A nurse is caring for an adolescent client who has a new diagnosis of schizophrenia. The client's parents are tearful and express feelings of guilt. Which of the following is an appropriate statement by the nurse?

Choice A rationale:

Offering specific privileges for sustained weight gain might inadvertently encourage unhealthy behaviors in a client with anorexia nervosa. Rewarding weight gain with privileges could reinforce a potentially harmful mindset and approach to eating.

Choice B rationale:

Monitoring the client's weight daily is crucial in an inpatient setting for individuals with anorexia nervosa. It helps track their progress and any potential health risks associated with changes in weight. This action allows the healthcare team to intervene promptly if there are concerning fluctuations.

Choice C rationale:

Allowing the client to choose the meals she will eat is not recommended for someone with anorexia nervosa. The client's judgment about food choices is likely compromised by the disorder. A structured meal plan designed by healthcare professionals is typically used to support healthy eating habits.

Choice D rationale:

Providing the client with small meals frequently is a sound approach in the care of anorexia nervosa. This strategy can help prevent overwhelming feelings associated with larger meals and promote a more balanced intake throughout the day.

Choice E rationale:

Staying with the client during meals and for 1 hour afterward is important to prevent behaviors like purging after eating. It supports the client's physical and psychological safety during the vulnerable post-meal period.

Choice A rationale:

Tremors. Rationale: Tremors can be a withdrawal symptom associated with alcohol withdrawal. These tremors are often referred to as "alcohol shakes" and are a result of the central nervous system adapting to the sudden absence of alcohol.

Choice B rationale:

Insomnia. Rationale: Insomnia is a common withdrawal symptom during alcohol withdrawal. Alcohol disrupts sleep patterns, and when a person stops drinking, their sleep cycle may be disturbed, leading to difficulty falling asleep or staying asleep.

Choice C rationale:

Severe hypotension. Rationale: Severe hypotension, or very low blood pressure, is not a prominent withdrawal symptom of alcohol. Alcohol withdrawal can lead to an increase in blood pressure rather than severe hypotension.

Choice D rationale:

Hyperglycemia. Rationale: Hyperglycemia, or high blood sugar, is not a direct withdrawal symptom of alcohol. However, chronic alcohol use can affect blood sugar regulation over time. During acute withdrawal, hypoglycemia (low blood sugar) is more common due to altered metabolism.

Choice E rationale:

Visual hallucinations. Rationale: This statement is correct. Visual hallucinations can occur during alcohol withdrawal and are often indicative of a more severe withdrawal syndrome known as delirium tremens (DTs). DTs can include visual hallucinations, confusion, agitation, and autonomic hyperactivity.