An adolescent student tells the nurse, "I lost ten pounds in the last three months. I believe I have anorexia." The nurse's response should be based on the following understanding:
1. Since the student is willing to talk about the issue, the student is probably not anorexic.
2. The student may be anorexic if the weight loss has lead to maintenance body weight less than 85% of the expected.
3. The student is not anorexic because the student's physical development has not been affected by nutritional status.
4. There is cause for alarm since most adolescent females experience anorexia.
2
Rationale: Weight loss leading to maintenance body weight less than 85% of the expected is part of the DSM-lV-TR Diagnostic Criteria for anorexia nervosa. Most adolescent females do not experience anorexia. The student's willingness to talk about the issue does not mean the student is not anorexic. There is no information about the student's physical development in the scenario.
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