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iaedp Certified Eating Disorder Specialist (CEDS)-clinical foundations practice questions

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Question 1Assess the eating pattern, its context, and current risk

A patient describes episodes of eating with loss of control. Which additional distinction is central when considering bulimia nervosa versus binge-eating disorder?

  1. Whether the episodes occur in a restaurant
  2. Whether the patient looks thin
  3. Whether the clinician considers the food unhealthy
  4. The pattern of recurrent compensatory behavior and the complete diagnostic context Correct answer.

Explanation

Loss of control requires further characterization. Recurrent compensation is an important distinction, while full diagnosis also needs the actual pattern, course, distress and relevant exclusion assessment.

Question 2Assess the eating pattern, its context, and current risk

A patient restricts foods because of texture and fear of choking, without weight-shape concerns. Which assessment direction is especially relevant?

  1. Assuming all restriction must express fear of weight gain
  2. Dismissing the pattern because body image is not the concern
  3. ARFID features, nutritional or functional consequences, and alternative explanations Correct answer.
  4. Diagnosing bulimia solely from avoidance

Explanation

Restriction can have sensory or aversive-consequence drivers. Assessment should examine ARFID features and consequences while checking medical and other explanations rather than forcing all restriction into one formulation.

Question 3Assess the eating pattern, its context, and current risk

A person reports substantial recent restriction and dizziness despite a current weight not classified as low. What should assessment avoid?

  1. Clarifying the restriction and its consequences
  2. Reviewing recent trajectory and intake
  3. Using the current weight category to rule out serious illness Correct answer.
  4. Obtaining appropriate medical assessment

Explanation

Current body-size category does not establish medical safety or exclude an eating disorder. Trajectory, behavior, symptoms and clinical findings need assessment without waiting for a stereotyped appearance.

Question 4Assess the eating pattern, its context, and current risk

A screening questionnaire is positive. What does this most directly establish?

  1. The required care setting is automatically determined
  2. A need for further clinical evaluation, rather than a complete diagnosis by itself Correct answer.
  3. Medical assessment is unnecessary
  4. Every diagnostic criterion is necessarily met

Explanation

A screen identifies possible concerns under its measurement limits. Diagnostic formulation, medical risk and treatment setting require additional evidence rather than automatic conclusions from one score.

Question 5Assess the eating pattern, its context, and current risk

A patient calls an ordinary meal a binge because it broke a rigid food rule. What should the clinician clarify?

  1. Assume no distress exists because the meal seems ordinary
  2. Correct the patient by shaming the meal choice
  3. Amount, circumstances, loss of control, distress, and the meaning of the label Correct answer.
  4. Accept the label as a complete diagnosis

Explanation

The patient's experience matters, but the label needs careful characterization. Subjective distress and rigid rules can be clinically important without establishing every feature of an objectively large binge episode.

Question 6Assess the eating pattern, its context, and current risk

An adolescent's weight is unchanged while expected growth has not occurred. What information is particularly important?

  1. Only comparison with one adult cutoff
  2. Only the unchanged number
  3. Developmental and longitudinal growth context Correct answer.
  4. A conclusion that restriction is impossible

Explanation

A stable measurement can coexist with deviation from expected growth. Pediatric assessment needs the trajectory and developmental context rather than interpreting one unchanged value as proof of adequate nutrition.

Question 7Assess the eating pattern, its context, and current risk

A patient reports purging but denies binge eating. What is the best diagnostic approach?

  1. Diagnose bulimia from purging alone without other information
  2. Assume no eating-disorder concern exists
  3. Assume purging proves binge-eating disorder
  4. Characterize purging and the full presentation without forcing a binge-eating label Correct answer.

Explanation

Purging is a clinically important behavior but does not by itself identify the whole disorder. The full pattern and alternatives need assessment, alongside the behavior's medical risks.

Question 8Assess the eating pattern, its context, and current risk

A patient's food intake is limited because there is insufficient money for food. What distinction must be explored?

  1. Food insecurity always proves anorexia nervosa
  2. All missed meals demonstrate deliberate treatment refusal
  3. Financial barriers exclude every eating disorder
  4. Resource scarcity versus additional eating-disorder mechanisms, which can coexist Correct answer.

Explanation

Access constraints can affect intake independently of, or alongside, an eating disorder. Assessment should identify both without converting scarcity into a diagnosis or ignoring possible coexisting pathology.

