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: Gastric lavage is not indicated in this scenario as the client's lithium level is not extremely elevated. Gastric lavage is typically reserved for cases of acute lithium toxicity when levels are significantly higher than the therapeutic range.

Choice B reason: There is no need to hold the medication as the lithium level is within the normal therapeutic range, which is generally between 0.6 to 1.2 mEq/L. Early manifestations of toxicity typically occur at levels above 1.5 mEq/L.

Choice C reason: Checking the client's medication record is a standard procedure but does not take precedence over administering the medication. The lithium level indicates that the client has been compliant with the medication regimen.

Choice D reason: The nurse should administer the morning dose of lithium because the current level is within the therapeutic range, indicating that it is safe to continue the prescribed treatment.