Which of the following is an expected history associated with Wernicke-Korsakoff syndrome?

Choice A reason:

Placing the client in a monitored seclusion room is a restrictive intervention that should be used only when less restrictive measures have failed and the client cannot be safely managed by other means. It is not the first line of action due to the potential negative psychological impact on the client.

Choice B reason:

Attempting to talk the client down is the first and preferred approach. It involves using de-escalation techniques to calm the client, which can include speaking in a calm, non-threatening tone, actively listening to the client's concerns, and offering reassurance. This non-pharmacological intervention aligns with best practice recommendations for managing mild to moderate agitation.

Choice C reason:

Physical restraint is a last resort and should only be used when the client poses an immediate risk to themselves or others and when all other interventions have been unsuccessful. Restraints can have significant psychological effects and should be avoided whenever possible.

Choice D reason:

Administering a PRN antianxiety medication may be appropriate if the client is prescribed such medication and if verbal de-escalation is not effective. However, it should not be the first action taken as non-pharmacological interventions are preferred initially.

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.