A patient diagnosed with anorexia nervosa virtually stopped eating 5 months ago and lost 25% of body weight. A nurse asks, "Describe what you think about your present weight and how you look."
Which response by the patient is most consistent with the diagnosis?
a. "I am fat and ugly."
b. "What I think about myself is my business."
c. "I'm grossly underweight, but that's what I want."
d. "I'm a few pounds overweight, but I can live with it."
ANS: A
Untreated patients with anorexia nervosa do not recognize their thinness. They perceive themselves to be overweight and unattractive. The patient with anorexia will usually tell people perceptions of self. The patient with anorexia does not recognize his or her thinness and will persist in trying to lose more weight.
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