A 17-year-old client who has anorexia nervosa states she believes she will have fewer problems in college and will be more popular if she continues to lose weight. What nursing intervention would be useful at this time?
1. Assisting the client to identify the problems causing her concern
2. Determining what she hopes to gain from the behavior
3. Explaining that her chances for becoming ill from losing weight are high
4. Having a physical report sent to college officials indicating her condition
ANS: 1
The client is generalizing and needs help to focus on underlying issues that are of concern to her. 2. The client's major goal is probably to remain thin. 3. The client's denial will render this line of thinking useless. 4. This will not assist the client to deal with underlying problems affecting her presently.
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