A client being treated for anorexia nervosa is 5 feet 10 inches ...

[jwb375]

A client being treated for anorexia nervosa is 5 feet 10 inches tall and weighs 100 pounds. The client believes she is overweight. On the days the client is scheduled to be weighed, the nurse should be prepared for the client to:
 
  1. Eagerly ask for information about her present weight
  2. Dress in several layers of clothing
  3. Suggest that the scale numbers be hidden from her view
  4. Remind the nurse that she is ready to be weighed

Question 2

A 17-year-old client who has anorexia nervosa states she believes she will have fewer problems in college and will be more popular if she continues to lose weight. What nursing intervention would be useful at this time?
 
  1. Assisting the client to identify the problems causing her concern
  2. Determining what she hopes to gain from the behavior
  3. Explaining that her chances for becoming ill from losing weight are high
  4. Having a physical report sent to college officials indicating her condition

[Kimmy]

Answer to Question 1

ANS: 2
Clients with anorexia nervosa often wear added layers of clothing to increase the reading of the scales, thus attempting to disguise their lack of weight gain. 1. These clients are fearful of weight gain and usually respond negatively to being weighed. 3. Staff members usually hide the read-ings from the client's view to prevent negative responses to weight gain. 4. Usually these clients are not anxious to be weighed and have to be sought out by the nurse.

Answer to Question 2

ANS: 1
The client is generalizing and needs help to focus on underlying issues that are of concern to her. 2. The client's major goal is probably to remain thin. 3. The client's denial will render this line of thinking useless. 4. This will not assist the client to deal with underlying problems affecting her presently.