The mother and stepfather of a 15-year-old girl are distraught and confused about their daughter's eating disorder, stating, "We did everything for her. I don't understand why she chose this."
The nurse should be aware that family-based theories of causality propose that eating disorders develop how?
A) In response to pressure by the parents to have a thin, attractive daughter
B) As an attempt for the child to get attention from disinterested parents
C) Due to the socialization of girls to evaluate themselves against certain "idealized" standards of appearance
D) As a way for the child to feel a sense of control in response to controlling parents
Ans: D
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Studies provide some evidence to support that disturbed patterns of interaction exist in families of girls with anorexia. In such situations, from the viewpoint of family structure, the appropriate hierarchy of "parent in charge of child" is reversed in the area of food and eating. The child-adolescent is eating or not eating as she desires, and parents have very little influence over these behaviors. Feeling extremely helpless, parents often make extraordinary efforts to appease the child to get her to eat.
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