A nurse at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?

A. Listening attentively and summarizing the client's comments are key techniques in developing a therapeutic relationship, as they demonstrate understanding, empathy, and engagement.

B. Asking questions that elicit only one-word responses limits the depth of conversation and does not encourage clients to express their feelings or concerns.

C. Avoiding direct questions about suicidal behaviors or thoughts is not appropriate, as addressing these concerns directly is crucial in assessing and ensuring client safety.

D. Allowing the client’s family to attend all group therapies may not always be appropriate, as it could impede the client’s ability to express themselves freely and might not be suitable for all therapeutic settings.

Rationale:

A. Clients with anorexia nervosa often develop a preoccupation with food (collecting recipes, cooking for others, watching others eat) despite restricting their own intake. This is a classic behavioral indicator.

B. Reporting high energy levels is not characteristic of anorexia nervosa, where clients often suffer from fatigue due to inadequate nutrition.

C. Enjoying wearing form-fitting clothes is more indicative of a positive body image, which is not typical of those with anorexia nervosa.

D. Clients with anorexia do not recognize they are underweight; instead, they perceive themselves as “fat.” This statement shows insight into thinness, which is not typical of anorexia.