Which of the following findings should a nurse expect when assessing an adolescent female client with anorexia nervosa?

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:

Instructing the client to argue with the voices that are part of the hallucination is not recommended. This could potentially increase the client's anxiety and reinforce the hallucination, making it more prominent in the client's mind. It may also lead to an escalation of symptoms or confrontational behavior.

Choice B reason:

Telling the client to go to their room and that the voices should go away is dismissive and does not acknowledge the real distress that hallucinations can cause. This approach does not provide any therapeutic support or intervention and can make the client feel isolated and misunderstood.

Choice C reason:

Acting as if the hallucination is real can validate the client's delusion and may reinforce the false belief. It is important for healthcare professionals to maintain a sense of reality while showing empathy for the client's experience.

Choice D reason:

Asking direct questions about the hallucination can help the nurse assess the content and impact of the hallucinations on the client. It allows for a better understanding of what the client is experiencing without reinforcing the hallucination. The nurse should remain calm, approach quietly, call the person by name, ask what is happening, and whether they are afraid or confused.