During a psychiatric evaluation, the PMHNP conducts a psychiatric review of systems (ROS) in which she reviews common psychiatric symptoms that may not have been elicited in the history of present illness (HPI). Which of the following questions is most likely designed to elicit a response for the system "elimination"?

Choice A reason: This question assesses disordered eating behaviors and their effect on health, which pertains to nutrition rather than elimination. Choice B reason: This is the correct answer. It directly addresses elimination behaviors such as enuresis (urination) or encopresis (defecation) outside of appropriate places, which is relevant for identifying disorders affecting the elimination system. Choice C reason: This question relates to compulsive behaviors in obsessive-compulsive disorder and is not associated with elimination. Choice D reason: This question assesses physiological dependence on substances such as alcohol, which involves withdrawal symptoms, not elimination.