A client with an eating disorder says, "I don't deserve to eat because I'm overweight." What response by the nurse is appropriate?

The correct answer is choice D: Both physical and psychological aspects.

Choice A rationale:

Focusing solely on the patient’s medical status would provide a limited view of the patient’s overall health. Eating disorders are complex and involve more than just medical issues; they also include psychological, social, and sometimes spiritual dimensions.

Choice B rationale:

While nutritional needs are a critical component of care for patients with eating disorders, they are not the only aspect that should be assessed. Holistic care requires attention to all facets of a person’s well-being, including their mental and social health.

Choice C rationale:

Mental status is indeed important in the assessment of a patient with an eating disorder, but it should not be the sole focus. A comprehensive approach that includes both mental and physical health is necessary for holistic care.

Choice D rationale:

This is the correct choice because holistic care involves assessing and addressing both physical and psychological aspects of a patient’s health. Eating disorders affect a person’s body and mind, and both areas must be cared for in a comprehensive assessment.

Choice E rationale:

Social interactions play a role in the well-being of a patient with an eating disorder, but assessing only this aspect would miss other critical areas such as medical, nutritional, and mental health needs. Holistic care encompasses all these areas to provide complete care.

Eating until feeling uncomfortably full.

Choice A rationale:

Eating until feeling uncomfortably full is a characteristic of binge eating disorder. Binge eating involves consuming an excessive amount of food within a discrete period while feeling a lack of control over eating. This often results in physical discomfort due to the large quantity of food consumed.

Choice B rationale:

Recurrent episodes of binge eating followed by inappropriate compensatory behaviors are more characteristic of bulimia nervosa, not binge eating disorder. In binge eating disorder, there is no consistent use of inappropriate compensatory behaviors such as vomiting or excessive exercise to counteract the binge episodes.

Choice C rationale:

Eating more rapidly than normal can be a characteristic of binge eating episodes, but it is not a defining feature of binge eating disorder. Binge eating disorder is primarily characterized by the consumption of large amounts of food within a short period and the sense of lack of control during these episodes.

Choice D rationale:

Recurrent episodes of night eating is not a characteristic of binge eating disorder. Night eating disorder is a separate condition characterized by consuming a significant portion of daily caloric intake during the nighttime hours.

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