Write an Explanation with each answer.

Georgia Kaplan is a 22-year-old college student with anorexianervosa. She was diagnosed when she was 15 years old whileattending boarding school. She has undergone intensive treatmentwith recent better control of her disorder. At present she weighs98 pounds and her height is 5 feet 2 inches. She is fearful ofgaining weight. In particular, she is fearful of weighing more than100 pounds. She has kept her weight over 95 pounds for the last 3years with close medical follow-up and psychologicalcounseling.

Ms. Kaplan’s grades at school are consistently As and Bs, unlessshe is having difficulty with her condition. She visualizes herselfas being overweight, “feels fat,” and follows a very strict dietunder medical supervision. She shares an apartment with two otherroommates who are not aware that she has an eating disorder. Sheshops for her own food, stores it on a special shelf in thekitchen, and uses a particular shelf in the refrigerator. Herroommate shop, cook, and share meals with each other, but Georgiaprefers to by herself.

Georgia exercises twice a day. In the morning she jogs with onof her roommates. In the afternoon she works out, concentrating onher abdomen, which she believes is “too fat and sticks out toomuch.” She has not had a menstrual period in more than 3 months.Before that time, her menstrual cycle was irregular and fluctuatedwith the control of her disease.

On physical examination, Georgia appears pale and thin. Hertemperature is 96.2 degrees, her blood pressure is 64/42, and herpulse is 58 and regular. She states that she has occasionaldizziness but, as long as she changes her position slowly fromlying to sitting, this dizziness is not usually bothersome.

1. Even though Georgia Kaplan’s disease seems to be in control,which one of the following factors indicates a need to monitor hermore closely than usual?

1. A weight of 98 pounds
2. Fear of gaining weight over 100 pounds
3. Grades
4. The fact that her roommates do not know of her disorder
5. Ritualistic behavior regarding shopping and eating alone
6. Exercise
7. Body image
8. Amenorrhea
9. Dizziness
10. Abnormal temperature, pulse, and blood pressure

1. 1, 2, 4, and 5
2. 3, 4, 5, and 10
3. 4, 5, 6, and 8
4. 6, 7, 8, and 9

1. The counselor convinces Georgia to share her problem with herroommates and she brings them to her next visit. Discussion withthe roommates indicates that Georgia’s condition is beingcomplicated by another disorder. She has not gained any weightsince the last visit, but her roommates indicate that she issharing meals with them and progressively eating more food. Whichone of the following disorders should be considered?

1. Phenylketonuria
2. Obesity
3. Diabetes mellitus
4. Bulimia

1. In making nutritional recommendations to Ms. Kaplan, thecounselor should stress which of the following factors?

1. Basic nutrient molecules are necessary for each cell in thebody to function.
2. Body systems will compensate for her inability to eatproperly.
3. Her disorder will not affect other systems in the body.
4. She will need to take vitamins to counteract all the effects ofher disorder.

1. When describing necessary nutrition for Georgia, which one ofthe following groups of tools is most likely to be used?

1. Pictures of children with kwashiorkor and marasmus
2. Recommended daily allowances and the Food Guide Pyramid
3. Recommended daily allowances and a list of the essential aminoacids.
4. The food pyramid and a list of the essential amino acids