A young adult client notes height as "5 feet 11 inches" and weight as "200 lbs." Upon assessment, the client is found to be 5 feet 9 inches tall with a weight of 225 lbs

Question

The nurse identifies the most likely reason for this discrepancy between the client's self-reported height and weight and the objective information indicates: 1. The client does not have a scale at home.
2. The client may have a image of self inconsistent with actual findings.
3. The client did not want to tell the truth.
4. The client is trying to hide a chronic illness.

Answer 1

2
Rationale 1: The best reason for the inconsistency is the client has a different image of himself than what is objectively measurable.
Rationale 2: The nurse has no way of knowing if the client has a scale at home and does not account for the discrepancy in height.
Rationale 3: The inconsistency between reported height and weight and actual height and weight does not mean the client is being untruthful; it is what the client believes to be true.
Rationale 4: The inconsistency between reported height and actual height and weight does not indicate that the client is trying to hide a chronic illness.