Author Question: The nurse observes a distorted thinking pattern in a teenage patient diagnosed with an eating ... (Read 108 times)

asmith134 · **on:** Jul 19, 2018

The nurse observes a distorted thinking pattern in a teenage patient diagnosed with an eating disorder. Which statement characterizes personalization by the patient?

a. I've got to be thin to get a good job.
b. There is no such thing as a healthy carbohydrate.
c. My mother and dad fight all the time because I'm fat.
d. My whole family will be disgraced if I don't get into a good college.

Question 2

The nurse is identifying outcomes for a teenager diagnosed with anorexia nervosa. Which outcome has the greatest impact on long-term prognosis?

a. Verbalize underlying psychological issues.
b. Demonstrate effective coping skills related to conflict management.
c. Demonstrate improvement in body imagine reflecting a realistic viewpoint.
d. Consume adequate calories appropriate for age, height, and metabolic needs.

jonathanballen97 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
The basis of personalization of thinking is that an individual compare themselves endlessly with others and perceive others' behavior as a direct reaction to them. Believing the problems the parents are experiencing is a direct result of the patient's weight is an example of such thinking. The thought that a job depends solely on weight or that all carbohydrates are bad are examples of dichotomous thinking. Feeling responsible for the family's reputation is a re-flection of control fallacy thinking.

Answer to Question 2

ANS: B
Long-term prognosis is dependent on the patient's ability to cope with the stressors that are at the root of the emotional problems such as conflict with family. Verbalization of underly-ing stressors is not a guarantee that there will be progress towards managing them. Ac-ceptance of one's body and adequate calorie intake is possible only after coping skills are learned and used.