Question 9Assess the eating pattern, its context, and current risk

A clinician asks only about vomiting when screening for compensation. What important assessment gap remains?

  1. Only whether vomiting follows unusually large meals
  2. Whether all compensation produces immediate visible weight change
  3. Whether every binge must be followed by vomiting
  4. Fasting, driven exercise, and other relevant compensatory behaviors Correct answer.

Explanation

Compensatory behavior is broader than vomiting. A sensitive assessment asks about the actual methods and functions without assuming that absence of one behavior excludes the others.

Question 10Assess the eating pattern, its context, and current risk

A patient describes exercise as mandatory despite injury and intense distress when resting. What should be assessed?

  1. Only the number of sports awards
  2. The claim that distress proves the patient should exercise more
  3. The exercise's rigidity, compensatory function, context, and medical safety Correct answer.
  4. The assumption that any exercise excludes an eating disorder

Explanation

Exercise may be driven or compensatory rather than simply recreational. Its function, flexibility and safety matter; achievement alone does not determine whether the pattern is healthy for this patient.

Question 11Assess the eating pattern, its context, and current risk

A patient reports repeated regurgitation and rechewing after meals. Which assessment direction is appropriate?

  1. A conclusion that the behavior must be intentional deception
  2. Rumination-related features and medical or other explanations Correct answer.
  3. Binge-eating disorder solely because food returns to the mouth
  4. A diagnosis based only on body size

Explanation

Regurgitation and rechewing need characterization and differential assessment. They should not be automatically equated with a binge, a body-size category or dishonesty without examining the actual phenomenon.

Question 12Assess the eating pattern, its context, and current risk

A patient persistently eats nonfood substances. What is a relevant assessment focus?

  1. Only the patient's weight-loss goals
  2. Ignoring the behavior if ordinary meals continue
  3. Pica features, developmental or cultural context, and medical consequences Correct answer.
  4. Assuming any unusual food preference is identical to this pattern

Explanation

Persistent nonfood ingestion warrants assessment in its context and for potential harm. It is not equivalent to every selective preference and can matter even when ordinary food is also eaten.

Question 13Assess the eating pattern, its context, and current risk

A patient says weight and shape determine nearly all self-worth. What process should the formulation examine?

  1. A complete diagnosis from that statement alone
  2. Overvaluation of weight and shape and its behavioral consequences Correct answer.
  3. A conclusion that self-worth has no treatment relevance
  4. Only the patient's knowledge of nutrition facts

Explanation

The statement identifies a potentially maintaining cognitive process. It needs connection to eating, checking, avoidance and functioning without treating one belief as a complete diagnostic assessment.

Question 14Assess the eating pattern, its context, and current risk

A patient avoids social meals because others might see them eat. What information best clarifies the mechanism?

  1. The feared outcome, context, associated beliefs, and impact on intake or functioning Correct answer.
  2. Only whether the restaurant is expensive
  3. A conclusion that private eating is always pathological
  4. A presumption that all avoidance has the same cause

Explanation

Similar avoidance can reflect different concerns. Understanding the feared consequence and its effects helps distinguish formulation targets without labeling all preferences or assuming a universal cause.

Question 15Assess the eating pattern, its context, and current risk

A patient reports loss-of-control eating, while a caregiver describes only food quantities. What should the clinician do?

  1. Treat one account as dishonest automatically
  2. Clarify both accounts and their observation limits Correct answer.
  3. Use the caregiver's estimate as every diagnostic criterion
  4. Ignore subjective experience entirely

Explanation

Different observers may describe different aspects of the pattern. Subjective loss of control, observed behavior and context should be integrated rather than treated as mutually exclusive or complete evidence alone.

Question 16Assess the eating pattern, its context, and current risk

An adult presents with a longstanding restrictive pattern and a new swallowing difficulty. What is important?

  1. Delay all medical review until the full psychiatric label is final
  2. Attribute every swallowing symptom to the known disorder
  3. Assess the new medical symptom while evaluating the eating pattern Correct answer.
  4. Assume a new symptom excludes any eating disorder

Explanation

A known eating disorder does not explain every new symptom automatically. Medical and eating-related assessment can proceed together, with urgency guided by the actual physical presentation.

Question 17Assess the eating pattern, its context, and current risk

A patient's routine labs are normal despite marked restriction and functional deterioration. What conclusion is justified?

