A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?

Demand that the client remove hidden objects from their clothing prior to being weighed.

Invite the client to predict their weight beforehand.

Monitor for any extra fluids the client may have consumed prior to being weighed.

Weigh the client each day after their evening meal.

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is ["A","C","D","E","F"]

Explanation

A. "My parents divorced when I was 13 years old." Divorce is recognized as an adverse childhood experience (ACE) because it can create emotional instability, financial stress, and changes in family dynamics, potentially affecting long-term mental health outcomes.
B. "We always had plenty of food in the house to eat." Having consistent access to food suggests a stable home environment, which is not classified as an ACE. Adverse experiences often include neglect, which involves a lack of basic needs such as food, shelter, or medical care.
C. "I was teased at school for wearing dirty clothes every day for weeks." Persistent neglect, such as not having clean clothing, can indicate parental neglect—one of the recognized ACEs. This can contribute to feelings of shame, social isolation, and long-term psychological distress.
D. "My parents would get in physical altercations." Witnessing domestic violence is a significant ACE that can lead to long-term emotional trauma, increased risk of anxiety, depression, and difficulty forming healthy relationships later in life.
E. "My parent went to prison when I was 12 years old." Parental incarceration is a recognized ACE, as it can cause emotional distress, economic hardship, and social stigma, increasing the child's risk for mental health disorders and substance use.
F. "My parent would swear often at my sibling and I." Verbal abuse, including frequent swearing or demeaning language, is a form of emotional abuse. Emotional abuse is a major ACE that can contribute to low self-esteem, difficulty regulating emotions, and increased vulnerability to mental health conditions.

A. Schizophrenia B. Major depressive disorder C. Borderline personality disorder D. Bipolar disorder

Correct Answer is B

Explanation

A. Schizophrenia. Schizophrenia is a severe psychiatric disorder characterized by delusions, hallucinations, and disorganized thinking. While somatic symptom disorder (SSD) involves excessive focus on physical symptoms, it is not commonly linked to schizophrenia, which primarily affects perception and cognition.
B. Major depressive disorder. Depression is a common comorbidity of somatic symptom disorder. Clients with SSD often experience persistent sadness, hopelessness, and fatigue due to their distress over physical symptoms, which can contribute to or exacerbate depression.
C. Borderline personality disorder. While borderline personality disorder (BPD) is associated with emotional dysregulation and unstable relationships, it is not the most common comorbidity of SSD. BPD can co-occur with SSD, but depression and anxiety disorders are more frequently seen.
D. Bipolar disorder. Bipolar disorder involves mood fluctuations between mania and depression, whereas SSD is primarily characterized by excessive health-related concerns. While both conditions can co-exist, depression is more commonly associated with SSD.

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A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?

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