The nurse is asking a patient diagnosed with schizophrenia how they slept, and they respond, "This is a new day in May, and I can't wait to play." Which communication pattern does the nurse identify?

Choice A Reason:

This open-ended question invites the client to elaborate on their concerns and feelings about returning to work, which can be a significant source of stress after a cancer diagnosis. It allows the nurse to explore the client's perspective and provide support in addressing their fears and challenges.

Choice B Reason:

While resolving conflicts is important, this directive statement may come across as insensitive and may not acknowledge the complex emotions the client is experiencing. It's essential for the nurse to offer a supportive environment where clients feel understood rather than judged.

Choice C Reason:

This statement dismisses the potential role of antidepressants, which may be a valid part of treatment for some individuals. It's important for healthcare professionals to recognize that therapy and medication can both be valuable components of a comprehensive treatment plan.

Choice D Reason:

Noticing physical behaviors like clenching fists can be important, but asking "Why are you doing this?" might put the client on the defensive. A more empathetic approach would be to express concern and ask how the nurse can help the client feel more comfortable.

Choice A Reason:

Anxiety is a common comorbidity with eating disorders. Individuals with eating disorders often experience heightened levels of anxiety, which can manifest as generalized anxiety, panic attacks, or specific phobias. The preoccupation with food, body weight, and shape in eating disorders can exacerbate anxiety symptoms.

Choice B Reason:

Depression is another frequent comorbidity with eating disorders. The feelings of worthlessness, hopelessness, and anhedonia that characterize depression can often intertwine with the negative self-perception and emotional distress associated with eating disorders. This relationship can create a vicious cycle where each condition perpetuates the other.

Choice C Reason:

Obsessive-compulsive disorder (OCD) is commonly comorbid with eating disorders, particularly with anorexia nervosa and bulimia nervosa. The obsessive thoughts about food and compulsive behaviors such as excessive exercising or ritualistic eating patterns seen in eating disorders share similarities with the symptomatology of OCD.

Choice D Reason:

Schizophrenia is not typically considered a comorbidity of eating disorders. While individuals with schizophrenia may exhibit disordered eating behaviors, these are usually secondary to psychotic symptoms or medication side effects rather than a primary eating disorder.

Choice E Reason:

Breathing-related sleep disorders are not commonly associated with eating disorders. However, if an individual with an eating disorder has significant weight fluctuations, it could potentially impact sleep and breathing. Still, it is not a primary comorbidity like anxiety, depression, or OCD.