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. Which is the most likely cause of this discrepancy?
1. The client does not have a scale at home.
2. The client may have an image of self that is inconsistent with actual findings.
3. The client did not want to tell the truth.
4. The client is trying to hide a chronic illness.
Correct Answer: 2
The best reason for the inconsistency is the client has a different image of himself than what is objectively measurable. The nurse has no way of knowing if the client has a scale at home and does not account for the discrepancy in height. 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. The inconsistency between reported height and actual height and weight does not indicate that the client is trying to hide a chronic illness.
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