A nurse is assessing an adolescent client who has anorexia nervosa. Which of the following client statements is a sign of cognitive distortion?

A. Consuming large meals high in carbohydrates is not recommended for managing narcolepsy. Large meals, especially those high in carbohydrates, can lead to drowsiness and exacerbate daytime sleepiness, which is already a significant concern in narcolepsy. Instead, smaller, balanced meals are typically advised to avoid large fluctuations in blood sugar levels and excessive sleepiness.
B. Exercise regularly is an appropriate recommendation. Regular physical activity can help improve overall health, mood, and sleep patterns. For individuals with narcolepsy, exercise can also help manage excessive daytime sleepiness and improve alertness. However, it is important to avoid exercising too close to bedtime, as it can interfere with nighttime sleep.
C. Engaging in activities that increase sleepiness is not recommended. Sitting for long periods or being in warm environments can exacerbate daytime sleepiness and make it harder to stay awake. People with narcolepsy should avoid these situations and instead focus on strategies that help them stay alert and manage their sleepiness effectively.
D. Avoiding naps is generally not advised for individuals with narcolepsy. Controlled, planned naps can help manage excessive daytime sleepiness and improve overall function. Instead of avoiding naps, the focus should be on managing nap times effectively to help mitigate the symptoms of narcolepsy and maintain a regular sleep-wake schedule.

A. The correct technique for using a cane involves moving the weak leg first, followed by the strong leg. The cane should be moved forward with the weak leg to provide support and balance, followed by the stronger leg to propel the client forward. This helps to ensure stability and reduces the risk of falling.
B. The cane should be held on the strong side of the body. The rationale is that the cane provides additional support to the weak side, which helps to improve balance and stability while walking. Holding the cane on the strong side allows the cane to bear more weight and support the weaker leg effectively.
C. The height of the cane grip should be adjusted so that it is level with the client’s wrist when the arm is at their side. This positioning helps ensure proper arm alignment and comfort, allowing for effective use of the cane during ambulation.
D. The proper technique involves moving the cane forward first, followed by the weak leg, and then the strong leg. Moving the cane forward first provides immediate support and stability for the weak leg, helping to maintain balance and prevent falls.