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When Your Child Has an Eating Disorder --
A Step-By-Step Workbook for Parents and Other Caregivers

by Abigail H. Natenshon
1999 (Josey-Bass Publishers: San Francisco CA) [278 pages].
[Answer 18 of 25 questions correctly to receive
10 hours of Continuing Education credit].


Chapter 1: The Truth about Eating Disorders (p 1-36)
1. Which is TRUE?
a. Eating disorders affect only adolescent girls.
b. Laxatives and diuretics are a good way to lose weight.
c. The symptoms of eating disorders are not easily detected by a routine physical examination.
d. Parents are the cause of their child’s eating disorders.
2. A healthy eating lifestyle is determined by
a. a person’s weight.
b. how food is used and for what purpose.
c. the calorie content of the food.
d. the fat content of the food.
3. Without her thinness, a young woman fears she will have no special qualities to differentiate her from others. This is a disorder of
a. control.
b. coping.
c. identity.
d. feelings.
4. A father comments on how great his daughter looks in a certain pair of shorts. This “trigger” is an example of
a. a good thing that can become harmful when taken to extremes.
b. the power of another person’s words to influence behavior.
c. the misinterpretation of advice or suggestions.
d. all of the above.
Chapter 2: Recognizing Signs of Disease (p 37-57)

5. Studies have reported that as many as 75% of eating disordered individuals use ____ as a method of purging or of reducing anxiety.
a. excessive exercise
b. laxatives
c. diuretics
d. strict dieting
6. A good reason for eating food does NOT include
a. soothing emotional pain.
b. satisfying hunger.
c. fuel for the body.
d. sociability.
Chapter 3: Beginning the Dialogue with Your Child (p 59-91)

7. A good example of a supportive comment by a parent is
a. “I bought you some low-fat yogurt."
b. “Please sit with the family at dinnertime.”
c. “You need to eat more.”
d. “Are you getting thinner?”
8. If a child with an eating disorder says to the parent “It’s none of your business”, the parent should say
a. “Fine, I give up.”
b. “If you don’t eat, I’m taking away the car.”
c. "Please eat. Do it for me.”
d. “I’m concerned for you. Is there anything I can do to help?”
9. Author Terri Apter describes fighting between parents and children as
a. teenager rebellion.
b. power struggles.
c. parents not learning what the child has to say.
d. the tantrum trap.
Chapter 4: Understanding Treatment Options (p 92-132)

10. Which of the following indicates positive changes in recovery from eating disorders?
a. decreased need for daily weigh-ins.
b. less feeling of shame after eating.
c. increased comfort in eating in front of others.
d. all of the above.
11. One of the many roles of the therapist is
a. to offer the possibility of being thin without being anorexic or bulimic.
b. to get the patient to eat or gain weight.
c. to bring about a cure.
d. to make the patient happier.
12. A young man with an eating disorder stops at a fast-food restaurant to binge-eat each day on his way home from school. He then purges, feeling relieved for a short time. He decides to change the route he takes to get home. This is an example of
a. psychodynamic change.
b. cognitive change.
c. behavioral change.
d. disease-addiction change.
13. According to family systems therapy, if a mother is experienced as overly controlling, it is because
a. one or both of her parents were controlling.
b. she has an abrasive personality.
c. her husband is weak.
d. the family helped create that role for her.
14. A child begins to relapse into anorexia after being recovered for one year. The most appropriate treatment milieu at this time would be
a. outpatient treatment.
b. hospital inpatient treatment.
c. hospital day program treatment.
d. residential care program treatment.
Chapter 5: Reaching Out for Professional Help (p 133-168)

15. In finding a therapist, it is NOT a requirement that the therapist
a. have past success in treating eating disorders.
b. be recovered from an eating disorder.
c. believe that an eating disorder can be overcome.
d. demonstrate empathy and care.
16. A good nutritionist will
a. set out a rigid food plan.
b. recommend staying away from bad foods.
c. not use journals and meal plans.
d. connect emotions to food-related behaviors.
17. A question that is NOT appropriate for a mother to ask her child’s therapist is
a. How might I assist my child regarding her identity?
b. What can I do to reinforce treatment changes?
c. Are you aware of how my child eats and what she thinks and feels about food?
d. What did my daughter tell you about me?
18. The less frequently one eats, the slower one’s metabolism, and the greater the tendency to gain weight. The more frequently one eats, the more normal the metabolic rate, and the lesser the tendency to gain weight.
Chapter 6: Understanding the Recovery Process (p 171-206)

19. Behavioral signs of recovery include
a. normalized eating.
b. a sustained abstinence from the binge-purge cycle.
c. the restoration of menstruation.
d. all of the above.
20. Which is TRUE of the recovery process?
a. Weight gain is synonymous with recovery.
b. Regression and setbacks are a normal part of recovery.
c. 1,200 calories is enough daily food for a healthy woman of average height and weight.
d. Any weight gain should be immediately praised and celebrated.
21. Your child, who is in recovery for an eating disorder, says: “Some people get hungry; others’ don’t. I don’t. Why do I have to eat dinner?”
A good recovery answer to this question is:

a. “Because I said so.”
b. “Because it’s our family tradition.”
c. “Your body’s metabolism needs 3 meals per day or it won’t function properly.”
d. “You don’t have to eat anything. Just sit with us.”
22. Penny is a teenager in recovery for an eating disorder. Her parents can help her recovery by
a. allowing her to skip meals.
b. not discussing food with her.
c. protecting Penny from her feelings.
d. expecting her to eat breakfast, lunch, and dinner every day.
23. A non-eating disordered person would handle problems by
a. pretending they don’t exist.
b. refusing to get discouraged; talking about something happy instead.
c. recognizing and accepting sadness.
d. eating a lot less or a lot more.
Chapter 7: Recognizing and Overcoming Recovery Setbacks (p 207-242)

24. When a teenager in recovery becomes discouraged because of setbacks, it would be helpful to
a. remind her of positive changes she already had made in any areas.
b. focus the discussion on food.
c. encourage her to resume a normal eating pattern.
d. let her deal with these feelings alone.
25. Which is FALSE?
a. Food restriction and hunger may lead to gorging.
b. Eating about 40% of one’s daily calories in the early part of the day increases one’s tendency to overeat in the latter part of the day.
c. A regular menstrual period is an indication of healthy hormonal and reproductive systems, and healthy bones.
d. Dieting is the worse way to lose weight. The more a person diets, the higher her percentage of body fat when the weight is restored.