A nursing instructor is teaching about the DSM-5 criteria for the ...

[burton19126]

A nursing instructor is teaching about the DSM-5 criteria for the diagnosis of binge-eating disorder. Which of the following student statements indicates that further instruction is needed? (Select all that apply.)
 
  1. In this disorder, binge eating occurs exclusively during the course of bulimia nervosa.
  2. In this disorder, binge eating occurs, on average, at least once a week for three months.
  3. In this disorder, binge eating occurs, on average, at least two days a week for six months.
  4. In this disorder, distress regarding binge eating is present.
  5. In this disorder, distress regarding binge eating is absent.

Question 2

A nurse should identify topiramate (Topamax) as the drug of choice for which of the following conditions? (Select all that apply.)
 
  1. Binge eating with a diagnosis of obesity
  2. Bingeing and purging with a diagnosis of bulimia nervosa
  3. Weight loss with a diagnosis of anorexia nervosa
  4. Amenorrhea with a diagnosis of anorexia nervosa
  5. Emaciation with a diagnosis of bulimia nervosa

[yotaSR5]

Answer to Question 1

1, 3, 5
Rationale: According to the DSM-5 criteria for the diagnosis of binge-eating disorder, binge eating should not occur exclusively during the course of anorexia nervosa or bulimia nervosa. The new time frame criteria in the DSM-5 states that binge eating must occur, on average, at least once a week for three months not two days a week for six months. The DSM-5 criteria states that distress regarding binge eating would be present.

Answer to Question 2

1, 2
Rationale: The nurse should identify that topiramate is the drug of choice when treating binge eating with a diagnosis of obesity or bingeing and purging with a diagnosis of bulimia nervosa. Topiramate is an anticonvulsant that produces a significant decline in binge frequency and reduction in body weight.