A nurse is assessing a client diagnosed with schizophrenia. Which of the following behaviors should the nurse document to be associated with schizophrenia?

The correct answer is choice C: "I'm hearing that you are concerned that it might turn out that you have cancer."

Choice A rationale:

Dismissing the client's concerns and saying there's no reason to worry is not empathetic. It invalidates the client's feelings and does not address their anxiety.

Choice B rationale:

While discussing concerns with the provider is important, it's not the most therapeutic initial response. The nurse should engage with the client's feelings before suggesting actions.

Choice C rationale:

This is the correct choice. Reflecting the client's concerns back to them shows empathy and encourages them to express their feelings. This approach opens up communication and allows the nurse to provide support.

Choice D rationale:

Asking the client why they think they might have cancer could come across as confrontational and dismissive. The focus should be on understanding their feelings rather than challenging their thoughts.

The correct answer is choice B: Tachycardia.

Choice A rationale:

Metrorrhagia (Choice A) refers to irregular or excessive uterine bleeding between menstrual periods. While anorexia nervosa can disrupt menstrual cycles, causing amenorrhea, metrorrhagia is not a common associated finding.

Choice B rationale:

Tachycardia (Choice B), or an abnormally fast heart rate, is a hallmark of anorexia nervosa. The severe calorie restriction and electrolyte imbalances associated with anorexia can lead to cardiac complications, including rapid heart rate, as the body tries to compensate for the lack of nutrients.

Choice C rationale:

Hyperkalemia (Choice C), which is elevated levels of potassium in the blood, is not a typical finding in anorexia nervosa. Electrolyte imbalances in anorexia more commonly involve decreased potassium levels (hypokalemia) due to inadequate intake and excessive purging.

Choice D rationale:

Constipation (Choice D) is a possible consequence of anorexia nervosa. Reduced food intake can lead to decreased bowel movements and constipation. However, tachycardia is a more specific and significant finding associated with anorexia nervosa.