A college student tells the nurse that she often is "out of control" with eating, and to keep her weight down so her mother does not call her fat, she makes herself throw up. The nurse realizes the client is experiencing:
1. Anorexia nervosa.
2. Bulimia.
3. Binge-eating.
4. Purging disorder.
2. Bulimia.
Rationale:
In bulimia, binge eating is followed by purging. Anorexia nervosa is characterized by extreme perfectionism; weight fear; significant weight loss; body image disturbances; strenuous exercising; peculiar food-handling patterns; reductions in heart rate, blood pressure, metabolic rate; and the production of estrogen or testosterone. Binge-eating is often associated with obesity and is characterized by binging twice a week for at least 6 months. Purging is not associated with the binge-eating disorder. In the purging disorder, purging is done without the ingestion of food beforehand.
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