
B) 17%.
C) 26%.
D) 40%.

E) A) and D)
F) A) and B)

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Obstructive sleep apnoea is characterised by


A) complete cessation of respiratory activity for brief periods.
B) interruption of air flow and brief cessation of respiratory activity.
C) interruption of air flow without cessation of respiratory activity.
D) central nervous system disorders and trauma.

E) A) and B)
F) None of the above

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