A nurse is planning teaching for a client who has multiple sclerosis. Which of the following instructions should the nurse plan to include?

Choice A rationale:

Appointing the client as a leader may not be appropriate, as individuals with antisocial personality disorder may misuse their position of authority.

Choice B rationale:

Clients with antisocial personality disorder often struggle with interpersonal relationships, may be manipulative, and may engage in behaviors that violate the rights of others. Monitoring the client's interactions with other clients helps ensure a safe and therapeutic environment while preventing harm to others.

Choice C rationale:

Offering warnings before consequences might not be effective with clients who have antisocial personality disorder, as they may disregard rules and consequences.

Choice D rationale:

Assigning a room near the activity area does not necessarily address the need to monitor the client's interactions with others.

Choice A rationale:

Holding the fork through the entire meal can lead to mindless eating and overeating. The client should put down the fork between bites and chew slowly to savor the food and feel full faster.

Choice B rationale:

Planning meals day by day can be stressful and impractical for the client. The client might not have enough time or resources to prepare healthy meals every day, or might be tempted by unhealthy options when hungry. The client should plan meals ahead of time, such as weekly or monthly, and stock up on nutritious foods that are easy to prepare.

Choice C rationale:

Scheduling three times to eat each day can be too rigid and unrealistic for the client. The client might not feel hungry at the scheduled times, or might feel hungry in between meals and snack

on junk food. The client should listen to their body and eat when they are hungry, but not too hungry. The client should also eat slowly and stop when they are full, but not too full.

Choice D rationale:

Eating off a smaller plate can help reduce the portion size and calorie intake of the client. This is a simple and effective way to manage obesity without feeling deprived or hungry. A smaller plate can also create an illusion of having more food, which can increase the satisfaction of the meal.