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A group of nursing students is reviewing the similarities and differences between bulimia nervosa and binge-eating disorder. The students demonstrate understanding when they identify which characteristics as specific to binge-eating disorder? Select all that apply.
- A. Clients typically are obese.
- B. Clients refrain from purging behaviors.
- C. Binge-eating periods are shorter.
- D. Clients engage in overexercising.
- E. Feelings of guilt do not occur after binging.
Correct Answer: A,B
Rationale: Binge-eating disorder (BED) is characterized by obesity (A) and no purging behaviors (B). Binge periods are not necessarily shorter (C), overexercising (D) is more common in bulimia, and guilt (E) is typical after binging in BED.
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A nurse is developing a plan of care for a client newly diagnosed with bulimia nervosa. Which of the following would the nurse expect to implement in conjunction with pharmacologic therapy?
- A. Behavioral therapy
- B. Cognitive behavioral therapy
- C. Interpersonal therapy
- D. Family therapy
Correct Answer: B
Rationale: Cognitive behavioral therapy (CBT) (B) is the most effective non-pharmacologic treatment for bulimia nervosa, addressing distorted thoughts and behaviors. Behavioral therapy (A) is less specific, interpersonal (C) and family (D) therapies are adjunctive.
The nurse is preparing to discharge a client who has been hospitalized with anorexia nervosa. Which of the following would the nurse include in the teaching plan?
- A. Knowing the calorie content of numerous foods
- B. Learning strategies to control impulses
- C. Describing physiologic consequences of anorexia nervosa
- D. Setting realistic goals
Correct Answer: D
Rationale: Setting realistic goals (D) supports recovery by promoting achievable steps toward healthy eating and weight restoration. Calorie knowledge (A) may reinforce obsessive behaviors, impulse control (B) is less specific, and describing consequences (C) is informative but not action-oriented.
While caring for a client with anorexia nervosa, the nurse anticipates that the client would have difficulty making which of the following comments?
- A. I?m mad at you because you won?t let me go on a pass unless I gain weight!
- B. I need to have everything in its place and perfect.
- C. If I gain a pound, I?ll just keep gaining weight.
- D. I am very involved in preparing my food and counting calories.
Correct Answer: A
Rationale: Clients with anorexia nervosa often struggle to express anger directly (A) due to emotional suppression and fear of conflict. Statements about perfectionism (B), fear of weight gain (C), and food preoccupation (D) are typical and align with the disorder?s characteristics.
While talking with a client with an eating disorder, the client states, I?ve gained 2 pounds, so soon I?ll be over 100 pounds. The nurse interprets this as which of the following?
- A. Magnification
- B. Selective abstraction
- C. Overgeneralization
- D. Dichotomous thinking
Correct Answer: A
Rationale: The statement reflects magnification (A), exaggerating the significance of a 2-pound gain into a catastrophic outcome. Selective abstraction (B) focuses on one detail, overgeneralization (C) applies one event broadly, and dichotomous thinking (D) is all-or-nothing reasoning.
A nurse is reviewing the plan of care for a client with anorexia nervosa and notes a behavioral plan for increasing weight. The nurse correlates this intervention with which nursing diagnosis?
- A. Disturbed Body Image
- B. Anxiety
- C. Imbalanced Nutrition: Less Than Body Requirements
- D. Ineffective Coping
Correct Answer: C
Rationale: A behavioral plan for increasing weight directly addresses Imbalanced Nutrition: Less Than Body Requirements (C), the primary physical issue in anorexia nervosa. Body image (A), anxiety (B), and coping (D) are secondary concerns.