A client diagnosed with anorexia nervosa stopped eating 5 months ...

[student77]

A client diagnosed with anorexia nervosa stopped eating 5 months ago and lost 25 of total body weight. Which subjective client response would the nurse assess to support this medical diagnosis?
 
  A. I do not use any laxatives or diuretics to lose weight.
  B. I am losing lots of hair. It's coming out in handfuls.
  C. I know that I am thin, but I refuse to be fat
  D. I don't know why people are worried. I need to lose this weight.

Question 2

A nurse working with a client diagnosed with bulimia nervosa asks the client to recall a time in life when food could be consumed without purging. Which is the purpose of this nursing intervention?
 
  A. To gain additional information about the progression of the disease process
  B. To emphasize that the client is capable of consuming food without purging
  C. To incorporate specific foods into the meal plan to reflect pleasant memories
  D. To assist the client to become more compliant with the treatment plan

[Kedrick2014]

Answer to Question 1

D
When the client states, I don't know why people are worried. I need to lose this weight, the client is exhibiting the subjective response of ineffective denial. This client is minimizing symptoms and is unable to admit impact of the disease on life patterns. The client does not perceive personal relevance of symptoms or danger.

Answer to Question 2

B
By asking the client to recall a time in life when food could be consumed without purging, the nurse is assessing previously successful coping strategies. This information can be used by the client to modify maladaptive behaviors in the present and future.

[student77]

Excellent

[Sarahjh]

Thanks for the timely response, appreciate it