A 20-year-old client tells the nurse in the outpatient clinic, "I am so disgusted with myself. For the past month, there are times when I eat everything I can find. I want to vomit it all back up, but I have never been able to." Which is the nurse's best reply?

Question

Quizplus · Accepted Answer

1.This is incorrect. The statement "Tell me about relationships with the people in your life" is the best reply. The nurse should gain more assessment data before teaching (a nursing intervention). The client demonstrates symptoms of BED, which are similar to those with bulimia nervosa; however, BED does not include compensatory purging. Interpersonal stressors, low self-esteem, and boredom are identified as possible triggers. Though it is not uncommon for clients with BED to experience guilt and depression after binges, the nurse's reply diminished the client's feelings.
2.This is correct. The statement "Tell me about relationships with the people in your life" is the best reply. The nurse should gain more assessment data before teaching (a nursing intervention). The client demonstrates symptoms of BED, which are similar to those with bulimia nervosa; however, BED does not include compensatory purging. Interpersonal stressors, low self-esteem, and boredom are identified as possible triggers.
3.This is incorrect. The statement "Tell me about relationships with the people in your life" is the best reply. The nurse should gain more assessment data before teaching (a nursing intervention). The client demonstrates symptoms of BED, which are similar to those with bulimia nervosa; however, BED does not include compensatory purging. Interpersonal stressors, low self-esteem, and boredom are identified as possible triggers. Though feeling disgusted after overeating often occurs with BED, the nurse's reply lacks empathy and minimizes the client's feelings.
4.This is incorrect. The statement "Tell me about relationships with the people in your life" is the best reply. The nurse should gain more assessment data before teaching (a nursing intervention). The client demonstrates symptoms of BED, which are similar to those with bulimia nervosa; however, BED does not include compensatory purging. Interpersonal stressors, low self-esteem, and boredom are identified as possible triggers. As many as 50% of individuals with BED have a history of depression.

A 20-Year-Old Client Tells the Nurse in the Outpatient Clinic