A nurse is planning care for a client who is being admitted for treatment of anorexia nervosa. Which of the following interventions should the nurse include?

A. Caregiver is employed: Caregiver employment is generally a protective factor, as it often contributes to family stability, financial security, and access to resources. Employment alone does not increase the risk for child maltreatment.

B. Being diagnosed with a chronic illness: Children with chronic illnesses are at increased risk for maltreatment due to factors such as caregiver stress, increased dependency, frequent medical appointments, and potential frustration with care demands. This population requires careful monitoring and support.

C. Presence of a supportive social network: A strong social network provides emotional and practical support to caregivers, reducing stress and the likelihood of maltreatment. This factor is protective rather than a risk factor.

D. Lives with biologically related adult: Living with a biologically related adult is generally associated with a lower risk of maltreatment compared with non-related caregivers. This factor is protective and does not indicate increased risk.

A. Insert a peripheral catheter to deliver intravenous fluids: Routine IV fluid administration is not a standard intervention in hospice care unless specifically indicated for symptom management. The focus in hospice is on comfort and quality of life rather than aggressive interventions, so placing an IV line for routine hydration is generally avoided.

B. Obtain a prescription for parenteral nutrition: Parenteral nutrition is typically not initiated in hospice care because it does not improve comfort or quality of life and may cause discomfort or complications. Hospice care prioritizes symptom management, pain relief, and emotional support rather than aggressive nutritional interventions.

C. Offer the client massage therapy: Massage therapy is an appropriate intervention in hospice care as it promotes comfort, reduces pain, alleviates anxiety, and supports emotional well-being. Complementary therapies like massage are aligned with hospice goals of enhancing quality of life and providing holistic care for clients nearing the end of life.

D. Initiate a referral for physical therapy: Physical therapy in hospice is generally limited and focused only on maintaining comfort and safe mobility rather than improving function or strength. While referrals can be made if needed, massage therapy is a more direct intervention to address comfort and symptom management at this stage of care.