A client diagnosed with bulimia nervosa has a nursing diagnosis of ineffective coping related to (R/T) feelings of loneliness as evidence by (AEB) bingeing then purging when alone. Which is an appropriate outcome related to this nursing diagnosis?

A. The client will verbalize two positive self-attributes by day 3 in treatment: Identifying positive self-attributes focuses on self-esteem building rather than directly addressing coping with feelings of loneliness. While self-esteem is important, it does not target the maladaptive behavior linked to the nursing diagnosis. B. The client will list five ways that the body reacts to bingeing and purging: Education about physical consequences addresses knowledge and awareness but does not provide alternative coping strategies for managing loneliness or preventing maladaptive behaviors. Knowledge alone may not change behavior. C. The client will appropriately express angry feelings about lack of control by week 2 in treatment: Expressing anger relates to managing feelings of control, which is only partially related to coping with loneliness. The outcome does not directly target the identified trigger for bingeing and purging. D. The client will identify two alternative methods of dealing with loneliness by day 3 in treatment: This outcome directly addresses ineffective coping related to feelings of loneliness. Identifying and practicing alternative coping strategies provides actionable steps to reduce reliance on bingeing and purging when alone.