  1. Normal results do not exclude an eating disorder or all medical risk Correct answer.
  2. The reported restriction must be false
  3. The patient has no significant illness
  4. Further history is unnecessary

Explanation

A laboratory snapshot does not measure the entire eating-disorder presentation. Behavior, trajectory, examination and function remain relevant even when routine tests do not show abnormalities.

Question 18Assess the eating pattern, its context, and current risk

A patient expresses shame and initially minimizes behaviors. Which interview approach best supports accurate assessment?

  1. Specific, nonjudgmental questions with clear confidentiality limits Correct answer.
  2. Avoiding behavior questions to prevent discomfort
  3. Accusatory questioning intended to force confession
  4. Promising that no information could ever be shared under any circumstances

Explanation

A respectful, specific interview can improve disclosure while preserving honest boundaries. Neither pressure nor an unlimited confidentiality promise is a substitute for clear, clinically relevant assessment.

Question 19Assess the eating pattern, its context, and current risk

A clinician hears that a patient is male and stops considering an eating disorder. What error has occurred?

  1. Using a gender stereotype to narrow assessment without evidence Correct answer.
  2. Completing a medical risk assessment
  3. Applying a reliable diagnostic exclusion
  4. Establishing nutritional adequacy

Explanation

Eating disorders can affect people of different genders. Gender alone cannot exclude the condition or establish safety, and assessment should follow the individual's behaviors, symptoms and circumstances.

Question 20Assess the eating pattern, its context, and current risk

A patient reports distressing eating symptoms that do not meet every feature of a familiar category. What should be avoided?

  1. Considering other specified or unspecified presentations appropriately
  2. Documenting the actual symptoms and uncertainty
  3. Assessing medical and psychiatric needs
  4. Dismissing impairment because the presentation is not a perfect prototype Correct answer.

Explanation

Clinically significant symptoms can require care even when a familiar category is not fully met. The formulation should document evidence and uncertainty rather than equate a diagnostic mismatch with absence of illness.

Question 21Assess the eating pattern, its context, and current risk

What does a longitudinal intake history add beyond a single day's food record?

  1. Patterns, variability, restriction-compensation links, and change over time Correct answer.
  2. A replacement for every medical observation
  3. A guaranteed exact diagnosis without interview
  4. Proof that today's symptoms cannot matter

Explanation

A one-day record may miss recurring cycles and changes. Longitudinal assessment helps characterize the pattern but still needs clinical context, risk assessment and appropriate corroborating evidence.

Question 22Assess the eating pattern, its context, and current risk

A person has a genuine prescribed dietary restriction but also avoids many unrelated foods through fear. What should assessment separate?

  1. All restrictions as either entirely medical or entirely imagined
  2. A conclusion that medical illness prevents eating-disorder assessment
  3. The medical requirement and additional avoidance mechanisms Correct answer.
  4. The assumption that a diagnosis justifies every food rule

Explanation

A genuine condition and additional fear-based avoidance can coexist. Clarifying the medically necessary restriction and the broader pattern supports a formulation without dismissing real needs or validating every rule.

Question 23Assess the eating pattern, its context, and current risk

A patient says the disorder helps them manage uncertainty. What does this contribute to formulation?

  1. A reason to ignore physical consequences
  2. Proof that the illness is a deliberate lifestyle choice
  3. A possible maintaining function to examine collaboratively Correct answer.
  4. A complete causal explanation for every symptom

Explanation

A behavior's perceived short-term function can help explain maintenance. Exploring it does not mean the illness is chosen, safe or fully explained by that one process.

Question 24Assess the eating pattern, its context, and current risk

A patient's eating changes after beginning a medication. What is the best assessment method?

  1. Assume every change has the same cause
  2. Review timing, medication effects, other changes, and the full eating pattern Correct answer.
  3. Diagnose solely from the medication name
  4. Stop all assessment once a possible contributor is found

Explanation

Temporal association identifies a useful hypothesis but does not settle causation or diagnosis. Medication context and other behavioral, medical and environmental factors should be evaluated together.

Question 25Assess the eating pattern, its context, and current risk

A scale is used to track progress. Which interpretation is most defensible?

  1. It makes behavioral assessment unnecessary
  2. It establishes all aspects of recovery
  3. It alone determines capacity to consent
  4. It is one measure within a broader clinical picture Correct answer.

Explanation

A measurement can inform care without representing the entire illness or recovery. Eating patterns, medical status, thoughts, function and context require assessment rather than replacement by one number.

Question 26Assess the eating pattern, its context, and current risk

A patient describes fasting for cultural reasons. What should the clinician explore?

