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.

Answer and Explanation

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 B

Explanation

Recurrent episodes of binge eating followed by inappropriate compensatory behaviors.

Choice A rationale:

Eating large amounts of food when not feeling physically hungry is not a characteristic of bulimia nervosa. While individuals with bulimia nervosa do experience episodes of binge eating, this behavior is not dependent on physical hunger.

Choice B rationale:

Recurrent episodes of binge eating followed by inappropriate compensatory behaviors are indeed a characteristic of bulimia nervosa. Binge eating involves consuming a large amount of food in a short period, accompanied by a sense of lack of control. The compensatory behaviors, such as vomiting, laxative use, or excessive exercise, are aimed at counteracting the perceived consequences of the binge eating, such as weight gain.

Choice C rationale:

Persistent eating of nonnutritive, nonfood substances, known as pica, is not a characteristic of bulimia nervosa. Pica is a separate eating disorder that involves the consumption of non-food items such as hair, paper, or soil.

Choice D rationale:

Recurrent purging behavior to influence weight or shape is more closely associated with the eating disorder anorexia nervosa. While purging behaviors like vomiting or using laxatives can also occur in bulimia nervosa, they are not specific to it.

A. Recurrent episodes of binge eating. B. Normal or slightly above normal body weight. C. Lack of interest in eating or food. D. Repeated regurgitation of food.

Correct Answer is C

Explanation

The correct answer is C. Lack of interest in eating or food.

Anorexia nervosa is characterized by a severe restriction of food intake due to an intense fear of gaining weight, a distorted body image, and a lack of interest in eating despite physical hunger. Individuals with anorexia often engage in extreme dieting, excessive exercise, and other behaviors to maintain an abnormally low body weight.

Here’s why the other options are incorrect:

A. Recurrent episodes of binge eating – This is more characteristic of bulimia nervosa or binge-eating disorder, where individuals consume large amounts of food and may compensate through purging or extreme dieting.
B. Normal or slightly above normal body weight – Individuals with anorexia nervosa typically have a low body weight (often significantly underweight due to food restriction), unlike bulimia, where weight may be in the normal or above-normal range.
D. Repeated regurgitation of food – This is characteristic of rumination disorder, a separate condition in which individuals repeatedly bring up swallowed food without nausea or distress.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

. Which of the following is a characteristic of bulimia nervosa?

Correct Answer is B

Explanation

. Which of the following is a characteristic of anorexia nervosa?

Correct Answer is C

Explanation

A nurse is evaluating the effectiveness of the nursing interventions for a patient with an eating disorder. Which of the following actions should the nurse take?

A nurse is assessing a client with possible bulimia nervosa. Which findings would support this diagnosis? Select all that apply.

A nurse is caring for a client with anorexia nervosa. Which statement by the nurse is most appropriate?

A nurse is assessing a patient with bulimia nervosa. Which of the following cardiovascular symptoms would the nurse expect to find?

A client with an eating disorder has a distorted body image and irrational beliefs. What therapeutic approach should the nurse use to address this issue?

(Select all that apply):. A nurse is planning a care plan for a patient with an eating disorder. Which nursing interventions are appropriate for this patient? Select all that apply.

A nurse is implementing a care plan for a patient with an eating disorder. The patient says, "I don't want to eat. I'm afraid I'll gain weight." Which response by the nurse is appropriate?

A client with an eating disorder avoids meals and snacks. What nursing intervention should the nurse implement to address this behavior?