A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team.
Which of the following actions should the nurse take?

The correct answer is Choice D: The client states that he is unable to eat more than once a day.

Choice D rationale: Inability to eat more than once a day raises concerns about the client's nutritional status and overall physical well-being. Malnutrition can lead to several health complications, such as impaired immunity, muscle wasting, and poor wound healing. Additionally, the stress of grieving may exacerbate these effects. Ensuring proper nutrition is essential for supporting the client's physical health, which in turn influences their emotional resilience and ability to cope with the grieving process.

Choice A rationale: Anger towards healthcare providers or other individuals involved in the deceased person's care is a common reaction during the grieving process. While addressing emotional aspects of grief is essential, prioritizing physical health concerns, such as inadequate nutrition, takes precedence in nursing care.

Choice B rationale: Guilt is a common emotion experienced by individuals who are grieving, and in this case, the client's guilt revolves around not spending enough time with their partner. However, assessing and addressing physical health concerns, like poor nutritional intake, are of higher priority in the client's care plan.

Choice C rationale: Recalling negative experiences during the marriage is a part of the client's grieving process, which involves reflecting on various aspects of the relationship with the deceased partner. This psychological aspect is significant but does not take priority over addressing physical health concerns, such as inadequate nutrition.