  1. Individual meaning, context, health effects, and whether additional pathology is present Correct answer.
  2. Ignore consequences because a cultural reason is mentioned
  3. Diagnose from the cultural label alone
  4. Assume all members of that community practice identically

Explanation

Cultural context matters but is not a complete diagnostic or safety conclusion. Individual practice and consequences should be understood without stereotyping or dismissing potentially coexisting concerns.

Question 27Assess the eating pattern, its context, and current risk

A patient reports compensatory behavior only after particular interpersonal conflicts. What is a useful next formulation question?

  1. How the conflict, thoughts, emotions, and behavior connect in that sequence Correct answer.
  2. Whether compensation is harmless when emotionally triggered
  3. Whether interpersonal events can be ignored completely
  4. Whether a single event proves one universal cause

Explanation

Mapping the sequence can identify maintaining processes and treatment targets. An emotional trigger does not remove medical risk or demonstrate that one cause explains every episode.

Question 28Assess the eating pattern, its context, and current risk

An assessment documents patient report as independently verified fact. What should be improved?

  1. Distinguish reports, observations, corroboration, and working hypotheses Correct answer.
  2. Treat uncertainty as proof of dishonesty
  3. Erase the report because it is not yet corroborated
  4. Use one label for every evidence type

Explanation

Clear documentation preserves what was reported and what was observed. Distinguishing evidence types supports accurate formulation and follow-up without either dismissing the patient or overstating verification.

Question 29Assess the eating pattern, its context, and current risk

A clinician has not asked about current self-harm or suicide concerns despite warning signs. What assessment gap exists?

  1. A reason to wait until the next routine annual review
  2. Only the lack of a nutrition handout
  3. Direct psychiatric risk assessment alongside eating-disorder evaluation Correct answer.
  4. A guarantee that eating symptoms protect against psychiatric risk

Explanation

Eating-disorder evaluation must address relevant psychiatric risk as well as behavior and nutrition. Warning signs require timely direct assessment rather than assumptions based on the presenting diagnosis.

Question 30Assess the eating pattern, its context, and current risk

Which information most directly helps determine whether a proposed outpatient plan is feasible?

  1. Only the number of appointments printed on a brochure
  2. Only the patient’s ability to attend one intake visit
  3. Actual medical needs, supports, access, monitoring, and ability to implement care Correct answer.
  4. Only a diagnostic abbreviation

Explanation

A plan needs to match clinical needs and real delivery capacity. The diagnosis or advertised appointment count alone does not show that necessary support and monitoring can be provided safely.

Question 31Match treatment to the formulation and monitor meaningful change

In a cognitive-behavioral formulation, rigid restriction is followed by binge episodes and compensatory fasting. What treatment target follows most directly?

  1. Only memorizing food labels
  2. Punishing each episode to increase shame
  3. Treating each behavior as unrelated
  4. The maintaining restriction-binge-compensation cycle Correct answer.

Explanation

A formulation links behaviors that maintain one another. Structured work can address the cycle and associated beliefs rather than isolate each episode or use shame as the mechanism of change.

Question 32Match treatment to the formulation and monitor meaningful change

What distinguishes collaborative self-monitoring from a moral food scorecard?

  1. Tracking relevant patterns to understand and change them without judging personal worth Correct answer.
  2. Assigning good-person points for every avoided food
  3. Requiring exact calorie punishment after each entry
  4. Using the record only to prove disobedience

Explanation

Self-monitoring should serve the formulation and treatment goals. A record can identify timing, triggers and behavior without becoming a test of moral worth or a reinforcement of rigid compensation.

Question 33Match treatment to the formulation and monitor meaningful change

A patient postpones eating all day to compensate for a binge. Which response fits an eating-disorder-focused behavioral rationale?

  1. Address compensation and support the agreed regular-eating plan Correct answer.
  2. Assume one binge makes nourishment unnecessary
  3. Praise the fasting as necessary repayment
  4. Focus solely on the day's scale reading

Explanation

Compensatory restriction can maintain a binge-restriction pattern. Treatment should work with the agreed eating plan and formulation rather than turn an episode into a reason for further deprivation.

Question 34Match treatment to the formulation and monitor meaningful change

A patient checks their body repeatedly, briefly feels reassured, then becomes more anxious. What should therapy examine?

