A nurse is caring for a female client in an outpatient clinic. The nurse is reviewing the nurse’s notes. Click to highlight the findings that indicate manifestations of an eating disorder. To deselect a finding, click on the finding again. Nurses' Notes Week 1, 1500: Client reports eating uncontrollably in the last 3 months. "I can't stop eating since I started my new job. I feel so fat. I have always been fat even when I was a child. I feel so depressed. Sometimes I don't even want to go to work." Client is an accountant at a local financial group. Married and has children. Client attends social gatherings weekly.

Choice A reason: Eating uncontrollably for several months is a core feature of binge eating disorder. It reflects recurrent episodes of overeating with loss of control, which is central to the DSM-5 definition. This behavior disrupts basic nutritional needs and contributes to obesity and related health issues. Choice B reason: Saying “I feel so fat” shows distorted body image and dissatisfaction with weight. Negative self-perception is common in eating disorders and often drives unhealthy eating patterns. It undermines self-esteem and reinforces the cycle of binge eating. Choice C reason: Reporting lifelong struggles with weight highlights chronic preoccupation with body size. Early concerns about weight often predispose individuals to eating disorders later in life. This long-standing issue suggests deep-rooted psychological distress tied to body image. Choice D reason: Feeling depressed is strongly linked to binge eating disorder. Mood disturbances often follow binge episodes and worsen the disorder’s impact. Depression reduces motivation for treatment and interferes with daily functioning, making recovery more difficult. Incorrect findings rationale: Statements such as being married, having children, and attending social gatherings weekly are not manifestations of an eating disorder. These are contextual social factors but do not meet DSM-5 diagnostic criteria. Similarly, vital signs, lab values, and comorbid conditions (e.g., diabetes, gallstones) are medical findings but not direct indicators of BED. While obesity and elevated blood glucose are associated with BED, they are consequences rather than diagnostic manifestations. DailyMed emphasizes that pharmacologic interventions like glipizide address comorbid diabetes, not the eating disorder itself. Thus, these findings are clinically relevant but not diagnostic markers of BED.