A client with delusional thinking shows a lack of interest in eating at mealtimes. She states that she is unworthy of eating and that her children will die if she eats. Which nursing action would be most appropriate for this client?
A) Telling the client that she may become sick and die unless she eats
B) Paying special attention to the client's rituals and emotions associated with meals
C) Restricting the client's access to food except at specified mealtimes and snack times
D) Encouraging the client to express her feelings at mealtimes
Ans: C
Restricting access to food except at specified times prevents the client from eating when she feels anxious, guilty, or depressed; this, in turn, decreases the association between these emotions and food. Telling the client that she may become sick or die may reinforce her behavior because illness or death may be her goal. Paying special attention to rituals and emotions associated with meals also would reinforce undesirable behavior. Encouraging the client to express feelings at mealtimes would increase the association between emotions and food; instead, the nurse should encourage her to express feelings at other times.
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