A client diagnosed with a personality disorder states, “You are the very best nurse on the unit and not at all like that mean nurse who never lets us stay up later than 9 p.m.” This statement would be associated with which personality disorder?

A: LSD or hallucinogen withdrawal typically does not present with severe physical symptoms like diaphoresis, muscle aches, and abdominal cramping. Withdrawal from hallucinogens is more likely to involve psychological symptoms such as anxiety, depression, and perceptual disturbances.

B: Opioid withdrawal is characterized by symptoms such as diaphoresis, runny nose, muscle aches, abdominal cramping, and diarrhea. These symptoms are consistent with the body’s response to the absence of opioids, which can cause significant physical discomfort and distress.

C: Cocaine withdrawal primarily involves psychological symptoms such as depression, fatigue, increased appetite, and vivid unpleasant dreams. While some physical symptoms can occur, they are not as pronounced as those seen in opioid withdrawal.

D: Sedative-hypnotic withdrawal can include symptoms like anxiety, tremors, insomnia, and, in severe cases, seizures. However, the symptoms described in the question are more characteristic of opioid withdrawal.

Choice A:
This statement describes a behavior more closely associated with bulimia nervosa, where individuals engage in compensatory behaviors such as vomiting to prevent weight gain after overeating. Binge eating disorder (BED) does not involve regular purging behaviors.
Choice B:
This statement indicates a focus on healthy eating and calorie counting, which is not characteristic of binge eating disorder. BED involves episodes of eating large quantities of food with a sense of loss of control, not controlled eating habits.
Choice C:
This statement reflects weight loss and improved body image, which does not align with the symptoms of binge eating disorder. BED is characterized by recurrent episodes of eating large amounts of food and feeling a lack of control over eating.
Choice D:
This statement aligns with the diagnostic criteria for binge eating disorder. Individuals with BED often eat large amounts of food and feel uncomfortably full, accompanied by feelings of disgust or guilt. This behavior is a key indicator of BED, as it involves eating beyond the point of fullness and experiencing negative emotions afterward.