The eating disorders clinic sees a number of overweight adolescent girls. In addition to monitoring these adolescents for the health problems related to obesity, the nurse will monitor the girls for which mental health problem?

1. Substance abuse
2. School phobia
3. Spiritual distress
4. Negative self-esteem


4
Rationale 1: This is not the major mental health issue associated with obesity.
Rationale 2: While the girls may dislike attending school, this is not the mental health problem the nurse should be evaluating.
Rationale 3: Adolescents may have issues related to spirituality, but this is not associated with obesity.
Rationale 4: Self-esteem is tied closely to body image, a common source of distress among obese adolescents. Therefore, the nurse will monitor the girls for issues with self-esteem.
Global Rationale:

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