Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5075

Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5075

QUESTION: A 15-year-old client is brought to the clinic by her mother. Her mother expresses concern about her daughter's weight loss and constant dieting. The nurse conducts a health history interview. Which comment indicates that the client may be suffering from anorexia nervosa?

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O a.) "I like the way I look. I just need to keep my weight down because I'm a cheerleader."

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O b.) "I don't like the food my mother cooks. I eat plenty of fast food when I'm out with my friends."

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O c.) "I just can't seem to get down to the weight I want to be. I'm so fat compared to other girls."

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O d.) "I do diet around my periods; otherwise, I just get so bloated."

RATIONALE

RATIONALE: Low self-esteem is the highest risk factor for anorexia nervosa. Constant dieting to get down to a "desirable weight" is characteristic of the disorder. Feeling inadequate when compared to peers indicates poor self-esteem. Most clients with anorexia nervosa don't like the way they look, and their self-perception may be distorted. A girl with cachexia may perceive herself to be overweight when she looks in the mirror. Preferring fast food over healthy food is common in this age-group. Because of the absence of body fat necessary for proper hormone production, amenorrhea is common in a client with anorexia nervosa.
NURSING PROCESS STEP: Evaluation
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Analysis