A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?
Explanation & Rationale
A. Weighing the client after meals is not recommended because intake of food and fluids can artificially increase weight and may reinforce anxiety or distorted perceptions about weight. Standard practice is to weigh clients in the morning, after voiding, and before eating or drinking. B. Inviting the client to predict their weight can reinforce obsessive behaviors and distorted body image associated with eating disorders. It may increase anxiety or focus on numbers rather than recovery. C. While it is important to prevent manipulation during weighing, demanding the client remove hidden objects in a confrontational way is not therapeutic. A nonjudgmental approach and observation for behaviors such as hiding weights or water ingestion is preferred. D. Monitoring for extra fluids consumed prior to weighing is a therapeutic and non-confrontational way to ensure accurate weight assessment. Clients with eating disorders may attempt to manipulate weight through water loading or other behaviors. The nurse’s role is to observe and document objectively without shaming the client.