Which finding indicates that a patient diagnosed with anorexia nervosa has met a major objective of psychotherapeutic management?
a. The patient's residual volume is less than 30 ml before tube feedings.
b. The patient says, "I am no longer fearful of gaining weight."
c. The patient reads cookbooks and plans nutritious meals.
d. The patient weighs 90% of average body weight.
D
The three objectives are increasing self-esteem, increasing weight to 90% of average body weight, and reestablishing appropriate eating behavior. Reading cookbooks or planning nutritious meals may be evidence of manipulation. A low residual volume simply indicates that the patient is utilizing the feedings and there is no intestinal obstruction. Lack of fear does not translate to proper eating or an improved self-esteem.
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