Despite the fact that the patient is 5'6 and weighs 72 lbs, the ...

[JMatthes]

Despite the fact that the patient is 5'6 and weighs 72 lbs, the patient reported feeling fat and overweight. What is the most appropriate nursing diagnosis for this patient?
 
  1. Chronic Low Self-Esteem
  2. Ineffective Coping
  3. Altered Nutrition
  4. Body Image Disturbance

Question 2

What factor contributes to a poor outcome for clients with anorexia nervosa?
 
  1. Treatment approaches are fragmented and controversial.
  2. The client with anorexia nervosa actively resents or refuses treatment.
  3. There is no cure for anorexia nervosa.
  4. Changes in the client's behavior are irreversible.

[juicepod]

Answer to Question 1

4
Rationale: Clients with anorexia nervosa are unable to make realistic appraisal of their own body size, although they can accurately evaluate the size of others. They drastically overestimate their own body size. Altered Nutrition, Low Self-Esteem, and Ineffective Coping are not appropriate diagnoses.

Answer to Question 2

2
Rationale: The quest for thinness is the focus for clients with anorexia nervosa. These clients resent the attempts of others to influence them. They experience extreme denial that they have a problem and, therefore, they resist treatment. It is not true that changes in the client's behavior are irreversible or that anorexia is not curable. The treatment approach is not the predominant contributor to a poor outcome.