A nurse is participating in a community program about eating disorders. Which of the following information about bulimia nervosa should the nurse include in the presentation?

Choice A reason: This statement is incorrect because individuals with bulimia nervosa can engage in other purging behaviors, such as the use of laxatives or excessive exercise, even if they do not vomit after eating. Therefore, the absence of vomiting does not rule out the diagnosis of bulimia nervosa. Choice B reason: While individuals with bulimia nervosa may experience fluctuations in blood sugar levels due to their disordered eating behaviors, they are not specifically at a higher risk for developing diabetes mellitus compared to the general population. The primary health risks associated with bulimia nervosa are related to electrolyte imbalances, gastrointestinal issues, and cardiovascular complications. Choice C reason: Bulimia nervosa can be difficult to detect because individuals with this disorder often maintain a weight that is within the average or ideal range. This can make it challenging for others to recognize the presence of an eating disorder, as the physical appearance may not immediately suggest a problem. Choice D reason: This statement is incorrect because individuals with bulimia nervosa typically engage in binge eating episodes, during which they consume a large amount of food in a short period of time. These binge eating episodes are a key characteristic of the disorder and distinguish it from other eating disorders.