  1. Only the number of checking episodes without their consequences
  2. The short-term relief and longer-term maintaining role of checking Correct answer.
  3. The assumption that more checking guarantees lasting relief
  4. A rule that all body awareness is pathological

Explanation

The sequence suggests that checking may be negatively reinforced by temporary relief while maintaining concern. Treatment should examine its function without equating all ordinary awareness with a symptom.

Question 35Match treatment to the formulation and monitor meaningful change

A behavioral experiment tests the belief that eating with others always leads to rejection. What makes the experiment useful?

  1. A promise that no distress can occur
  2. A task with no stated hypothesis
  3. A demand to prove the patient wrong publicly
  4. An agreed prediction, safe task, observable outcome, and review Correct answer.

Explanation

An experiment connects a specific belief with evidence from an appropriate task. Its purpose is collaborative learning, not humiliation or a guarantee that all discomfort disappears during treatment.

Question 36Match treatment to the formulation and monitor meaningful change

A feared-food exposure is proposed when the patient has a confirmed relevant allergy. What should happen?

  1. Use the allergen to prove courage
  2. Treat every allergy as avoidance to be challenged
  3. Coordinate the task with the actual medical restriction and formulation Correct answer.
  4. Abandon every form of eating-disorder treatment

Explanation

Exposure must not override a genuine medical need. The team should distinguish medically required restriction from additional fear and design appropriate work rather than choose a known unsafe task.

Question 37Match treatment to the formulation and monitor meaningful change

A patient becomes anxious during a supported task but remains medically safe under the plan. Which interpretation is appropriate?

  1. The patient's experience should be ignored entirely
  2. Any anxiety proves treatment is abusive
  3. Anxiety means the clinician should intensify without discussion
  4. Distress should be supported and evaluated, not automatically equated with harm or failure Correct answer.

Explanation

Therapeutic tasks can involve distress, but the response still needs collaboration, support and monitoring. Neither automatic abandonment nor disregard of the patient's experience follows from anxiety alone.

Question 38Match treatment to the formulation and monitor meaningful change

A clinician selects interpersonal psychotherapy for binge-eating concerns. Which formulation link makes the choice coherent?

  1. A guarantee that every eating disorder has one social cause
  2. Relevant interpersonal patterns and transitions connected to symptoms Correct answer.
  3. A decision based only on the therapy's name
  4. A claim that nutrition and medical needs no longer matter

Explanation

A coherent treatment choice explains which maintaining processes it addresses. Interpersonal work can be relevant without claiming a single cause or replacing the other clinical components needed for care.

Question 39Match treatment to the formulation and monitor meaningful change

A patient uses binge eating after intense emotion and lacks other regulation skills. What is a reasonable role for skills-based work?

  1. Building alternative emotion-regulation and distress-tolerance responses within the full plan Correct answer.
  2. Promising that emotions will never recur
  3. Replacing all nutritional and medical care with one breathing exercise
  4. Using skills practice as punishment for symptoms

Explanation

Skills can address a maintaining function and expand coping options. They should be integrated with the eating-disorder formulation rather than presented as a universal stand-alone replacement or a guarantee of no emotion.

Question 40Match treatment to the formulation and monitor meaningful change

What is a useful aim of psychoeducation early in treatment?

  1. Make the patient memorize every professional abbreviation
  2. Guarantee recovery after one explanation
  3. Explain the pattern, risks, rationale, and recovery process in understandable language Correct answer.
  4. Prove that symptoms are a character defect

Explanation

Psychoeducation supports shared understanding and informed participation. It should explain relevant processes and care rather than overwhelm with jargon, assign blame or imply that information alone cures the illness.

Question 41Match treatment to the formulation and monitor meaningful change

A patient has mixed feelings about changing a behavior that briefly reduces anxiety. What collaborative approach is most useful?

  1. Treat ambivalence as proof that care is undeserved
  2. Explore its perceived benefits, costs, values, and possible change steps Correct answer.
  3. Ignore the function and repeat instructions louder
  4. Argue that only one emotion is acceptable

Explanation

Ambivalence can reflect real competing experiences. Exploring function and values can support engagement without treating the patient as morally failing or assuming that louder instruction changes the maintaining process.

Question 42Match treatment to the formulation and monitor meaningful change

A young person is offered an eating-disorder-focused family approach. Which rationale is appropriate?

  1. Prove that parents caused every symptom
  2. Remove all opportunity for the young person to speak
  3. Use the same responsibilities for every age and family
  4. Mobilize suitable caregivers as treatment resources without blaming them for causation Correct answer.

