A client with binge eating disorder reports feeling guilty and depressed after episodes of binge eating. Which nursing diagnosis is most appropriate for this client?
Ineffective Coping related to guilt and depression.
Disturbed Body Image related to binge eating behavior.
Imbalanced Nutrition: More Than Body Requirements related to excessive food consumption.
Risk for Impaired Skin Integrity related to dental erosion.
The Correct Answer is A
Choice A rationale:
Ineffective Coping is the most appropriate nursing diagnosis for a client with binge eating disorder who reports feeling guilty and depressed after episodes of binge eating. Binge eating disorder is characterized by recurrent episodes of consuming large amounts of food within a discrete period, accompanied by a sense of loss of control. The guilt and depression reported by the client are emotional responses to these episodes. Ineffective Coping reflects the client's inability to manage and adapt to these negative emotions in a healthy manner. It addresses the psychological distress that often accompanies binge eating behaviors.
Choice B rationale:
Disturbed Body Image is not the most appropriate nursing diagnosis for this client. While individuals with binge eating disorder may experience body dissatisfaction due to weight gain resulting from their binge episodes, the primary focus of this client's distress is on feelings of guilt and depression, which are better captured by the Ineffective Coping diagnosis.
Choice C rationale:
Imbalanced Nutrition: More Than Body Requirements is not the most suitable nursing diagnosis for this client. While binge eating disorder involves excessive food consumption during episodes, the diagnosis of Imbalanced Nutrition is usually reserved for clients who have issues with nutrient intake that lead to alterations in physical health, such as obesity or malnutrition.
Choice D rationale:
Risk for Impaired Skin Integrity related to dental erosion is not the most relevant nursing diagnosis for this client. While binge eating may lead to dental erosion over time due to frequent exposure to stomach acid during episodes, this choice does not address the primary psychological concerns of guilt and depression.
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Correct Answer is C
Explanation
Choice A rationale:
Ignoring the client's beliefs to avoid escalating distress is not a therapeutic approach. Addressing cognitive distortions and irrational beliefs is crucial in helping the client reframe their thoughts and promote healthier behaviors.
Choice B rationale:
Encouraging the client to engage in self-isolation is counterproductive. Isolation can worsen the client's condition and hinder their recovery.
Choice C rationale:
Addressing cognitive distortions and irrational beliefs is the appropriate therapeutic approach. This involves working with the client to identify and challenge negative thought patterns, helping them develop a more realistic perception of their body image and self-worth.
Choice D rationale:
Avoiding discussing body image to prevent embarrassment is not effective. Open and sensitive discussions about body image are important in the therapeutic process to help the client gain insight into their feelings and beliefs.
Correct Answer is A
Explanation
Choice A rationale:
The main goal of treatment for eating disorders is to correct nutritional deficiencies and address medical complications. Many individuals with eating disorders suffer from severe malnutrition due to inadequate food intake, and this can lead to a range of medical issues such as electrolyte imbalances, cardiac problems, and organ dysfunction. Prioritizing the correction of these physical health issues is essential to ensure the patient's immediate well-being and prevent further deterioration.
Choice B rationale:
While restoring normal eating patterns is an important aspect of treating eating disorders, it is not the main goal. Normalizing eating habits and reestablishing a healthy relationship with food are crucial steps in the recovery process, but these efforts often come after addressing the immediate medical concerns.
Choice C rationale:
Addressing underlying psychological issues is an integral part of eating disorder treatment, but it is not the main goal as specified in the question. Psychological issues like distorted body image, low self-esteem, and anxiety play a significant role in perpetuating eating disorders. Therapeutic interventions and counseling are employed to tackle these underlying issues, but they are typically part of a comprehensive treatment plan that includes medical stabilization.
Choice D rationale:
Preventing relapse is an important long-term goal in eating disorder treatment, but it is not the primary focus when considering the immediate and acute phase of treatment. Relapse prevention strategies become more prominent as patients progress in their recovery journey and work towards maintaining their newfound health and well-being.
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