A nurse is assessing a client with possible bulimia nervosa. Which findings would support this diagnosis? Select all that apply.
Recurrent episodes of binge eating.
Inappropriate compensatory behaviors to prevent weight gain.
Normal or slightly above normal body weight.
Sense of lack of control over eating.
Acknowledgment of the problem.
Correct Answer : A,B,C,D
The correct answer is a. Recurrent episodes of binge eating, b. Inappropriate compensatory behaviors to prevent weight gain, c. Normal or slightly above normal body weight, d. Sense of lack of control over eating.
Choice A rationale:
Recurrent episodes of binge eating are a key diagnostic criterion for bulimia nervosa. This involves consuming a large amount of food in a short period while feeling a lack of control over eating.
Choice B rationale:
Inappropriate compensatory behaviors, such as self-induced vomiting, misuse of laxatives, fasting, or excessive exercise, are used to prevent weight gain and are essential for diagnosing bulimia nervosa.
Choice C rationale:
Individuals with bulimia nervosa often maintain a normal or slightly above normal body weight, which can make the disorder less noticeable compared to anorexia nervosa.
Choice D rationale:
A sense of lack of control over eating during binge episodes is a critical feature of bulimia nervosa.
Choice E rationale:
Acknowledgment of the problem is not a diagnostic criterion for bulimia nervosa. Many individuals with bulimia may not recognize or admit they have a problem.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is ["B","D","E"]
Explanation
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.
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