A sixteen-year-old girl has been diagnosed with bulimia nervosa. The mother tells the nurse that the physician must be making a big mistake and that he should review his notes. She adds that her daughter is not underweight, and so bulimia is not possible. Which of the following would be the nurse’s response?
  1. “I agree with you. It’s possible that he made a mistake. I shall talk to your daughter’s physician right away.”
  2. “An individual who is diagnosed with bulimia nervosa can maintain a normal weight.”
  3. “The physician is not a making a mistake. Bulimia is a serious problem, although weight loss is not evident.”
  4. “During the initial stage of the disorder, weight loss does not usually occur. It occurs later in the disorder.”
Explanation
Answer: B - Weight loss is not considered a criterion when diagnosing bulimia nervosa. A client with this diagnosis can be of normal weight, underweight, or overweight. Option C does not address the mother’s concern.
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