A client with bulimia nervosa reports that she binges at least two times a week. The nurse recognizes that binge episodes are associated with: A. A sense of euphoria B. Substantial weight gain C. Feelings of self-loathing D. Severe weight loss

To answer this question, first, we need to comprehend the primary subject: bulimia nervosa. It's an eating disorder characterized by binge eating followed by compensatory behaviors to prevent weight gain, such as self-induced vomiting, excessive exercise, or laxative abuse. Binge eating refers to episodes where large amounts of food are consumed in a short period, often accompanied by a lack of control.

Let's analyze each of the given options: A. A sense of euphoria: Binge eating might provide temporary relief or comfort, but it's usually not associated with a sense of euphoria. It's essential to understand that the instant relief is short-lived, and the person experiences guilt and distress afterward. B. Substantial weight gain: People with bulimia nervosa typically have normal or slightly above normal weight; however, a significant weight gain is not characteristic due to the compensatory behavior following binge episodes. C. Feelings of self-loathing: People with bulimia nervosa often experience intense guilt and self-loathing after binge eating, which contributes to engaging in compensatory behaviors to avoid weight gain. D. Severe weight loss: Since compensatory behaviors are used to prevent weight gain after binge eating, severe weight loss is not a characteristic of bulimia nervosa. It's more commonly associated with anorexia nervosa, another eating disorder.

Based on the analysis, the correct answer is C. Feelings of self-loathing. Binge episodes in bulimia nervosa are associated with feelings of self-loathing due to the guilt and distress experienced after binge eating.