A patient says, "When I lost weight, everyone was so nice to me. Now that I've regained the weight, people don't want anything to do with me. They think I'm just a fat pig.". The nurse's initial response should be:
a. "It sounds as if your interpersonal relationships improved when you lost weight and now that you have regained the weight, you feel people don't want to be with you.".
b. "Yes, there is a stigma about obesity. People are judged harshly for their weight.".
c. "So, if you lose all the weight again do you think your relationships will improve?"
d. "Do you really believe that your friends think that you are a ‘fat pig'?"
A
The patient is cognitively distorting by externalizing self-worth. The most therapeutic communication is the one that summarizes the patient's viewpoint and reflects it back for the patient to hear in a nonjudgmental way.
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