While the nurse is talking to the mother of a 15-year-old girl, the mother expresses concern over her daughter's eating and exercise habits
The mother says that as soon as her daughter comes home from school she exercises for 2 to 3 hours. She says her daughter eats very little at dinner, but in the morning she notices that large amounts of food are missing from the kitchen. Her daughter was complaining of tooth pain, and when she took her to the dentist, her daughter had over 10 cavities. Which of the following disorders is her daughter most likely suffering from?
A) Anorexia nervosa
B) Binge-eating disorder
C) Bulimia nervosa
D) Eating disorder not otherwise specified
Ans: C
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Bulimia is characterized by episodic, uncontrolled, rapid ingestion of large quantities of food. It may occur alone or in conjunction with the food restriction of anorexia. Clients with bulimia nervosa compensate for excessive food intake by self-induced vomiting, obsessive exercise, use of laxatives and diuretics, or all of these behaviors. They may consume an incredible number of calories (an average of 3415 per binge) in a short period, induce vomiting, and perhaps repeat this behavior several times a day. Clients with bulimia may develop dental caries from the frequent contact of tooth enamel with food and acidic gastric fluids.
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