I am in Mental Health this semester. We are currently studying eating disorders. I am having trouble with this question.
A client's disturbance of body image is evidenced by her claim's of feeling "fat" even though she is emaciated. The outcome criterion for this target behavior would be:
A) Consuming enough calories to sustain normal body weight.
B)Ceasing a strenuous exercise program
C) Perceiving standard body weight and shape as normal
D) Demonstrating ab absence of preoccupation with food
My study group is torn between A and C. Any help you can give will be greatly appreciated.
Our instructors are somewhat slack when it comes to care planning. In our fundamentals class we had a short class period where someone explained documentation and concept mapping. Other than that we were told to buy a concept map and care plan book and read those. Our instructors do use goals and outcomes interchangeably. I think that is why so many of us are having a hard time with these types of questions.
I forgot to add, my clinical instructor made us do concept maps on our patients every week. But we did not get to do an assessment on them before hand. So we were basically doing them from the medical diagnosis and abnormal labs that may be two or three days old. But at least this is better than the other clinical groups who did not have to do any except for the one required for the case study.
Specializes in med/surg, telemetry, IV therapy, mgmt.
my feeling is that this was a question where the outcome was meant to be a reversal of the abnormal assessment data that was evidence of the diagnosis. i have talked about that before when explaining anticipated results of interventions on the forums. in any case, you had to figure out that the nursing process was somehow involved and was getting you to the outcome. i still think its best to keep it simple. when you have psychosocial diagnoses with psych evidence your anticipated outcomes, or goals, need to target that evidence and be psych related as well. unless you know for sure what the interventions were i wouldn't assume anything other than something psych related is the outcome.
i looked in my copy of nursing outcomes classification (noc), third edition, to see what their recommendations were for the outcomes of this diagnosis. these are the outcome categories they list:
adaptation to physical disability
body image
child development adolescence
self-esteem
acceptance: health status
child development: 2 years
child development: 3 years
child development: 4 years
child development: 5 years
child development: middle childhood
coping
distorted thought self-control
identity
sexual functioning
sexual identity
weight: body mass
i took a look at the outcomes listed for weight: body mass (definition: extent to which body weight, muscle, and fat are congruent to height, frame, gender and age) and this is what is listed:
(maintain at or increase to) weight
(maintain at or increase to) triceps skinfold thickness
(maintain at or increase to) subscapular skinfold thickness
(maintain at or increase to) waist/hip circumference ratio (women)
(maintain at or increase to) neck/waist circumference ratio (men)
(maintain at or increase to) body fat percentage
(maintain at or increase to) head circumference percentile (child)
(maintain at or increase to) height percentile (child)
(maintain at or increase to) weight percentile (child)
and i was thinking that these are very specific and measurable outcomes. to use any of them presumes you would need to have beginning figures in the supporting evidence for the disturbed body image and you don't. in fact, you are missing almost all the assessment factors: weight, height, frame, and age (this is according to the definition of weight: body mass). we only know this is a female. i glanced at what was listed for the other outcome categories, but they are all psychosocial in nature and use wording like
willingness to
adjustment
internal picture of self
verbalizes
seeks out
accepts/acceptance
modifies
uses help
feelings about
exhibits
perceives (this was wording used in the answer choice)
recognizes
perception is psychological because it has to do with the person's cognition and interpretation. that's psych. and there the word "perceiving" is sitting on answer choice "c" along with body weight and shape and the word normal. whether we like it or not, a lot of this has to do with semantics.
I am in Mental Health this semester. We are currently studying eating disorders. I am having trouble with this question.
A client's disturbance of body image is evidenced by her claim's of feeling "fat" even though she is emaciated. The outcome criterion for this target behavior would be:
A) Consuming enough calories to sustain normal body weight.
B)Ceasing a strenuous exercise program
C) Perceiving standard body weight and shape as normal
D) Demonstrating ab absence of preoccupation with food
My study group is torn between A and C. Any help you can give will be greatly appreciated.
Without reading the other answers to your question, on a test, I'd go with C because you are in mental health and the question addresses the clients "perception" of 'feeling' fat. You want her to know what a standard body looks like and stop seeing herself as fat. C is the only answer that addresses this.
vmoh18
74 Posts
Our instructors are somewhat slack when it comes to care planning. In our fundamentals class we had a short class period where someone explained documentation and concept mapping. Other than that we were told to buy a concept map and care plan book and read those. Our instructors do use goals and outcomes interchangeably. I think that is why so many of us are having a hard time with these types of questions.
I forgot to add, my clinical instructor made us do concept maps on our patients every week. But we did not get to do an assessment on them before hand. So we were basically doing them from the medical diagnosis and abnormal labs that may be two or three days old. But at least this is better than the other clinical groups who did not have to do any except for the one required for the case study.