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Which of the following is a characteristic of anorexia nervosa?

  • A. Binge eating followed by purging.
  • B. Refusal to maintain a healthy weight and an intense fear of gaining weight.
  • C. Frequent overeating episodes without purging behaviors.
  • D. Extreme preoccupation with body image and excessive exercise.
Correct Answer: B

Rationale: The correct answer is B because anorexia nervosa involves a refusal to maintain a healthy weight, an intense fear of gaining weight, and a distorted body image. This disorder is characterized by restrictive eating habits leading to significant weight loss. Individuals with anorexia nervosa often perceive themselves as overweight despite being underweight. Choices A, C, and D are incorrect as they describe characteristics more closely associated with bulimia nervosa, binge eating disorder, and orthorexia, respectively. Binge eating followed by purging (A) is a behavior seen in bulimia nervosa, frequent overeating episodes without purging (C) is typical of binge eating disorder, and extreme preoccupation with body image and excessive exercise (D) may be seen in orthorexia or other eating disorders, but not specifically in anorexia nervosa.