A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings indicates the client's adherence to the treatment plan?

The correct answer is B. Allow the client unlimited time for the grieving process.

Choice A reason:

Changing the subject when the client becomes upset may prevent the client from expressing their feelings and could hinder their emotional processing. This is not a recommended approach as it may lead to unresolved grief and emotional distress.

Choice B reason:

Allowing the client unlimited time for the grieving process aligns with the principles of palliative care, which focuses on enhancing a patient's quality of life and providing relief from the symptoms and stress of serious illness. It's important to give the client the time and space they need to process their emotions.

Choice C reason:

Discouraging the client from forming new relationships could lead to social isolation and negatively impact their emotional well-being. It's important for the client to have a support system during this difficult time.

Choice D reason:

Offering advice about various treatment choices is not the nurse's role. The nurse should provide information and support, but the decision-making should be patient-centered. It's important to respect the client's autonomy and decisions regarding their care.

B is correct because reporting any adverse effects of the medication can help the provider adjust the dosage or prescribe a different medication if needed. Some common adverse effects of haloperidol are extrapyramidal symptoms, tardive dyskinesia, neuroleptic malignant syndrome, and anticholinergic effects.

C is correct because notifying the provider within 48 hr of manifestations of a relapse can help the client receive timely intervention and prevent further deterioration of their mental health. Some signs of a relapse are increased anxiety, paranoia, social withdrawal, insomnia, and mood swings.

D is correct because going for a walk or engaging in other physical activities can help the client cope with stress and reduce anxiety, which are common triggers for schizophrenia symptoms.

E is correct because asking a trusted person to watch for manifestations of illness can help the client gain insight into their condition and seek help when needed. A trusted person can be a family member, a friend, or a mental health professional.

A is incorrect because taking a dose of the medication as soon as delusions or hallucinations begin is not an effective strategy for relapse prevention. The client should take their medication as prescribed by their provider and not adjust the dosage on their own.

F is incorrect because limiting alcohol consumption to no more than two drinks per week is not sufficient for relapse prevention. Alcohol can interact with haloperidol and increase its sedative effects, impairing the client's judgment and cognition. Alcohol can also worsen schizophrenia symptoms and interfere with recovery. The client should avoid alcohol altogether or consult with their provider before consuming any alcohol.