The nurse is identifying outcomes for a teenager diagnosed with anorexia nervosa. Which outcome has the greatest impact on long-term prognosis?
a. Verbalize underlying psychological issues.
b. Demonstrate effective coping skills related to conflict management.
c. Demonstrate improvement in body imagine reflecting a realistic viewpoint.
d. Consume adequate calories appropriate for age, height, and metabolic needs.
ANS: B
Long-term prognosis is dependent on the patient's ability to cope with the stressors that are at the root of the emotional problems such as conflict with family. Verbalization of underly-ing stressors is not a guarantee that there will be progress towards managing them. Ac-ceptance of one's body and adequate calorie intake is possible only after coping skills are learned and used.
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