The nurse is addressing exercise and physical activity during discharge education with a client diagnosed with heart failure. What should the nurse teach this client about exercise?

Choice A reason: Assessing past suicide attempts provides risk context but is not the immediate priority. Current suicidal ideation requires urgent action to ensure safety, as past history does not address the acute risk of self-harm, making this secondary to implementing protective measures.

Choice B reason: Notifying the treatment team and initiating suicide precautions is the priority to ensure immediate safety. Suicidal ideation indicates a high risk of self-harm, requiring team coordination, constant observation, and environmental safety measures to prevent harm and ensure timely intervention.

Choice C reason: Identifying coping mechanisms is part of long-term suicide prevention but is not the priority during active suicidal ideation. Immediate safety measures, such as precautions and team notification, are critical to prevent harm before addressing coping strategies in therapy.

Choice D reason: Determining a specific suicide plan is important for risk assessment but is secondary to initiating immediate safety measures. Suicide precautions and team notification ensure the client’s safety first, allowing for subsequent detailed evaluation of the ideation’s specificity and intent.

Choice A reason: Anorexia nervosa was described as a medical condition in the late 19th century by physicians like William Gull. It was recognized well before the 1960s, though diagnostic criteria were formalized later, making this statement false.

Choice B reason: Anorexia nervosa often leads to social isolation due to physical and psychological effects, not popularity. Thinness may be idealized, but the disorder’s behaviors (e.g., food restriction) and health decline typically impair peer relationships, making this false.

Choice C reason: Eating disorders, including anorexia nervosa, are a global health issue, not limited to the United States and Europe. They occur in various cultures, particularly where thinness is idealized, making this statement inaccurate and overly restrictive.

Choice D reason: Cultures emphasizing thinness as a beauty standard increase the risk of eating disorders like anorexia nervosa by promoting body dissatisfaction and extreme dieting behaviors. Social pressures amplify psychological vulnerabilities, contributing to higher incidence rates, making this statement true.