The nurse is reviewing assessment data of a client diagnosed with anorexia nervosa. The client's BMI dropped from 17 to 15.5 kg/m² over the past 3 months. Which client statement best supports the assessment data?

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1.This is incorrect. The subjective statement, "At least I am not gaining any weight" supports the BMI (objective data). According to criteria from the Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition (DSM-5), the client's illness has progressed from mild (BMI of 17 kg/m² or greater) to severe (BMI of 15 to 15.99 kg/m²). Anorexia nervosa is characterized by a morbid fear of obesity and gross distortion of body image, even when an individual is obviously underweight or emaciated. The client is exhibiting the maladaptive response of ineffective denial. 2.This is incorrect. The subjective statement, "At least I am not gaining any weight" supports the BMI (objective data). According to DSM-5 criteria, the client's illness has progressed from mild (BMI of 17 kg/m² or greater) to severe (BMI of 15 to 15.99 kg/m²). Anorexia nervosa is characterized by a morbid fear of obesity and gross distortion of body image, even when an individual is obviously underweight or emaciated. This statement supports the symptom of hair loss related to anorexia. 3.This is incorrect. The subjective statement, "At least I am not gaining any weight" supports the BMI (objective data). According to DSM-5 criteria, the client's illness has progressed from mild (BMI of 17 kg/m² or greater) to severe (BMI of 15 to 15.99 kg/m²). Anorexia nervosa is characterized by a morbid fear of obesity and gross distortion of body image even when an individual is obviously underweight or emaciated. This statement represents the client's fear of obesity. 4.This is correct. The subjective statement, "At least I am not gaining any weight" supports the BMI (objective data). According to DSM-5 criteria, the client's illness has progressed from mild (BMI of 17 kg/m² or greater) to severe (BMI of 15 to 15.99 kg/m²). Anorexia nervosa is characterized by a morbid fear of obesity and gross distortion of body image even when an individual is obviously underweight or emaciated.

The Nurse Is Reviewing Assessment Data of a Client Diagnosed