The nurse is working with clients with personality disorders that are having problems with relationships and other parts of their life. Which barrier(s) is the nurse experiencing when working with this group of clients? Select all that apply.

Choice A reason: This statement could be misleading and potentially harmful as it may encourage unhealthy weight goals. Optimal health is not necessarily correlated with being at or below a certain weight.

Choice B reason: Developing coping strategies to handle emotional issues is a key preventative measure against eating disorders, as it helps individuals manage stress without resorting to disordered eating behaviors.

Choice C reason: Encouraging realistic ideas about body shape and size and avoiding comparisons to an "ideal" can prevent the development of negative body image, which is often associated with eating disorders.

Choice D reason: Helping adolescents find achievable outcomes to increase self-esteem can reduce the risk of eating disorders, as low self-esteem is a known risk factor.

Choice A reason: Shampoo and conditioner are unlikely to cause hair loss on the eyebrows and hairline.

Choice B reason: The parent's observation of the child pulling out hair and attempting to hide it suggests trichotillomania, a condition where individuals pull out their hair as a response to stress or anxiety.

Choice C reason: Genetic factors may contribute to hair loss, but the behavior described by the parent in choice B is more indicative of trichotillomania.

Choice D reason: The absence of visible nervousness or upset does not rule out trichotillomania, as the behavior can be a coping mechanism for internal distress.