A patient with anorexia nervosa virtually stopped eating 5 months ago and has 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'm 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 others perceptions of self. The patient with anorexia will persist in trying to lose more weight.
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