When anticipating the challenges faced by patients in a weight management class, which type of patient may not engage effectively?

The correct answer is the concerned patient with external stressors. Patients who are dealing with external stressors may find it challenging to engage effectively in a weight management class because their focus and energy are often diverted towards managing those stressors. This can lead to feelings of overwhelm, anxiety, or even depression, which impact their ability to participate fully in discussions, activities, or to maintain motivation for lifestyle changes.

By contrast, the other patient types listed tend to have attributes that may facilitate better engagement. The extroverted patient with active family responsibilities is likely to be more comfortable participating in group activities and discussions, potentially drawing on their social skills. The introverted patient may participate less, but introversion does not intrinsically prohibit engagement; they may still find valuable ways to contribute or connect with the material on an individual level. Lastly, the supportive family-oriented patient typically thrives in group dynamics and often encourages others, fostering a positive environment in class.

Thus, the main challenge for the concerned patient dealing with external stressors is their ability to focus on the weight management goals when they are preoccupied with those pressing issues.