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The nurse would infer anorexia nervosa or bulimia nervosa from finding that a client has six binge-eating episodes every week.
Anorexia nervosa is a condition of starvation in a patient with binge-eating disorder (BED). The patient performs this to lose weight and control excessive food intake. This may badly affect the health of such a patient instead of losing weight. He may also end up gaining an unhealthy weight over it.
Bulimia nervosa is a condition in which the person first overeats and then indulges in self-induced vomiting in order not to gain more calories. The person may not be able to control his eating habits and thus end up eating excessive amounts of food. The person then tries to get out his calories in an unhealthy manner which may affect him abruptly.
Nursing intervention for the two may, thus, include the following:
● Supervising the client with specified meals over time
● Preferring liquids over solid food
● Preferring nutritional food in fixed amounts
● Expecting weight gain of about 0.5kg a week
● Allowing patient to control over food choices
● Sitting with the client while supervising a meal to make him follow the above
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