A nurse is providing information regarding the social determinants of mental health and persons with serious mental illnesses (SMI). Which of the following pieces of information should the nurse share during the presentation?

A. Demand that the client remove hidden objects from their clothing prior to being weighed. While it is important to ensure accurate weight measurement, demanding removal of hidden objects may create a confrontational atmosphere and increase anxiety for the client. A more supportive approach is beneficial in this setting.
B. Invite the client to predict their weight beforehand. Encouraging clients to predict their weight can help engage them in the process and promote a sense of control. This approach may also facilitate a therapeutic conversation about their feelings regarding weight and body image.
C. Monitor for any extra fluids the client may have consumed prior to being weighed. While monitoring fluid intake is important in the overall care of clients with eating disorders, it is not a standard practice to monitor this immediately before weighing unless there is a specific concern about fluid retention or overhydration.
D. Weigh the client each day after their evening meal. Weighing clients daily can contribute to anxiety and unhealthy focus on weight. It is generally more effective to establish a consistent weighing schedule that minimizes distress, such as weekly or bi-weekly measurements, rather than immediately following meals.

A. Orthorexia. Orthorexia is characterized by an unhealthy obsession with eating foods that one considers healthy and the avoidance of foods perceived as unhealthy. The client's report of eliminating specific foods to "eat clean" aligns with this condition, indicating a focus on the quality of food rather than quantity.
B. Pica. Pica is the compulsive consumption of non-food items, such as dirt or chalk. The client's behavior of eliminating foods does not fit this description, as they are not consuming non-nutritive substances.
C. Anorexia nervosa. Anorexia nervosa is an eating disorder characterized by restrictive eating and an intense fear of gaining weight. While clients with anorexia may eliminate foods, the specific focus on "eating clean" suggests a different motivation than the fear of weight gain typically seen in anorexia.
D. Rumination disorder. Rumination disorder involves the repetitive regurgitation of food, which is then re-chewed or re-swallowed, rather than the intentional avoidance of certain foods. This behavior does not relate to the client's reported actions of eliminating foods from their diet.