A nurse in an acute care facility is assessing a client who had hip surgery and has Alzheimer's disease. The nurse asks the client how therapy went that morning. Which of the following statements by the client should the nurse document as confabulation?

A. Trauma-informed care is a form of therapy that encourages the avoidance of discussing past traumatic events: This statement is incorrect. Trauma-informed care does not avoid discussing trauma but rather approaches it in a sensitive and supportive manner.

B. Trauma-informed care focuses solely on treating physical injuries caused by traumatic events: Trauma-informed care encompasses much more than physical treatment. It addresses the psychological, emotional, and social impact of trauma.

C. Trauma-informed care is a framework that emphasizes understanding the impact of trauma and how to provide sensitive and supportive care: This is correct. Trauma-informed care involves recognizing the prevalence and impact of trauma, understanding trauma symptoms and reactions, and providing care that avoids re-traumatization and promotes healing.

D. Trauma-informed care is a treatment approach that aims to erase traumatic memories from an individual's mind: This is incorrect. Trauma-informed care does not aim to erase memories but rather to support individuals in processing and coping with traumatic experiences.

A. Evaluate liver function: Although liver function tests can be important, they are not the immediate priority in anorexia nervosa unless there is a specific indication of liver disease or failure. Liver function abnormalities might occur in advanced cases due to malnutrition, but electrolyte imbalances are more immediately life-threatening.

B. Check for blood glucose levels: Blood glucose levels are important, but severe electrolyte imbalances, such as hypokalemia, pose a more immediate risk and require urgent attention to prevent cardiac and neurological complications.

C. Assess for signs of infection: While important, infection is not typically a primary concern in the initial assessment of someone with anorexia unless there are specific signs or symptoms indicating infection.

D. Monitor for electrolyte alterations: Electrolyte imbalances, such as hypokalemia (low potassium) and hypocalcemia (low calcium), can be life-threatening and are common in individuals with anorexia due to malnutrition, vomiting, or use of laxatives. These imbalances can lead to cardiac arrhythmias and other serious complications, making this the priority.