A nurse is interviewing a client diagnosed with bulimia nervosa about her family and her relationship with her mother. Which statement by the client would the nurse least likely associate with bulimia nervosa?
A) "My mother is my confidante for everything."
B) "My mother's happiness depends on me."
C) "My family basically has very few rules."
D) "My mother and I are close but not joined at the hip."
Ans: D
The statement about being close but not joined at the hip is not reflective of a family associated with bulimia. The families of individuals who experience bulimia nervosa are reported to be chaotic, with few rules and unclear boundaries. Often there is an overly close or enmeshed relationship between the daughter and mother. Daughters may relate that their mother is their "best friend." The boundaries are blurred in that the mother may interact with the daughter as a confidante, and this unhealthy relating further impedes the separation-individuation process. The daughters often feel guilty about separation and responsible for their mother's happiness and emotional well-being.
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