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