A 20-year-old college student who transferred from a community college in her hometown to a

Question

university 100 miles from home had been emotionally close to her mother and sister. When she
transferred she broke up with her boyfriend of 2 years.

She was slow to make new friends at the
university. Gradually, she began to eat whenever she felt blue. She consumed large quantities of
food nightly and then induced vomiting. The binge-purge cycles continued until they began to
interfere with her schoolwork. She sought help from the university health clinic. During the initial
interview, what other issue should the nurse address in addition to the binge-purge syndrome?
a. Study habits
b. School activities
c. Losses
d. Student aid

Answer 1

C
The client has a significant history of losses: her mother and sister are no longer available as
supports, and she has terminated the relationship with her boyfriend. Feelings of loss and depression
are often associated with bulimia. The other options are of lesser relevance.