A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?

Choice A reason:
Monitoring the client's bathroom trips is crucial in managing bulimia nervosa. Clients with bulimia often engage in purging behaviors, such as self-induced vomiting, after eating. By monitoring bathroom trips, the nurse can help prevent these behaviors and ensure the client is not engaging in harmful activities that can exacerbate their condition.

Choice B reason:
Allowing the client's family to bring food can be problematic. Family members may not understand the nutritional needs and restrictions necessary for the client's recovery. They might bring foods that trigger binge-purge cycles or do not align with the therapeutic meal plan established by healthcare professionals.

Choice C reason:
Allowing the client to create their own meal schedule is not advisable. Clients with bulimia nervosa often have distorted perceptions of food and eating. A structured meal plan created by healthcare professionals is essential to ensure balanced nutrition and to help the client develop healthier eating patterns

Choice D reason:
Encouraging the client to exercise frequently can be harmful. Clients with bulimia nervosa may already engage in excessive exercise as a compensatory behavior to control weight. Encouraging more exercise can reinforce unhealthy behaviors and potentially lead to physical harm.

Choice A reason:
Telling a client to focus on themselves for a change may come across as dismissive and does not address the underlying feelings of hopelessness. It is important for the nurse to acknowledge the client's feelings and provide support rather than suggesting a shift in focus without understanding the root cause of their distress.

Choice B reason:
Asking the client why they feel like things will never work out can be a useful way to explore their thoughts and feelings. However, it may not be the most immediate concern if the client is experiencing severe hopelessness or suicidal ideation. The nurse should prioritize assessing the client's safety and risk of self-harm.

Choice C reason:
Asking if the client has been thinking about harming themselves is crucial in assessing their safety. Suicidal ideation is a serious concern, and it is important for the nurse to directly address this issue to determine if the client is at risk of self-harm. This response shows that the nurse is taking the client's feelings seriously and is concerned about their well-being.

Choice D reason:
Suggesting an antidepressant might make the client feel better can be helpful in the long term, but it does not address the immediate emotional distress the client is experiencing. Medication can be part of a treatment plan, but the nurse should first ensure the client's immediate safety and provide emotional support.