The nurse knows that which factors are the main differences between binge-eating disorder and bulimia nervosa? Select all that apply

Question

1. Eating more rapidly than normal
2. Bingeing due to feelings of boredom
3. Bingeing is used as a dietary restraint
4. Using food as a compensatory method of control
5. Feeling distressed about a lack of control over food consumed

Answer 1

Answer: 1, 4
Explanation: Binge-eating disorder is characterized by significant distress over the amount of food consumed and the lack of control in consuming it. Patients may eat more rapidly than normal, eat until uncomfortably full, eat large amounts though not hungry, eat alone due to embarrassment over amount of food consumed, and feel disgusted, guilty, or depressed after binging. Bulimia nervosa is characterized as an inappropriate compensatory purge (such as vomiting) after ingesting large quantities of food when experiencing stress; attempting dietary restraint, or feeling negative about issues relating to body weight, shape, and food (cravings and shame); and feeling bored. Binging and purging for the patient with bulimia nervosa is a way to control internal emotions, attain perfection through repeated episodes of dieting and food restriction, and control challenges to personal control, and cravings and urges.