A client diagnosed with anorexia nervosa stopped eating 5 months ago and lost 25% of total body weight. Which subjective client response would the nurse assess to support this medical diagnosis?
A. "I do not use any laxatives or diuretics to lose weight."
B. "I am losing lots of hair. It's coming out in handfuls."
C. "I know that I am thin, but I refuse to be fat!"
D. "I don't know why people are worried. I need to lose this weight."
D
When the client states, "I don't know why people are worried. I need to lose this weight," the client is exhibiting the subjective response of ineffective denial. This client is minimizing symptoms and is unable to admit impact of the disease on life patterns. The client does not perceive personal relevance of symptoms or danger.
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