medium · NCLEX-RN Psychosocial Integrity

During a binge-eating disorder assessment, a client reports eating 4,000 calories in a single sitting twice a week.

The nurse should identify which psychosocial finding as the primary discriminator for this disorder?

  1. A body mass index (BMI) greater than 35.0 kg/m^2
  2. Intense feelings of shame and guilt occurring after the eating episode
  3. Consistent adherence to a high-protein, low-carbohydrate diet.
  4. A history of using stimulants to suppress appetite between binges.

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