A nurse is caring for a client. Which of the following client statements should the nurse identify as an indication of anorexia nervosa?

 

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.

Rationale:

A. Amphetamines can cause agitation and psychosis but are less commonly associated with delirium.

B. Antihistamines, particularly those with sedative properties, can contribute to delirium, but they are not the primary culprit.

C. Benzodiazepines, especially when used in high doses or in older adults, can cause delirium. They have sedative effects and can impair cognitive function, leading to confusion and delirium, particularly in vulnerable populations.

D. Sertraline, a selective serotonin reuptake inhibitor (SSRI), is generally not associated with causing delirium, though any medication can contribute to altered mental status depending on the patient’s overall health.