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?

The correct answer is choice B, D, and E.

Choice A rationale:

Administering pain management medications is not typically a direct intervention for eating disorders unless the patient has a comorbid condition that requires pain management. Eating disorders primarily require nutritional, psychological, and physiological interventions.

Choice B rationale:

Providing nutritional education is a fundamental intervention for patients with eating disorders. It helps them understand the importance of balanced nutrition and addresses any misconceptions about food and diet that may contribute to their condition.

Choice C rationale:

Assisting with wound care may be necessary if the patient has self-inflicted wounds or other injuries, but it is not a standard nursing intervention for eating disorders unless there are specific complications that require such care.

Choice D rationale:

Recommending meditation techniques can be beneficial for patients with eating disorders as it can help reduce anxiety, improve stress management, and promote a more positive body image and self-esteem.

Choice E rationale:

Monitoring vital signs is crucial for patients with eating disorders due to the potential for severe physiological complications such as electrolyte imbalances, cardiac issues, and other vital sign instabilities that can arise from malnutrition and the behaviors associated with eating disorders.

Choice A rationale:

Monitoring vital signs and weight. While monitoring vital signs and weight is an essential aspect of patient care, it primarily focuses on the physical health of the patient. In the case of an eating disorder, the underlying psychological and emotional issues also need attention, which is not addressed solely by monitoring vital signs and weight. The patient's emotional well-being and coping strategies are equally important in promoting overall recovery.

Choice B rationale:

Providing positive reinforcement for eating. Positive reinforcement can be helpful in encouraging desired behaviors; however, focusing solely on positive reinforcement for eating might oversimplify the complexities of treating an eating disorder. Eating disorders are often rooted in psychological factors, and addressing the underlying causes and emotions is crucial. Providing positive reinforcement might not address the emotional challenges the patient is facing, and a more comprehensive approach is needed.

Choice C rationale:

Teaching coping skills and stress management techniques. This is the correct choice. Eating disorders are often connected to emotional distress, poor body image, and stress. Teaching coping skills and stress management techniques empowers the patient to develop healthier ways of dealing with emotions and triggers that may contribute to their eating disorder. By addressing the emotional aspect, the patient is better equipped to manage their disorder and work towards recovery.

Choice D rationale:

Involving the family in the treatment process. Involving the family in the treatment process can be beneficial, as family support is important for recovery. However, it's not the most appropriate intervention on its own. Eating disorders are complex and individualized, and addressing the patient's personal coping mechanisms and emotional well-being should be the primary focus. Family involvement can be part of a comprehensive treatment plan, but it should not replace teaching the patient coping skills and stress management techniques.