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?
Explanation & Rationale
A. "Bulimia nervosa is difficult to notice because a person might be of average or ideal body weight.": Individuals with bulimia often maintain a normal or slightly above/below average body weight despite engaging in binge-and-purge behaviors. This can make the disorder less apparent visually, emphasizing the need to assess behaviors rather than relying solely on weight. B. "People who have bulimia nervosa are at risk for developing diabetes mellitus.": Bulimia does not directly increase the risk for diabetes mellitus. While electrolyte imbalances and metabolic disturbances can occur, diabetes is not a typical consequence of bulimia. Risk focuses more on gastrointestinal, dental, and cardiovascular complications. C. "People who have bulimia nervosa eat an average amount of food on a daily basis.": Individuals with bulimia engage in episodes of binge eating, which involve consuming large quantities of food in a short period. Daily intake is often irregular and exceeds normal amounts during binges, contradicting this statement. D. "As long as a person is not vomiting after eating, they do not have bulimia nervosa.": Bulimia nervosa can involve other compensatory behaviors, such as laxative misuse, fasting, or excessive exercise, in addition to vomiting. Absence of vomiting does not rule out the disorder.