Explanation

Family involvement can support recovery in appropriate presentations. Its rationale should be clear, developmentally appropriate and nonblaming, with attention to relationships and the actual support available.

Question 43Match treatment to the formulation and monitor meaningful change

A treatment plan includes only correcting one laboratory result. What important limitation remains?

  1. The broader behavioral, nutritional, psychological, and functional needs may persist Correct answer.
  2. All eating-disorder treatment is complete once the result normalizes
  3. Medical treatment has no role
  4. The laboratory result proves psychotherapy alone is enough

Explanation

Correcting an acute abnormality can be essential without resolving the disorder. Continuing treatment should address the remaining formulation and risks rather than mistake one medical outcome for full recovery.

Question 44Match treatment to the formulation and monitor meaningful change

A patient attends every session but continues the same compensatory pattern and social withdrawal. What should outcome review conclude?

  1. The patient must be intentionally deceiving the team
  2. Attendance is not equivalent to meaningful clinical improvement Correct answer.
  3. Attendance proves full recovery
  4. Symptoms no longer need discussion

Explanation

Engagement and outcomes are different measures. Review the behaviors, function and barriers with the patient rather than treat appointment attendance as recovery or infer dishonesty from limited progress.

Question 45Match treatment to the formulation and monitor meaningful change

A team sees little progress and labels the patient unmotivated without reviewing access barriers. What should be added?

  1. A demand to repeat the identical plan indefinitely
  2. A rule that practical barriers never affect treatment
  3. Only stricter moral language
  4. Assessment of feasibility, understanding, formulation, treatment delivery, and support Correct answer.

Explanation

Limited progress can have multiple causes, including barriers or a poorly matched plan. A formulation review should investigate these before reducing the explanation to a judgment about motivation.

Question 46Match treatment to the formulation and monitor meaningful change

A patient believes one lapse erases all recovery gains. What therapeutic distinction is useful?

  1. A lapse should be hidden from the team
  2. A setback is information for response and learning, not proof of total failure Correct answer.
  3. One symptom-free day proves no future planning is needed
  4. Every lapse means treatment can never work

Explanation

All-or-nothing interpretations can intensify distress and symptom cycles. A relapse-prevention approach identifies the context, early response and retained skills rather than equating a setback with permanent failure.

Question 47Match treatment to the formulation and monitor meaningful change

Which relapse-prevention plan is most actionable?

  1. A statement that seeking help means failure
  2. A list of inspiring slogans only
  3. A promise never to struggle again
  4. Specific warning signs, supports, agreed responses, and escalation arrangements Correct answer.

Explanation

An actionable plan links recognizable changes with concrete responses and contact arrangements. Recovery support should make early help easier rather than depend on an impossible guarantee or shame about recurrence.

Question 48Match treatment to the formulation and monitor meaningful change

A clinician introduces many unrelated techniques without a shared rationale. What is the principal treatment-planning problem?

  1. A plan becomes evidence-based by containing more techniques
  2. Variety automatically proves individualized care
  3. The interventions are not coherently linked to the formulation and goals Correct answer.
  4. No outcome review is needed if sessions are busy

Explanation

Individualization requires a reasoned fit, not simply a larger collection of methods. Clarifying mechanisms, roles and goals helps evaluate whether the work addresses the patient's actual maintaining processes.

Question 49Match treatment to the formulation and monitor meaningful change

A patient avoids eating outside home because they cannot control every ingredient. What should a targeted formulation examine?

  1. The assumption that every preference for home meals is disordered
  2. Only the number of restaurants nearby
  3. A guarantee that ingredient uncertainty is always medically harmless
  4. The feared consequences, safety behaviors, rigidity, and impact on functioning Correct answer.

Explanation

The behavior's meaning and consequences guide intervention. Relevant medical restrictions and practical needs must be distinguished from fear-maintaining safety behaviors rather than applying a universal rule to every home meal.

Question 50Match treatment to the formulation and monitor meaningful change

A patient repeatedly asks the therapist to guarantee that a meal will not change their body. What issue should therapy address?

  1. Give an absolute biological guarantee
  2. The reassurance cycle and tolerance of uncertainty without making false guarantees Correct answer.
  3. Agree to check repeatedly until certainty is complete
  4. Shame the patient for asking

Explanation

Repeated reassurance can become part of a maintaining process. The clinician should respond empathically and work with uncertainty rather than provide an inaccurate guarantee or reinforce endless checking.