Focused Testlet 14

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Scenario:

A female lacrosse player is exhibiting signs of disordered eating.

Question 1

BOOKMARK
To screen for disordered eating patterns and a possible eating disorder, you decide to ask about the athlete's medical history. What questions should you ask this athlete?

Select all that apply.

Prompt

Response

"Are you currently, or have you in the past year, followed a particular diet?"

"No. I just try to eat healthy."

"How many meals do you eat each day?"

"Two."

"Do you ever limit food intake to control weight?"

"I don't think I limit my intake, but I am careful about the number of calories I take in each day."

"Are there certain foods you refuse to eat?"

"High-fat and high-calorie foods."

"Do you take vitamin supplements?"

"Sometimes."

"Do you take nutritional supplements?"

"No. I don't do drugs."

"How many snacks do you eat each day?"

"I snack on what is in my backpack if I am really hungry."

"What do you currently weigh?"

"I think I weigh about 100.75 pounds."

"Have you ever been diagnosed with a learning disability?"

"I don't think so. I've always had to study hard, but I do really well in school."

"Do you listen to an MP3 player while running?"

"Most of the time. If I don't, I get bored."

"Do you regularly go to the dentist?"

"I went this summer with my Mom."

Scenario:

A female lacrosse player is exhibiting signs of disordered eating.

Question 2

BOOKMARK
According to the National Athletic Trainers’ Association (NATA) position statement on preventing, detecting, and managing disordered eating in athletes, the certified athletic trainer plays an important role in managing an athlete who is being treated for an eating disorder. Which intervention is within the recommended role of the certified athletic trainer?

Determine limitations of physical workouts based on team practice schedules

Make the initial diagnosis and design a treatment plan

Be willing to work individually with athletes with disordered eating who do not want to seek treatment from physicians or psychotherapists

Assume the role of informed patient advocate

Scenario:

A female lacrosse player is exhibiting signs of disordered eating.

Question 3

BOOKMARK
You suspect this athlete has an eating disorder. You decide an intervention is necessary. An initial intervention should be facilitated by an authority figure who has a rapport with this athlete. Based on the video, the authority figure who conducted this initial intervention does not seem prepared to do what?

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Approach the athlete with sensitivity and respect while adhering to disclosure regulations regarding patient confidentiality

Indicate specific observations of concern

Expect denial, anger, or resistance

Have experts readily accessible for consultation and/or timely referral

Scenario:

A female lacrosse player is exhibiting signs of disordered eating.

Question 4

BOOKMARK
Based on the athlete’s medical history and your intervention discussion, you are able to convince the athlete to seek professional assistance. According to DSM-5, which of the following four criteria must be met in order to confirm a clinical diagnosis of anorexia nervosa?

Select four.

Refusal to maintain body weight at or above minimally normal weight for age and height

Intense fear of gaining weight or becoming fat even though underweight

Disturbance in the way one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight

Absence of at least three consecutive menstrual cycles

Severe mood shifts and feelings of guilt about eating

Wearing baggy clothes to disguise thin appearance

Preferring to eat in isolation

Body weight less than 85% of expected weight

Scenario:

A female lacrosse player is exhibiting signs of disordered eating.

Question 5

BOOKMARK
The physician to whom the athlete was referred has concluded the athlete is suffering from anorexia athletica. How does this condition differ from anorexia nervosa?

Absence of self-starvation practices

Maintenance of regular menstrual cycle

Absence of distorted body image

Absence of mood shifts and fear of becoming obese

Willingness to discuss eating practices

STUDENT NAME:

DATE COMPLETED:

TIME TRACKED:

Question Number

Your Score

Possible Score

Answer Key

1

0

7

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2

0

1

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3

0

1

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4

0

4

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5

0

1

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Total Points

0

14

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