The nurse caring for a patient with an eating disorder knows that which domain's characteristics result in the central theme of distorted body image and belief and fear of being fat?
1. Cultural
2. Spiritual
3. Sociological
4. Psychological
Answer: 1
Explanation: Distorted body image and belief and fear of being fat, which are essentially cultural in origin, are criteria of both anorexia nervosa and bulimia nervosa. All connections are overshadowed and replaced with a self-perpetuating cycle of food consumption, restriction, and loss of control to expel all nutrients at the cost of the patient in the spiritual domain for patients with eating disorders. The sociological domain includes environmental factors, such as family and peer relationships and media portrayals of thinness, which reinforce eating disorder behaviors. The psychological domain includes distorted thoughts and perceptions of self on body shape and the ability to control weight.
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