A nurse is caring for a client who has a binge-eating disorder. Which of the following statements should the nurse expect from this client?

Choice A rationale Individuals with binge-eating disorder often experience significant shame, guilt, and distress after binge episodes. This statement reflects the profound negative emotional impact, including feelings of defeat and a desire for social withdrawal, which are characteristic psychological consequences of uncontrolled overeating in this disorder. Choice B rationale Binge eating is typically driven by emotional dysregulation, stress, or a sense of loss of control, rather than being a planned reward system. While some might associate food with comfort, the compulsive nature of binges in this disorder is not typically a deliberate self-reward mechanism for task completion. Choice C rationale A hallmark of binge-eating disorder is a feeling of being out of control during eating episodes. Clients typically report an inability to stop eating once a binge starts, regardless of satiety cues or desires to control the pace, indicating a loss of regulatory control over food intake. Choice D rationale While hunger can precede eating, binges in binge-eating disorder are often triggered by emotional states, stress, or psychological factors rather than solely physiological hunger. The overwhelming urge to consume large quantities of food often transcends normal hunger cues, becoming a maladaptive coping mechanism.