A pregnant 14-year-old client confides having problems with bulimia nervosa. Which nursing observation best supports the client's statement?
1. The client reports dietary cravings for soil and clay.
2. In terms of food variety and quantity, the client's diet is extremely restrictive.
3. Despite being extremely underweight, the client describes herself as being fat.
4. The client is of normal weight for her height and reports binge eating followed by purging.
4
Explanation:
1. Dietary cravings for and consumption of nonnutritive substances is consistent with pica.
2. The dietary intake of individuals with anorexia nervosa is very restrictive in both variety and quantity.
3. Anorexia nervosa is an eating disorder characterized by an extreme fear of weight gain and becoming fat, and it incorporates a self-perception of being overweight even when the individual is extremely underweight.
4. Bulimia is characterized by binge eating and purging, and individuals with bulimia nervosa often maintain normal or near-normal weight for their height.
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